Skeletonized Gastroepiploic Artery as a Composite Graft for Total Arterial Revascularization

Ryu, Sang–Wan; Ahn, Byoung-Hee; Choo, Suk-Jung; Na, Kook-Ju; Ahn, Youngkeun; Cho, Jeong Gwan; Kim, Sang-Hyung

doi:10.1016/j.athoracsur.2005.02.008

Cited by 18 publications

(20 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5,23 String sign was observed in about 10% of the GEA grafts during our early experience, 3 but it became less common once we started using skeletonized GEA and a selected target coronary artery with tight (Ն90%) stenosis. Concerning the possibility of "reopen" in the closed or "string sign" GEA grafts in relation to a progression of the native coronary artery stenosis, we have no experience to observe this phenomenon so far, whereas we found increased diameter with time in fully patent GEA grafts.…”

Section: Discussionmentioning

confidence: 99%

Twenty Years Experience With the Gastroepiploic Artery Graft for CABG

et al. 2007

View full text Add to dashboard Cite

Background-To improve the longterm outcome after CABG, several strategies have been used using arterial conduits.Our 20 years experience with the right gastroepiploic artery (GEA) graft was evaluated. Methods and Results-In 1352 patients having CABG with the GEA graft, (1092 men, mean 63 years, 99% multivessel disease, and mean EF 0.51), internal thoracic artery, saphenous vein, and radial artery grafts were concomitantly used in 1312 (97%), 783 (58%), and 128 (8%) patients, respectively. The mean number of distal anastomoses was 3.1, and 2.4 coronary arteries were bypassed with arterial grafts. The sites for GEA grafting were 70 anterior descending, 268 circumflex, and 1089 right coronary arteries. The operative mortality was 1.26%. In 1118 follow-up patients (82.6%), 5, 10, and 15 years survival rates were 91.7%, 81.4%, and 71.3%, and the cardiac death-free survival rates were 95.8%, 91.7%, and 88.6%, respectively. The cumulative patency rate of the GEA graft was 97.1% at 1 month, 92.3% at 1 year, 85.5% at 5 years, and 66.5% at 10 years, respectively. In 172 skeletonized GEA grafts with 233 distal anastomoses, the patency rate at immediate, 1, and 4 years after surgery was 97.6%, 92.9%, and 86.4%, respectively. In 124 patients with late (5 to 17 years) restudy, patency rate was 96% (114/119) in the left internal thoracic artery, 87% (108/124) in GEA, and 68% (67/98) in saphenous vein grafts. New stenosis was uncommon in GEA. Conclusion-The

show abstract

Section: Discussionmentioning

confidence: 99%

Twenty Years Experience With the Gastroepiploic Artery Graft for CABG

et al. 2007

View full text Add to dashboard Cite

show abstract

“…14 Skeletonized GEA has been preferentially used because of its easy handling for the anastomosis, particularly with sequential grafting; and its early patency rate is satisfactory. [15][16][17][18] Nishida et al reported that the exclusive use of in situ arterial grafts achieves signifi cantly better long-term survival than the combined use of arterial and vein grafts. 19 Kobayashi et al reported excellent results for reducing the incidence of stroke with the aortic nontouch technique using composite and sequential methods.…”

Section: Discussionmentioning

confidence: 98%

Off-pump coronary artery bypass grafting with an aortic nonclamping technique may reduce the incidence of cerebral complications

Osawa

Inaba

Kinoshita

et al. 2011

Gen Thorac Cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Moreover, it has also been recently confirmed that the GEA can be used as a Y graft and then anastomosed to circumflex territory [21 ], albeit there are controversial reports about the patency rates: whereas Ryu et al [15] reported excellent results, Santos et al [22] described a poor patency rate of the LIMA-GEA grafts when compared with the LIMA-radial artery grafts. Therefore, as a Y graft, the GEA could be used in specific subsets of patients, such as diabetic, obese, with COPD (not suitable for bilateral IMA harvesting) or with renal insufficiency, positive Allen test, or radial artery calcifications.…”

Section: Choosing the Proper Arterial Conduitsmentioning

confidence: 91%

“…Recently there has been an upsurge of CABG with complete arterial revascularization, using a variety of arterial conduits including exclusively bilateral internal mammary arteries (IMAs), radial artery with single or double IMAs and gastroepiploic artery (GEA) with radial artery and IMAs, with promising outcomes [8][9][10][11][12][13][14][15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Y grafting for coronary artery bypass: is it as good as single grafting?

Bisleri

Muneretto

2009

Current Opinion in Cardiology

View full text Add to dashboard Cite

Composite Y grafting with the exclusive use of arterial conduits is a well tolerated and effective technique. The choice of the second arterial conduit should be tailored according to the specific patients' characteristics. The association of composite arterial grafting and off-pump technique allows a no-touch technique of the ascending aorta, thereby also minimizing the risk of neurological events.

show abstract

Skeletonized Gastroepiploic Artery as a Composite Graft for Total Arterial Revascularization

Cited by 18 publications

References 36 publications

Twenty Years Experience With the Gastroepiploic Artery Graft for CABG

Twenty Years Experience With the Gastroepiploic Artery Graft for CABG

Off-pump coronary artery bypass grafting with an aortic nonclamping technique may reduce the incidence of cerebral complications

Y grafting for coronary artery bypass: is it as good as single grafting?

Contact Info

Product

Resources

About