| Impact of purely internal thoracic artery T-graft technique on the mode and quality of surgical myocardial revascularization evaluated by early postoperative coronary angiography. | |
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MedLine Citation:
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PMID: 19913769 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The use of the internal thoracic artery for coronary artery bypass has improved the results of such surgery. However, bypass using only the internal thoracic arteries sometimes requires a T-graft. This purely internal thoracic artery T-graft technique has progressively become part of our surgical protocol for coronary artery bypass surgery. AIMS: The aim of the study was to analyse the impact of this surgical technique on the degree and quality of coronary revascularization using early postoperative angiography. METHODS: Between January 2004 and December 2006, 148 patients underwent coronary artery bypass surgery exclusively using both internal thoracic arteries in a T-graft configuration. Systematic postoperative angiography was offered to all 148 patients; it was accepted by 108 patients and refused by 40 patients. RESULTS: There were no statistically significant differences between the two groups. In-patient mortality was 2.02% (n=3) for the whole population studied, and 1.49% (n=2) for the 134 patients who received only coronary artery bypass grafts. The revascularization rate was 89% and 3.46 coronary anastomoses were constructed per patient (range 2-6). Angiography was performed on 108 right internal thoracic artery to left internal thoracic artery anastomoses, 374 anastomoses of internal thoracic arteries to coronary arteries and 382 inter-anastomosis segments: 98% of the anastomoses and segments were patent. CONCLUSION: The exclusive recourse to the purely internal thoracic artery T-graft technique meant that it has been possible to dispense with other types of graft while achieving complete and effective revascularization of the coronary artery. |
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Authors:
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Didier Chatel; Aures Chaib; Christophe Barbey; Francis Baud; Stephan Chassaing; Olivier Bar; Didier Blanchard |
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Publication Detail:
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Type: Journal Article Date: 2009-10-20 |
Journal Detail:
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Title: Archives of cardiovascular diseases Volume: 102 ISSN: 1875-2128 ISO Abbreviation: Arch Cardiovasc Dis Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-11-16 Completed Date: 2010-03-01 Revised Date: 2011-04-25 |
Medline Journal Info:
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Nlm Unique ID: 101465655 Medline TA: Arch Cardiovasc Dis Country: Netherlands |
Other Details:
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Languages: eng Pagination: 677-83 Citation Subset: IM |
Affiliation:
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Clinique Saint-Gatien, 8, place de la Cathédrale, 37000 Tours, France. d.e.chatel@wanadoo.fr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Angiography* Coronary Artery Bypass / adverse effects, methods*, mortality Coronary Stenosis / mortality, physiopathology, radiography, surgery* Female Graft Occlusion, Vascular / etiology, physiopathology, radiography* Humans Male Mammary Arteries / physiopathology, radiography, surgery* Middle Aged Severity of Illness Index Time Factors Treatment Outcome Vascular Patency* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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