Risk and results of bypass grafting using bilateral internal mammary and right gastroepiploic arteries

Jegaden, Olivier; Eker, Armand; Montagna, P.; Ossette, J; Gevigney, G. De; Finet, Gérard; Pierre, Alain Saint; Revel, D.; Itti, R.; Mikaeloff, P

doi:10.1016/0003-4975(95)00017-f

Cited by 28 publications

(20 citation statements)

References 23 publications

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“…Other groups have also adopted this graft in large series of patients with good clinical and angiographical results [20], and in association with both internal thoracic arteries [12,21]. In the same year, Puig et al [17] demonstrated the viability of using the inferior epigastric artery in another effort to increment the utilization of arterial arteries in CABG.…”

Section: -Estimated Probability Free From Re-interventionmentioning

confidence: 99%

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Abdouni¹,

Lisboa²,

Puig³

et al. 2008

Rev Bras Cir Cardiovasc

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Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriaisLong-term follow-up of patients undergone coronary artery bypass grafting with exclusive use of arterial grafts Abstract Objective: To evaluate the long-term results of coronary artery bypass grafting with the exclusive use of arterial grafts for patients with triple vessel disease.Methods: We evaluated 136 patients who underwent isolated coronary artery bypass grafting between January 1995 and December 1997. A total of 353 grafts were used for revascularization of 449 arteries (mean: 3.30 per patient). Grafts used were the left internal thoracic artery (99.2%), right internal thoracic artery (56.6%), radial artery (87.5%), right gastroepiploic artery (20.5%) and one inferior epigastric artery. Seventy-six (55.8%) patients received composite grafts ("Y-shape") and 66 (48.5%) patients received sequential anastomoses.Results: Hospital mortality was 4.4%. In the long-term follow-up (9.5 to 12.8 years), 82.1% of the patients were free of cardiac events. Twenty (17.9%) patients had hospital readmission due to cardiac events: 15 presented angina and five presented acute myocardial infarction, with three of them presenting with associated heart failure. Eight (7.1%) patients needed coronary re-interventions: one underwent coronary bypass reoperation and the others underwent coronary angioplasty with stent implantation. Estimated probability of being event-free was 98.2%, 95.4% and 84.2% at 1, 5 and 10 years of follow-up respectively. There were 16 (14.2%) late deaths with four of them (3.6%) being cardiacrelated. Actuarial 12.8-year survival of all types of death was 85% in this group.Conclusion: Coronary artery bypass grafting with the exclusive use of arterial grafts is a safe procedure for patients with triple vessel coronary disease with good long-term results.Descriptors: Myocardial revascularization. Arteriosclerosis/ surgery. Mammary arteries. Radial artery. ResumoObjetivo: Avaliar os resultados a longo prazo da cirurgia de revascularização do miocárdio com o uso exclusivo de enxertos arteriais em pacientes com doença coronariana triarterial.

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Section: -Estimated Probability Free From Re-interventionmentioning

confidence: 99%

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Abdouni¹,

Lisboa²,

Puig³

et al. 2008

Rev Bras Cir Cardiovasc

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“…The weakness of in situ right GEA grafts appears to reside at the level of the anastomosis [4][5][6]. These anastomotic stenoses can be treated by PTCA with a success rate of 83% [7].…”

Section: Discussionmentioning

confidence: 97%

“…The early angiographic patency rates of this type of bypass graft (Ͼ 92%) are very favourable [3][4][5]. The long-term angiographic results of GEA grafts are still unknown, but the 2-and 4-year actuarial survival is Ͼ95% [4].…”

Section: Discussionmentioning

confidence: 99%

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Case of successful percutaneous stenting of an in situ gastroepiploic-coronary bypass graft

Roriz¹,

Gevigney²,

Howarth³

et al. 1998

Cathet. Cardiovasc. Diagn.

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“…Nevertheless, with this technique the right coronary artery is not approached and revascularization of its branches becomes difficult. The use of the RA or RGEA to compliment revascularization, specifically of the right coronary artery and its branches becomes more attractive [15,16]. In our series, compound grafts with Y-shape anastomosis were utilized in 80 (58.4%) patients.…”

Section: Rev Bras Cir Cardiovasc 2004; 19(1): 9-16mentioning

confidence: 99%

Seguimento clínico a médio prazo com uso exclusivo de enxertos arteriais na revascularização completa do miocárdio em pacientes com doença coronária triarterial

Lisboa¹,

Dallan²,

Puig³

et al. 2004

Rev Bras Cir Cardiovasc

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Seguimento clínico a médio prazo com uso exclusivo de enxertos arteriais na revascularização completa do miocárdio em pacientes com doença coronária triarterial Method: Between July 1995 and July 1997, 137 consecutive patients with triple vessel coronary atherosclerotic disease underwent complete coronary artery bypass grafting exclusively using arterial grafts. Of these patients, 112 (81.7%) were male, with ages ranging from 36 to 78 years old (mean 56.5 years). Three hundred and sixty-three arterial grafts were used to perform 442 coronary anastomoses, an average of 3.2 coronary anastomoses per patient. The arterial grafts used were left internal thoracic artery (99.3%), right internal thoracic artery (56.2%), radial artery (94.9%), right gastroepiploic artery (13.9%) and inferior epigastric artery (0.7%). In 80 (58.4%) patients, arterial composite "Y" grafts were constructed with the left internal thoracic artery and another arterial graft.Results: No operative deaths occurred. Four (2.9%) deaths occurred in the postoperative period and only one (0.7%) patient needed reoperation in the immediate follow-up. The 7-year actuarial survival was 94.0% and the event free probability (myocardial infarction, angioplasty, reoperation or death) was 87.0%.Conclusions: Good early and midterm clinical follow-ups can be achieved by exclusively using arterial grafts in the complete coronary artery bypass grafting of patients with triple vessel coronary arteriosclerotic disease. A long-term follow-up will be necessary to show the influence of exclusive use of arterial grafts in the surgical treatment of coronary insufficiency.Descriptors: Miyocardial revascularization. Mammary arteries. Arteriosclerosis. ResumoObjetivo: Avaliar os benefícios a médio prazo do uso exclusivo de enxertos arteriais em pacientes com doença aterosclerótica coronária triarterial submetidos à revascularização completa do miocárdio. 10LISBOA, LAF ET AL -Midterm follow-up with exclusive use of arterial grafts in complete myocardial revascularization of patients with triple vessel coronary artery disease Rev

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Risk and results of bypass grafting using bilateral internal mammary and right gastroepiploic arteries

Cited by 28 publications

References 23 publications

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Seguimento a longo prazo de pacientes submetidos à revascularização do miocárdio com uso exclusivo de enxertos arteriais

Case of successful percutaneous stenting of an in situ gastroepiploic-coronary bypass graft

Seguimento clínico a médio prazo com uso exclusivo de enxertos arteriais na revascularização completa do miocárdio em pacientes com doença coronária triarterial

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