The Right Gastroepiploic Artery Graft for Coronary Artery Bypass Grafting: A 30-Year Experience

Suma, Hisayoshi

doi:10.5090/kjtcs.2016.49.4.225

Cited by 20 publications

(8 citation statements)

References 41 publications

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“…On February 20, 1987 a surgeon in Louisville, Abdullah Attum, reported a double CABG using the right GEA passed through an opening in the membranous part of the diaphragm into the pericardial sac and anastomosed sequentially to the posterior descending branch of the RCA and the posterior lateral marginal branch of the circumflex artery (28). This technique offers advantages such as for the patient with atherosclerotic ascending aorta because the in situ GEA allows an aortic no-touch technique and for redo-cases because the abdomen is a virgin area (29). According to the only few reports available in the literature we can conclude to a very low adoption among the cardiac surgeons worldwide partly due to the need to open a second cavity (abdomen), thus increasing contamination risks.…”

Section: Fifty Years Of Coronary Artery Bypass Graftingmentioning

confidence: 99%

Fifty years of coronary artery bypass grafting

et al. 2018

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Coronary artery bypass grafting (CABG) remains the most common cardiac surgery performed today worldwide. The history of this procedure can be traced back for more than 100 years, and its development has been touched by several pioneers in the field of cardiac surgery, who have contributed with both their successes and failures. With ever increasing follow up and number of patients treated, thinking regarding optimal CABG technique evolves continually. This article reviews the history of CABG from its early experimental work to recent technological advances.

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Section: Fifty Years Of Coronary Artery Bypass Graftingmentioning

confidence: 99%

Fifty years of coronary artery bypass grafting

et al. 2018

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“…25 Most of the improved results using the RGEA are obtained if the artery is harvested using the skeletonized technique. 26 Due to spasm susceptibility and technical issues related the anatomy of the vessel, the STS Guidelines recommend the RGEA when there are poor conduit options, or to provide complete arterial revascularization. 5 Regarding the SVG, most of the comparisons have been made with conventionally harvested saphenous veins.…”

Section: Right Gastroepiploic Artery (Rgea)mentioning

confidence: 99%

Evidence-based selection of the second and third arterial conduit

2021

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Feature Editor Note-Few topics in cardiac surgery have been investigated more extensively that the use of multiple arterial grafts for coronary bypass surgery. After more than 4 decades of research, we have solid evidence than the patency rate of the radial artery is better than the patency rate of the saphenous vein at mid-and long-term follow-up. The evidence for the other arterial conduits is less robust. The clinical consequences of the improved patency are still unclear, due to the high level of treatment allocation bias in observational studies and the inconclusive results of the limited randomized evidence.

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“…In addition, in-situ GEA grafting can avoid manipulation of the aorta and can result in less neurological complications [80,81].…”

Section: Cabg Using Right Gastroepiploic Arterymentioning

confidence: 99%

The Choice of Graft Conduits in Coronary Artery Bypass Grafting

Murashita¹

2017

Coronary Artery Bypass Graft Surgery

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The use of the left internal mammary artery (IMA) has been shown to improve longterm survival and has been a gold standard in coronary artery bypass grafting (CABG). However, the choice of second or third graft conduit is still controversial. Multiple studies demonstrated the beneit of using multiple arterial grafts such as right IMA and radial artery in addition to left IMA in terms of long-term survival and graft patency. However, most of the centers still perform CABG with one IMA and vein grafts in a real world. The challenges for bilateral IMA utilization include longer operative time and concerns for higher rates of perioperative morbidity and mortality associated with increased sternal wound infection. Several studies reported that skeletonization technique can reduce the risk of sternal wound infection. Radial artery is another arterial conduit, which does not increase the risk of sternal wound infection and is easy to harvest. The superiority between radial artery and right IMA has been controversial. In the meantime, multiple trials have been made to improve the patency of vein grafts. The choice of graft conduits in CABG should be well considered preoperatively based on each patient's backgrounds.

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The Right Gastroepiploic Artery Graft for Coronary Artery Bypass Grafting: A 30-Year Experience

Cited by 20 publications

References 41 publications

Fifty years of coronary artery bypass grafting

Fifty years of coronary artery bypass grafting

Evidence-based selection of the second and third arterial conduit

The Choice of Graft Conduits in Coronary Artery Bypass Grafting

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