Early and Mid-Term Outcome of Anastomosis of Gastroepiploic Artery to Left Coronary Artery

Takahashi, Kenji; Daitoku, Kazuyuki; Nakata, Shuhei; Oikawa, Shigeru; Minakawa, Masahito; Kondo, Norihiro

doi:10.1016/j.athoracsur.2004.06.071

Cited by 13 publications

(11 citation statements)

References 9 publications

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“…Although the RGEA is an important graft for the inferior wall in MIDCAB, its application for grafting to the LAD is questionable. It should be kept in mind that the mid‐term patency rate of the RGEA grafted to the LAD is low (58%), even if early patency is favorable (96%), as reported by Takahashi et al 14 They pointed out that this low mid‐term patency might be due to retrograde blood flow to the LAD from the RGEA.…”

Section: Resultsmentioning

confidence: 84%

“…Although some investigators reported the use of RGEA grafting to the LAD, Takahashi et al reported that the mid‐term patency was low, 58.8%, 14 even though its early patency was 96%. In their landmark study, Suma et al estimated that the cumulative patency rate by the Kaplan‐Meier method was 96.6% at one month, 91.4% at one year, 80.5% at five years, and 62.5% at 10 years 42 …”

Section: Resultsmentioning

confidence: 99%

“…Contraindications for harvesting the RGEA are a history of gastrectomy, upper laparotomy, and other conditions in which marked adhesions are expected around the stomach. Gastric ulcer and abdominal mass are also contraindications 14 …”

Section: Methodsmentioning

confidence: 99%

“…Takahashi et al reported that they used intravenous diltiazem at 1 to 3 μg/kg/min perioperatively and switched to oral administration of a calcium antagonist for two months 14 …”

Section: Methodsmentioning

confidence: 99%

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The Right Gastroepiploic Artery in Coronary Artery Bypass Grafting

Sasaki

2008

Journal of Cardiac Surgery

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The right gastroepiploic artery (RGEA) has been used as a conduit in coronary artery bypass grafting. Although some reports presenting good results justify its use in clinical settings, there is still much concern about using the RGEA in bypass surgery. The RGEA demonstrates different behaviors from the internal thoracic artery (ITA) in bypass surgery due to its histological characteristics and anatomical difference, which might contribute to the long-term outcome. Now that left ITA (LITA) to left anterior descending artery (LAD) is the gold standard, other grafts are expected to cover the rest of the coronary arteries. It should be elucidated how we can use other grafts and what we can expect from them. RGEA, as an arterial graft, can be used as an in situ graft or a free graft. The RGEA is mainly used to graft to the right coronary artery (RCA) because of its anatomical position, and its patency is not inferior to that of the saphenous vein (SVG). The RGEA can cover the lateral walls when its length is long enough or by making a composite graft with other grafts. However, when used to graft to the LAD, its mid-term patency is not favorable.

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Section: Resultsmentioning

confidence: 84%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…Takahashi et al reported that they used intravenous diltiazem at 1 to 3 μg/kg/min perioperatively and switched to oral administration of a calcium antagonist for two months 14 …”

Section: Methodsmentioning

confidence: 99%

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The Right Gastroepiploic Artery in Coronary Artery Bypass Grafting

Sasaki

2008

Journal of Cardiac Surgery

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“…The GEA patency was similar to that of the SV. 14,54) More recently, Suzuki reported that skeletonized GEAs had superior patencies to that of SVs. 55) From a sizeable number of experiences, it is well recognized that the use of this artery does not increase surgical risk, and no gastric ischemia or abdominal complications occur with takedown of the GEA.…”

Section: Gastroepiploic Arterymentioning

confidence: 99%

Current Trends in Surgical Revascularization of Multivessel Coronary Artery Disease With Arterial Grafts

Nicolini

Agostinelli²,

Spaggiari³

et al. 2014

Int. Heart J.

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SummaryIt is well known that graft patency determines prognosis in coronary artery bypass grafting. Numerous reports over the past 20 years have documented superior patency and prognosis when multiple arterial grafts are used. The use of the left internal thoracic artery to graft the left anterior descending artery has been widely accepted as the gold standard for surgical treatment of coronary disease for over 40 years. A considerable body of evidence suggests that the right internal thoracic artery behaves in the same way. Radial artery grafts are being studied in several randomized trials, but observational studies suggest a performance comparing favorably with the saphenous vein. The right gastroepiploic artery has been recognized as a suitable and reliable conduit for coronary bypass surgery. However, the use of multiple other arterial grafts is performed in less than 10% of surgical procedures, probably because of perceptions of technical complexity, prolonged time for conduit harvesting, and increased perioperative complications. As a result, most patients with multivessel coronary artery disease do not benefit from extensive revascularization with arterial conduits. The aim of this review is to summarize the current evidence for the extensive use of arterial conduits in the revascularization of multivessel coronary artery disease. (Int Heart J 2014; 55: 381-385)

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Arterial Revascularization of Coronary Artery Disease

Schäfers¹,

Kunihara²

2010

Cardiovascular Interventions in Clinical Practice

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Early and Mid-Term Outcome of Anastomosis of Gastroepiploic Artery to Left Coronary Artery

Cited by 13 publications

References 9 publications

The Right Gastroepiploic Artery in Coronary Artery Bypass Grafting

The Right Gastroepiploic Artery in Coronary Artery Bypass Grafting

Current Trends in Surgical Revascularization of Multivessel Coronary Artery Disease With Arterial Grafts

Arterial Revascularization of Coronary Artery Disease

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