Document Detail


Total arterial myocardial revascularization using composite and sequential grafting with the off-pump technique.
MedLine Citation:
PMID:  16039209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Multiple arterial myocardial revascularizations are increasingly undertaken using off-pump techniques; however, various arterial grafting techniques are utilized. This study aimed to review the outcome of combining arterial composite and sequential grafting with off-pump techniques. METHODS: We retrospectively reviewed the records of 107 consecutive patients who underwent coronary bypass surgery with off-pump and arterial composite grafting techniques between April 2001 and March 2004. The left internal thoracic artery (LITA) was harvested in all patients, and the right internal thoracic artery (RITA), the radial artery (RA), and the gastroepiploic artery (GEA) were harvested in 69 patients, in 83 patients, and in 53 patients, respectively. Early postoperative angiograms were evaluated in 97 patients. RESULTS: There were 488 distal anastomoses, an average of 4.5 per patient. Forty-four in situ LITAs were used as LITA Y-composite grafts with a free RITA (n = 19), RA (n = 24), or free GEA (n = 1). Forty-three in situ RITAs were used as RITA-RA grafts (n = 42) or a RITA-GEA graft (n = 1). Twenty-one in situ GEAs were used as composite grafts with the RA (n = 17) or a free RITA (n = 4). There were no hospital deaths. The patency of the LITA was 100%, and that of the RA was 97.3%, while patencies of both in situ and free RITA and GEA were 100%. During the follow-up period (mean: 22.1 months), there were 3 late deaths, but none were cardiac related. CONCLUSIONS: Total arterial revascularization with composite and sequential grafting is a safe and effective technique in patients undergoing off-pump coronary artery bypass surgery.
Authors:
Toshihiro Fukui; Shuichiro Takanashi; Yasuyuki Hosoda; Shigefumi Suehiro
Related Documents :
8846169 - Have the results of infrainguinal bypass improved with the widespread utilisation of po...
6610349 - Progression of atherosclerosis in coronary arteries and bypass grafts: ten years later.
1601919 - The impact of angiodynography on infrainguinal bypass graft surveillance.
15256939 - The banking of arterial allografts in the united kingdom. a technical and clinical review.
7091769 - Arterial grafting through the obturator foramen in secondary hemorrhage from the femora...
12734729 - Experimental and clinical studies investigating the efficacy of distal anastomosis with...
11951099 - B-mode ultrasound measurement of carotid bifurcation stenoses: is it reliable?
12518209 - Single coronary artery arising from the left sinus of valsalva.
19262579 - Relationship between carotid artery stiffness index, bnp and high-sensitivity crp.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  80     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-07-25     Completed Date:  2006-09-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  579-85     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan. tm-fukui@gem.hi-ho.ne.jp
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Artery Bypass, Off-Pump*
Female
Gastroepiploic Artery / transplantation
Humans
Internal Mammary-Coronary Artery Anastomosis*
Male
Middle Aged
Myocardial Ischemia / surgery*
Radial Artery / transplantation
Retrospective Studies
Treatment Outcome

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


Previous Document:  Long-term survival after surgical revascularization for moderate ischemic mitral regurgitation.
Next Document:  Hemostasis in off-pump compared to on-pump coronary artery bypass grafting: a prospective, randomize...