Document Detail


Impact of purely internal thoracic artery T-graft technique on the mode and quality of surgical myocardial revascularization evaluated by early postoperative coronary angiography.
MedLine Citation:
PMID:  19913769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Didier Chatel; Aures Chaib; Christophe Barbey; Francis Baud; Stephan Chassaing; Olivier Bar; Didier Blanchard
Related Documents :
3497309 - Gastroepiploic-coronary anastomosis. a viable alternative bypass graft.
2886109 - Anatomical studies to support the expanded use of the internal mammary artery graft for...
10084489 - Site of pleural drain insertion and early postoperative pulmonary function following co...
24920729 - Exposure of mice to chronic hypoxia attenuates pulmonary arterial contractile responses...
9930429 - Evaluation of a porcine internal mammary artery (no-react ii) as a small-diameter conduit.
20930679 - Aortic valve replacement by ministernotomy in redo patients with previous left internal...
5441879 - The neurological junction between the appendix and ascending colon.
9778189 - Validation of a less-invasive method for measurement of serotonin synthesis rate with a...
20495109 - Progressive dilatation of the main pulmonary artery is a characteristic of pulmonary ar...
Publication Detail:
Type:  Journal Article     Date:  2009-10-20
Journal Detail:
Title:  Archives of cardiovascular diseases     Volume:  102     ISSN:  1875-2128     ISO Abbreviation:  Arch Cardiovasc Dis     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-11-16     Completed Date:  2010-03-01     Revised Date:  2011-04-25    
Medline Journal Info:
Nlm Unique ID:  101465655     Medline TA:  Arch Cardiovasc Dis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  677-83     Citation Subset:  IM    
Affiliation:
Clinique Saint-Gatien, 8, place de la Cathédrale, 37000 Tours, France. d.e.chatel@wanadoo.fr
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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


Previous Document:  Pilot study of emotional freedom techniques, wholistic hybrid derived from eye movement desensitizat...
Next Document:  Clinical contributions of 64-slice computed tomography in the evaluation of cardiomyopathy of unknow...