Coronary-Coronary Artery Bypass: An Alternative

Rowland, Paul; Grooters, Ronald K.

doi:10.1016/s0003-4975(10)60625-x

Cited by 19 publications

(9 citation statements)

References 3 publications

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“…10 Other measures, including bypassing the lesion with a graft bridging the proximal and distal parts of the coronary vessel and the no-touch technique, seem more logical and were employed in our patients. 11,12 It was concluded from this study that intraoperative epiaortic B-mode ultrasound was a reliable method of detecting ascending aortic atherosclerosis and may be useful in preventing neurological complications by either avoiding manipulation of high-risk areas or changing the operative strategy. In the era before we applied IEU, a similar patient population (our standard CABG population) was found to have a 2.8% incidence of postoperative cerebral complications during an identical time period.…”

Section: Discussionmentioning

confidence: 84%

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Epiaortic Ultrasound: Aortic Screening in Coronary Revascularization

Özatık

Vural

Şener

et al. 1999

Asian Cardiovasc Thorac Ann

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Two hundred and fourteen consecutive patients (174 males and 40 females; mean age, 61 years) undergoing coronary artery bypass grafting were screened by intraoperative epiaortic B-mode ultrasonography. The operative strategy was modified under ultrasonographic guidance in 26 patients to reduce the risk of stroke. Aortic cannulation, clamping, and vein graft attachment sites were changed in 15 patients (7%), the operation was performed on a beating heart in 7 (3.3%), cardiopulmonary bypass was established via femoral cannulation and coronary artery bypass grafting was performed on a fibrillating heart in 4 (1.9%). The incidence of stroke in our coronary artery bypass patients decreased from 2.8% to 0.9%. Sensitivity of detection of ascending aortic atherosclerosis was calculated as 35.48% for palpation and 96.8% for epiaortic ultrasonography. Risk factors for significant ascending aortic atherosclerosis were age over 70 years (p = 0.004), hypertension (p = 0.03), and associated peripheral arterial disease (p = 0.02). The most frequently affected segments were the anterior (41%) and upper left (32%) aspects of the aorta. Intraoperative epiaortic B-mode ultrasonography was found to be a reliable method of detecting ascending aortic atherosclerosis, allowing the surgeon to determine operative strategy to reduce the risk of perioperative stroke.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Epiaortic Ultrasound: Aortic Screening in Coronary Revascularization

Özatık

Vural

Şener

et al. 1999

Asian Cardiovasc Thorac Ann

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“…CCBG was first performed by Rowland and Grooters 6 . In CCBG, the anastomoses are performed between two segments of the same coronary artery or between different coronary arteries 7,8 .…”

Section: Discussionmentioning

confidence: 99%

Coronary-Coronary Bypass Grafting to Reduce the Risk of Aortic Atheroembolism

Yalçınkaya¹,

Cagli²,

Ulaş³

et al. 2010

Journal of Cardiac Surgery

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Coronary-coronary bypass grafting refers to making anastomoses between two segments of the same coronary artery or between different coronary arteries, and provides less "touch" to the aorta, which is important for the patients with severely atherosclerotic ascending aorta. In this report we represent a case of a patient with extensive atherosclerotic aorta, in whom a saphenous vein graft was placed between the acute marginal and the posterior-descending branches of the right coronary artery during an off-pump coronary artery bypass grafting surgery.

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“…The coronary-coronary bypass was first described by Rowland and Grooters [6] in 1987, in two cases, one with porcelain aorta and the other for shortage of grafts. In the two patients the greater saphenous vein was used as graft.…”

Section: Discussionmentioning

confidence: 99%