Use of the radial artery for myocardial revascularization

Manasse, Eric; Sperti, G.; Suma, Hisayoshi; Canosa, Carlo; Kol, Amir; Martinelli, L; Schiavello, R; Crea, Filippo; Maseri, Attilio; Possati, Gianfederico

doi:10.1016/0003-4975(96)00594-2

Cited by 123 publications

(73 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…12 The saphenous vein was harvested in a routine fashion and gently distended with heparinized whole blood. The fascia on either side of the radial artery pedicle was divided radically, 13 and the radial artery was distended with heparinized whole blood with verapamil added (1 mg/10 mL blood). The intention was to distend the conduit to a moderate supraphysiological pressure (Ϸ200 mm Hg).…”

Section: Operative Proceduresmentioning

confidence: 99%

Radial Artery Versus Saphenous Vein Patency Randomized Trial

et al. 2008

View full text Add to dashboard Cite

Background-Graft patency is a fundamental predictor of long-term survival after coronary artery bypass surgery. Left and right internal thoracic artery (arterial) graft patency has been shown to be superior to that of saphenous vein grafts. More recently, the radial artery has been used as an aortocoronary graft, but little is known about the midterm and long-term patency of this conduit. We performed a single-center prospective randomized trial comparing the angiographic patency of radial artery and saphenous vein aortocoronary bypass grafts at 5 years after surgery. Methods and Results-We enrolled 142 patients randomized at a single center to have either the radial artery or saphenous vein grafted to a stenosed branch of the native left circumflex coronary artery. The primary end point was angiographic graft patency 5 years postoperatively. At 5 years, 134 patients were alive and eligible for reangiography (5-year survival, 94.4%). Angiography was performed in 103 patients (77%); 98.3% of radial artery grafts and 86.4% of saphenous vein grafts were patent (Pϭ0.04). Graft narrowing occurred in 10% of patent radial artery grafts and 23% of patent saphenous vein grafts (Pϭ0.01). Conclusions-Radial artery aortocoronary bypass grafts to a stenosed branch of the circumflex coronary artery have an excellent patency rate at 5 years. This was significantly better than the patency rate for saphenous vein grafts and comparable to reported patency rates for internal thoracic artery grafts. (Circulation. 2008;117:2859-2864.)

show abstract

Section: Operative Proceduresmentioning

confidence: 99%

Radial Artery Versus Saphenous Vein Patency Randomized Trial

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Based on the perceived advantages from arterial revascularization, the RA was increasingly used in the 1990s, either as a separate graft or in composite grafts. 20,24,34,[42][43][44][45][46][47][48][49][50][51][52][53][54][55][56] Several angiographic observational studies have shown that the RA achieves excellent short-, mid-, and long-term patency when used as a conduit for revascularization (see Table 2). Patency rates exceed that of SV grafts at all time points and are comparable to those observed for other arterial conduits.…”

Section: Patency Rates Of Radial Artery Conduitsmentioning

confidence: 99%

Should Radial Arteries Be Used Routinely for Coronary Artery Bypass Grafting?

et al. 2004

View full text Add to dashboard Cite

“…1,7 After publication of the first favorable results, 1,7-10 the RA gained wide popularity because of its favorable anatomic position, caliber, length, and ease of harvest. Several authors reported excellent early and mid-term angiographic results, 3,11-13 and serial angiographic and pharmacological studies demonstrated that even the feared hyperspastic tendency of this conduit tended to decrease with time.…”

Section: Discussionmentioning

confidence: 99%

“…The initial objectives of the study were as follows: (1) to establish the early, mid-term, and long-term angiographic patency rates of the RA and (2) to evaluate the effect of RA removal on forearm circulation. With evolution of our knowledge on RA grafts, 2 subsequent objectives were established: (1) to clarify the vasoreactive properties of RA grafts and (2) to evaluate the clinical and angiographic effects of long-term therapy with calcium channel blockers.…”

Section: Methods Patientsmentioning

confidence: 99%

“…[1][2][3][4][5][6] In this report, we describes the long-term angiographic results of the first 90 consecutive, surviving patients in whom the RA was used as a coronary artery bypass conduit directly anastomosed to the ascending aorta. Cases in whom the RA was used as a composite conduit proximally anastomosed to a mammary graft were not included in this analysis.…”

Section: Methods Patientsmentioning

confidence: 99%

See 1 more Smart Citation

Long-Term Results of the Radial Artery Used for Myocardial Revascularization

Possati

Gaudino²,

Prati³

et al. 2003

Circulation

201

View full text Add to dashboard Cite

Background-No information is available on the long-term results of radial artery (RA) grafts used as coronary artery bypass conduits. Methods and Results-In this report, we describe the long-term (105Ϯ9 months) angiographic results of a series of 90 consecutive patients in whom the RA was used as a coronary artery bypass conduit directly anastomosed to the ascending aorta. The long-term patency and perfect patency rates of the RA were 91.6% and 88%, respectively, versus 97.5% and 96.3% for internal thoracic artery grafts.

show abstract

Use of the radial artery for myocardial revascularization

Cited by 123 publications

References 14 publications

Radial Artery Versus Saphenous Vein Patency Randomized Trial

Radial Artery Versus Saphenous Vein Patency Randomized Trial

Should Radial Arteries Be Used Routinely for Coronary Artery Bypass Grafting?

Long-Term Results of the Radial Artery Used for Myocardial Revascularization

Contact Info

Product

Resources

About