Off-Pump Total Arterial Revascularization:. Our Experience

Tarrío, Rubén Fernández; Cuenca, José; Gomes, Valdemar; Campos, Vicente; Herrera, José María; Rodríguez, Fernando; Valle, José Vicente González; Portela, Francisco; García‐Carro, Javier; Adrio, Belén; Vázquez, F; Juffé, Alberto

doi:10.1111/j.0886-0440.2004.04078.x

Cited by 17 publications

(5 citation statements)

References 63 publications

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“…In our study, the incidence of stroke was 0.4% (1 of 208), which is similar to previous reports by Tarrío et al [25]. (0.4%, 3 of 743) and Kim et al [35].…”

Section: Discussionsupporting

confidence: 92%

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Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft

Yang²,

Zhang³

et al. 2012

Journal of Geriatric Cardiology

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ObjectiveTo evaluate the outcome of off-pump coronary artery bypass grafting (OPCABG) using a bilateral internal mammary artery (BIMA) Y configuration graft to achieve total arterial myocardial revascularization.MethodsFrom October 2002 to December 2008, 208 patients (196 males and 12 females) underwent OPCABG using a BIMA Y configuration graft. The average age of the patients was 56.5 ± 11.3 years, with an age range of 33–78 years. A total of 167 (80.2%) cases had triple-vessel disease. Left main stem disease was found in 33 (15.9%) cases, and double-vessel disease was found in 8 (3.9%) cases. The semi-skeletonization technique was used to harvest the two internal mammary arteries (IMAs), and then the free right internal mammary artery was connected end-to-side to the left internal mammary artery (LIMA) in situ to complete the Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery in all patients. Graft patency was assessed intra-operatively with the HT311 transit time flowmeter.ResultsA total of 728 distal anastomoses were performed in 208 patients, with the average being 3.5 ± 1.3 per person. No one died or experienced recurrent angina within 30 days after the operation.ConclusionsOPCABG using the BIMA Y graft was safe and effective to achieve total arterial revascularization. This method avoids surgical operation on the ascending aorta and other incisions.

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“…In our study, the incidence of stroke was 0.4% (1 of 208), which is similar to previous reports by Tarrío et al [25]. (0.4%, 3 of 743) and Kim et al [35].…”

Section: Discussionsupporting

confidence: 92%

“…The rate of mediastinitis was 0.9% (7/743), which is similar to our study (1%, 2/208). In our series, we dissected the BIMA using the narrow pedicle IMA first and then resected the endothoracic fascia using the semi-skeletonization technique [25],[26]. Therefore, more muscle was left attached to the chest wall.…”

Section: Discussionmentioning

confidence: 99%

Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft

Yang²,

Zhang³

et al. 2012

Journal of Geriatric Cardiology

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“…The addition of off-pump techniques to this approach creates a more technically demanding procedure. 8 OPCAB offers superior postoperative outcomes with regard to major cerebrovascular and cardiac complications 9,17,18 and disproportional benefits in high-risk patients. 10 The combination of an aortic, no-touch strategy with the TAR techniques used in this series can effectively reduce neurologic complications while yielding excellent long-term outcomes.…”

Section: Discussionmentioning

confidence: 99%

Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score–matched follow-up study

Navia

Vrancic

Piccinini

et al. 2014

The Journal of Thoracic and Cardiovascular Surgery

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“…In our series, we dissected the BIMA using the narrow pedicle IMA first, and then resected the endothoracic fascia by the semiskeletonization technique. [2526] Therefore, more muscle was left attached to the chest wall, thus minimizing sternal devascularization and possibly reducing the risk of deep sternal wound infection as well. In this group, there were six patients who suffered from a wound event, including two diabetic patients.…”

Section: Discussionmentioning

confidence: 99%

Total arterial off-pump coronary revascularization with a bilateral internal mammary artery Y graft (208 cases)

Yang

Zhang

et al. 2012

J Surg Tech Case Report

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Objective:The aim was to evaluate the early outcome of off-pump coronary artery bypass grafting (OPCABG) with a bilateral internal mammary artery (BIMA) Y configuration graft to achieve total arterial myocardial revascularization.Materials and Methods:From October 2002 to December 2008, 208 patients (196 male and 12 female patients) underwent OPCABG by only using a BIMA Y configuration graft. The average age of the patients was 56.5±11.3 years, with the age range being 33–78 years. A total of 167 (80.2%) cases had triple-vessel disease. Left main stem disease was found in 33 (15.9%) cases, and double-vessel disease was found in 8 (3.9%) cases. The semiskeletonization skill was used to harvest the two IMAs, and then the free right internal mammary artery was anastomosed end-to-side to the in situ left internal mammary artery to composite a Y configuration graft. Off-pump and sequential anastomosis methods were used to perform coronary artery bypass surgery for the patients. Graft patency was assessed by using the HT311 transit time flowmeter (USA Transonic Systems Inc.), intraoperatively.Results:We performed distal anastomoses of the grafts in 728 patients, the average being 3.5±1.3 per person. No one died and got recurrent angina within 30 days after operation.Conclusion:OPCABG by using the BIMA Y graft was safe and effective to achieve total arterial revascularization, and avoid surgical operation on the ascending aorta, and other incisions.

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Off-Pump Total Arterial Revascularization:. Our Experience

Abstract: The off-pump Tector technique appears to be safe, showing a low surgical morbidity.

Cited by 17 publications

References 63 publications

Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft

Off-pump coronary artery bypass grafting using a bilateral internal mammary artery Y graft

Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score–matched follow-up study

Total arterial off-pump coronary revascularization with a bilateral internal mammary artery Y graft (208 cases)

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