Gastroepiploic Artery Grafting Does Not Improve the Late Outcome in Patients With Bilateral Internal Thoracic Artery Grafting

Esaki, Jiro; Koshiji, Takaaki; Okamoto, Minoru; Tsukashita, Masaki; Ikuno, Takeshi; Sakata, Ryuzo

doi:10.1016/j.athoracsur.2006.10.020

Cited by 25 publications

(20 citation statements)

References 18 publications

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“…The early patency in different targeted areas is shown in Table 3. 6,13,14,28,29,56,84 Midterm patency (>2 years) ranged from 58.8% to 95%, as shown in Table 4. 14,19,28,32,42,43,54,83 Long-term patency (>5 years) was 82.1 to 87%, 32,[42][43][44] as shown in Table 5.…”

Section: Resultsmentioning

confidence: 96%

“…The actual freedom from angina was 93.6% at three years 32 ; 89.8%, 32 89.0%, 20 and 97.0% 45 at five years; 85.3% 29 and 85.4% 85 at seven years; and 79.5% at nine years 41 …”

Section: Resultsmentioning

confidence: 97%

“…One was composed of patients who were grafted with the RGEA, and the other was those in whom an SVG was used. They were compared with respect to late outcome, and the authors concluded that they did not differ significantly at seven‐year follow‐up 29 . Hirose et al compared patients in whom the RA was used as a third graft with those in whom the RGEA was used.…”

Section: Resultsmentioning

confidence: 99%

“…Many surgeons have been using papeverine externally or intraluminally to relieve spasm when harvesting the RGEA. 19,23,[28][29][30][31][32][33][34][35][36][37][38] Hirose et al mentioned that the RGEA can be dilated from 1.5 mm to 2.0 mm to 2.5 mm by papaverine injection. 19 Formica et al used glyceryl-verapamil solution as well as papaverine.…”

Section: Spasm Of Rgeamentioning

confidence: 99%

“…The main target of the RGEA is the RCA, 4,[18][19][20][28][29][30]32,34,41,43,[45][46][47][48] especially its distal part. 19,20,23,30,32,41,45,47 The CX is a possible target when the graft is long enough.…”

Section: Distal Anastomosis Of Rgeamentioning

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: 96%

“…The actual freedom from angina was 93.6% at three years 32 ; 89.8%, 32 89.0%, 20 and 97.0% 45 at five years; 85.3% 29 and 85.4% 85 at seven years; and 79.5% at nine years 41 …”

Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 99%