Myocardial revascularization with multiple arterial grafts: comparison between the radial artery and the right internal thoracic artery

Lemma, Massimo; Gelpi, Guido; Mangini, Andrea; Vanelli, Paolo; Carro, Cristina Bernis; Condemi, A. M.; Antona, Carlo

doi:10.1016/s0003-4975(01)02596-6

Cited by 33 publications

(26 citation statements)

References 20 publications

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“…Many reports have shown better outcomes of the RA compared with the SV, 10,56,58,59,[63][64][65]67 though some reported similar long-term graft patency. 33,45,48,66 Only the Cleveland Clinic reported worse graft patency of the RA than the SV. 68 Possati et al reported the long-term (105±9 months) graft patency of RA grafts in a series of 90 consecutive CABG patients.…”

Section: Patency Of Ra Graftsmentioning

confidence: 99%

“…As the second arterial graft in addition to LITA to LAD anastomosis, cohort studies comparing the RITA and the RA showed the same clinical and angiographic results. 32,33 In addition, perioperative bleeding and sternal wound infection are favorable with the RA compared with the RITA. 33 Other arterial grafts have their own disadvantages.…”

Section: Advantage Of Ra Usementioning

confidence: 99%

“…32,33 In addition, perioperative bleeding and sternal wound infection are favorable with the RA compared with the RITA. 33 Other arterial grafts have their own disadvantages. The GEA, which is able to reach any coronary territory as an in-situ graft, has been widely used in Japan compared with Western countries.…”

Section: Advantage Of Ra Usementioning

confidence: 99%

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Radial Artery as a Graft for Coronary Artery Bypass Grafting

Kobayashi

2009

Circ J

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Section: Patency Of Ra Graftsmentioning

confidence: 99%

Section: Advantage Of Ra Usementioning

confidence: 99%

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Radial Artery as a Graft for Coronary Artery Bypass Grafting

Kobayashi

2009

Circ J

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“…The use of arterial grafts is continuously gaining more acceptability in coronary artery bypass surgeries with studies of 15 years of follow-up showing a superiority of this type of graft over saphenous veins [8][9][10], in respect to event-free survival and the mortality rate [11][12][13][14].…”

Section: Commentsmentioning

confidence: 99%

“…The left internal thoracic artery is the graft of choice and its advantage over venous grafts is well known [8][9][10]. Many studies have been published demonstrating the benefits of a second arterial graft [11][12][13][14], but, few associate off-pump coronary artery bypass grafting with the use of arterial grafts.…”

Section: Introductionmentioning

confidence: 99%

Revascularização do miocárdio sem circulação extracorpórea com enxertos arteriais: análise de 300 casos

Milani¹,

Brofman²,

Souza³

et al. 2005

Rev Bras Cir Cardiovasc

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RBCCV 44205-762Revascularização do miocárdio sem circulação extracorpórea com enxertos arteriais: análise de 300 casos Off-pump coronary artery bypass grafting with arterial grafts: analysis of 300 cases Abstract Objective: The present study reviews our immediate results of off-pump coronary artery bypass grafting using only arterial grafts.Method: Between June 2000 and December 2004, 300 patients were submitted to off-pump myocardial revascularization using only arterial grafts. The left internal mammary artery was the first-choice graft, followed by the radial artery and the right mammary artery.Results: The ages of the patients ranged from 33 to 77 years, with 234 male and 66 female. In respect to risk factors for coronary disease, 77% had hypertension, 66% had a history of smoking, 53% had high levels of cholesterol and 21% had diabetes. Eighty-four patients (28%) had a history of myocardial infarction and 77 (25.6%) were using endovenous nitroglycerin in the preoperative period. The ejection fraction was less than 30% in 77 (25.6%) patients. A total of 189 patients had multi-vessel disease. The EuroSCORE ranged from 0 to 12 points with an expected mortality rate of 3.7%. The total numbers of distal anastomoses were 838, with a mean of 2.79 ± 0.97 anastomoses per patient. There were six deaths in this series, one caused by renal failure, one caused by metabolic disorders, two caused by mediastinitis, one caused by pneumonia and one caused by bleeding. Diabetes was the only factor associated with mortality.Conclusion: The use of arterial grafts in off-pump myocardial revascularization did not increase the immediate morbidity or mortality in this series. The results were similar to the results predicted by the EuroSCORE. The use of only arterial grafts in diabetic patients must be carefully evaluated. Descriptors

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Arterial Revascularization of Coronary Artery Disease

Schäfers¹,

Kunihara²

2010

Cardiovascular Interventions in Clinical Practice

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Myocardial revascularization with multiple arterial grafts: comparison between the radial artery and the right internal thoracic artery

Cited by 33 publications

References 20 publications

Radial Artery as a Graft for Coronary Artery Bypass Grafting

Radial Artery as a Graft for Coronary Artery Bypass Grafting

Revascularização do miocárdio sem circulação extracorpórea com enxertos arteriais: análise de 300 casos

Arterial Revascularization of Coronary Artery Disease

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