Effect of target artery location and severity of stenosis on mid-term patency of aorta-anastomosed vs. internal thoracic artery-anastomosed radial artery grafts

Gaudino, Mario; Alessandrini, Francesco; Pragliola, Claudio; Cellini, Carlo; Glieca, Franco; Luciani, Nicola; Girola, Fabiana; Possati, Gianfederico

doi:10.1016/j.ejcts.2003.11.027

Cited by 88 publications

(62 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in this study, RA was harvested with a no-touch technique and with no mechanical expansion before implantation, which probably protected the endothelium and avoided spasms and posterior graft failure. There is no consensus in literature [14][15] if the location of the target vessel has an impact on RA patency rate. Our study had similar excellent patency rates for all target vessels.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Elective vs Non-Elective Radial Artery Grafts: Comparing Midterm Results Through 64-Slice Computed Tomography

Rocha-e-Silva

Santos

Rochite

et al. 2007

Clinics

View full text Add to dashboard Cite

Elective vs non-elective radial artery grafts: comparing midterm results through 64-Slice Computed Tomography. Clinics. 2007; 62(6):725-30.BACKGROUND: Left internal thoracic artery to left anterior descending artery (LITA-LADA) grafting has become a fundamental part of the coronary artery bypass graft procedure (CABG). This grafting in turn has led to an increased use of other arterial conduits, of which the radial artery (RA) is most popular. Whether RA grafting can be used in the emergency patient is controversial. METHODS: 47 patients with critical stenosis (≥70%) in all target vessels underwent CABG with LITA and RA grafts from 1996 to 2003. Patients were divided into elective (23 patients) and non-elective groups (24 patients) with LITA and RA grafts per patient being similar in both groups. Of these 47 patients, 5 died from non-cardiac complications and 12 were unavailable. Thus, 30 patients (71% of survivors) were studied by multidetector computed tomography. A total of 36 LITA and 64 RA grafts were studied. RESULTS: The RA patency rate for elective and non-elective grafts were 82% (31/38) and 85% (22/26), respectively (p=0.75). The RA had a similar patency rate for all target vessels ranging from 73% to 100%. Only one patient had a redo CABG and 29 (97%) are free from angina or re-intervention. LITA-LADA had a 92% (11/12) and 100% (10/10) patency rate for elective and non-elective groups, respectively (p=0.37). The sequential LITA-diagonal-LADA in the elective group had a 50% (03/06) patency rate, which was significantly lower than the 100% (08/08) patency rate of the non-elective group (p=0.02). CONCLUSION: Radial Artery grafts can be used in both elective and non-elective patients with excellent results.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Their 1 and 4 year patency rates were 96% and 89%, respectively. Gaudino 15 demonstrated that the main determinant of a higher RA patency rate is the level of coronary ste-nosis and Zacharias 16 showed that the use of RA as a second conduit associated with LITA-LADA compared to saphenous veins decreases long-term mortality.…”

Section: Introductionmentioning

confidence: 99%

Elective vs Non-Elective Radial Artery Grafts: Comparing Midterm Results Through 64-Slice Computed Tomography

Rocha-e-Silva

Santos

Rochite

et al. 2007

Clinics

View full text Add to dashboard Cite

show abstract

“…The possibility of competition between the flow and the graft is described, especially when the obstructive lesion of the targetcoronary is not subocclusive [22].…”

Section: Resultsmentioning

confidence: 99%

Revascularização miocárdica com artéria radial: influência da anastomose proximal na oclusão a médio e longo prazo

Carneiro¹,

Platania²,

Dallan³

et al. 2009

Rev Bras Cir Cardiovasc

View full text Add to dashboard Cite

Revascularização miocárdica com artéria radial: influência da anastomose proximal na oclusão a médio e longo prazo Coronary artery bypass grafting using the radial artery: influence of proximal anastomosis site in mid-term and long-term graft patency Abstract Objective: To determine whether the proximal anastomosis interferes or not in mid-and long-term patency of these grafts.Methods: One hundred twenty-three out of 481 patients who had undergone surgery using radial artery (RA) were restudied. The mean age was 58. 39CARNEIRO, LJ ET AL -Coronary artery bypass grafting using the radial artery: influence of proximal anastomosis site in mid-term and long-term graft patency Bras Cir Cardiovasc 2009; 24(1): 38-43 Rev

show abstract

“…Previous angiographic observational studies have shown that the RA achieved excellent short-(96% -100%), mid-(94% -97%), and long-term graft patency (84% -96%) when used as either an aortocoronary bypass or a composite graft [13,[29][30][31]. reported similar long-term graft patency [44][45][46][47].…”

Section: The Radial Artery (Ra)mentioning

confidence: 99%

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Molardi¹,

Benassi²,

Nicolini³

et al. 2013

WJCD

View full text Add to dashboard Cite

The burden of diseases associated with diabetes mellitus is dramatic: adults with diabetes mellitus are 2 to 4 times more likely to have cardiovascular diseases than those without it, and at least 65% will die because of diabetes complications. The revascularization strategy in these types of patients included percutaneous coronary interventions with bare metal stents or medicated stents and surgical coronary artery bypass grafting (CABG), but it is well known that in the diabetic patient with two or more vessel disease, the surgical strategy allows the best mid-and longterm results. Moreover, benefits of CABG surgery are limited by life expectancy of the most common type of graft, the saphenous vein (SV). Nearly 40 years after the introduction of bypass surgery, the rate of vein graft failure remains at high levels. Several arterial conduits had been studied as alternative conduits to SV: the Right Internal Thoracic Artery (RITA), the Radial Artery (RA), the Gastroepiploic Artery (GEA) and the Inferior Epigastric Artery (IEA), 40 years ago. The aim of our article is to review the scientific literature of the past 15 years to answer this question: are we ready to treat the diabetic patient, with a completely arterial revascularization, avoiding the use of the great saphenous vein grafts?

show abstract

Effect of target artery location and severity of stenosis on mid-term patency of aorta-anastomosed vs. internal thoracic artery-anastomosed radial artery grafts

Abstract: ITA-anastomosed RA grafts are more vulnerable to the detrimental effect of chronic native competitive flow and should be used only for target vessel with subocclusive stenosis. The location of the distal anastomosis does not influence long-term RA patency.

Cited by 88 publications

References 12 publications

Elective vs Non-Elective Radial Artery Grafts: Comparing Midterm Results Through 64-Slice Computed Tomography

Elective vs Non-Elective Radial Artery Grafts: Comparing Midterm Results Through 64-Slice Computed Tomography

Revascularização miocárdica com artéria radial: influência da anastomose proximal na oclusão a médio e longo prazo

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Contact Info

Product

Resources

About