Document Detail


Standard coronary artery bypass grafting and beating heart bypass. Indications and long-term results.
MedLine Citation:
PMID:  11197823     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES AND METHOD: We have performed 225 cases of coronary artery bypass grafting (CABG), between October 15 1995 and September 8 1999. We have evaluated the operative results of 121 cases (53.8%) of conventional CABG and 104 cases (46.2%) of minimally invasive coronary artery bypass grafting performed during this period. The average numbers of bypassed grafts was 3.45 for conventional CABG, and 1.41 for minimally invasive coronary artery bypass grafting. Sixty-seven right internal thoracic arteries, 145 left internal thoracic arteries, 71 gastroepiploic arteries, 38 radial arteries and 12 saphenous veins were used for conventional CABG, and 29 right internal thoracic arteries, 81 left internal thoracic arteries, 18 gastroepiploic arteries, 3 radial arteries, 10 saphenous veins and 2 inferior epigastric arteries were used for minimally invasive coronary artery bypass grafting. The total number of 303 grafts were anastomosed to 417 coronary arteries for conventional CABG, and 143 grafts were anastomosed to 147 coronary arteries for minimally invasive coronary artery bypass grafting. RESULTS: Although two saphenous veins were occluded, the early postoperative patency rate was 100% for conventional CABG using right internal thoracic arteries, left internal thoracic arteries, gastroepiploic arteries and radial arteries. Three site of stenosis in 18 left internal thoracic arteries and 2 in 16 right internal thoracic arteries were recognized in minimally invasive coronary artery bypass grafting without the use of stabilizers. One site of stenosis in 63 left internal thoracic arteries was recognized in minimally invasive coronary artery bypass grafting with the use of stabilizers. CONCLUSION: The use of stabilizers enables adaptation of the minimally invasive coronary artery bypass grafting procedure to a wider range of coronary artery bypass procedures, and a higher graft patency can be expected.
Authors:
K Takahashi; S Oikawa; M Minagawa; M Hatakeyama
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  48     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2000 Dec 
Date Detail:
Created Date:  2001-02-01     Completed Date:  2001-03-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  789-94     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Aomori Rhousai Hospital, 1 Shiroganemachi Minamigaoka, Hachinohe, Aomori 031-8551, Japan.
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass / standards*,  statistics & numerical data
Coronary Disease / surgery
Epigastric Arteries / transplantation
Extracorporeal Circulation
Female
Follow-Up Studies
Humans
Male
Mammary Arteries / transplantation
Middle Aged
Saphenous Vein / transplantation
Surgical Procedures, Minimally Invasive / standards*,  statistics & numerical data
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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