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[Early and mid-term results of all arterial graft coronary artery bypass grafting using bilateral internal thoracic and radial arterial conduits].
Kyobu Geka. 2002 Nov; 55(12):1006-10.KG

Abstract

From March 1996 to May 2000, 41 patients [age 39-78 (mean 63.5 +/- 8.8) years, 90.2% male] underwent all arterial multiple coronary artery bypass grafting (CABG) using bilateral internal thoracic (BiITA) and radial (RA) arterial conduits. The reason for using RA was that the right gastroepiploic artery (RGEA) was small or occluded on preoperative angiography, a history of upper abdominal surgery or disease, or the right coronary arterial lesion was proximal and mild. The BiITA were used as in situ grafts and the proximal anastomosis of RA was to the ascending aorta in all cases. All patients underwent conventional elective CABG with median sternotomy using cardiopulmonary bypass. The mean number of anastomoses was 3.3 +/- 0.5 branches and complete revascularization rate was 80.5%. Postoperative follow-up averaged 20 months and the longest was 50 months. There was no early death, and overall graft patency 2-3 weeks after surgery was 96.2% (LITA 94.0%, RITA 97.6%, RA 97.6%). Four-year actuarial survival rate was 96.4 +/- 3.5% (1 patient: 9 months, no cardiac death), and cardiac event-free rate after surgery was 89.7 +/- 4.9% [4 patients: percutaneous transluminal coronary angioplasty (PTCA)]. However, once patients were discharged from hospital, cardiac event-free rate was 100%. These excellent results suggest that all arterial graft CABG was satisfactory, and RA can be used as a third suitable arterial bypass conduit, if RGEA cannot be used or is unsuitable for use.

Authors+Show Affiliations

Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women's Medial University, Tokyo, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

12428332

Citation

Uchikawa, S, et al. "[Early and Mid-term Results of All Arterial Graft Coronary Artery Bypass Grafting Using Bilateral Internal Thoracic and Radial Arterial Conduits]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 55, no. 12, 2002, pp. 1006-10.
Uchikawa S, Nishida H, Endo M, et al. [Early and mid-term results of all arterial graft coronary artery bypass grafting using bilateral internal thoracic and radial arterial conduits]. Kyobu Geka. 2002;55(12):1006-10.
Uchikawa, S., Nishida, H., Endo, M., Chikazawa, G., Ozawa, H., Yamazaki, K., Kawai, A., Tomizawa, Y., Aomi, S., & Koyanagi, H. (2002). [Early and mid-term results of all arterial graft coronary artery bypass grafting using bilateral internal thoracic and radial arterial conduits]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 55(12), 1006-10.
Uchikawa S, et al. [Early and Mid-term Results of All Arterial Graft Coronary Artery Bypass Grafting Using Bilateral Internal Thoracic and Radial Arterial Conduits]. Kyobu Geka. 2002;55(12):1006-10. PubMed PMID: 12428332.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Early and mid-term results of all arterial graft coronary artery bypass grafting using bilateral internal thoracic and radial arterial conduits]. AU - Uchikawa,S, AU - Nishida,H, AU - Endo,M, AU - Chikazawa,G, AU - Ozawa,H, AU - Yamazaki,K, AU - Kawai,A, AU - Tomizawa,Y, AU - Aomi,S, AU - Koyanagi,H, PY - 2002/11/14/pubmed PY - 2002/12/11/medline PY - 2002/11/14/entrez SP - 1006 EP - 10 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 55 IS - 12 N2 - From March 1996 to May 2000, 41 patients [age 39-78 (mean 63.5 +/- 8.8) years, 90.2% male] underwent all arterial multiple coronary artery bypass grafting (CABG) using bilateral internal thoracic (BiITA) and radial (RA) arterial conduits. The reason for using RA was that the right gastroepiploic artery (RGEA) was small or occluded on preoperative angiography, a history of upper abdominal surgery or disease, or the right coronary arterial lesion was proximal and mild. The BiITA were used as in situ grafts and the proximal anastomosis of RA was to the ascending aorta in all cases. All patients underwent conventional elective CABG with median sternotomy using cardiopulmonary bypass. The mean number of anastomoses was 3.3 +/- 0.5 branches and complete revascularization rate was 80.5%. Postoperative follow-up averaged 20 months and the longest was 50 months. There was no early death, and overall graft patency 2-3 weeks after surgery was 96.2% (LITA 94.0%, RITA 97.6%, RA 97.6%). Four-year actuarial survival rate was 96.4 +/- 3.5% (1 patient: 9 months, no cardiac death), and cardiac event-free rate after surgery was 89.7 +/- 4.9% [4 patients: percutaneous transluminal coronary angioplasty (PTCA)]. However, once patients were discharged from hospital, cardiac event-free rate was 100%. These excellent results suggest that all arterial graft CABG was satisfactory, and RA can be used as a third suitable arterial bypass conduit, if RGEA cannot be used or is unsuitable for use. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/12428332/[Early_and_mid_term_results_of_all_arterial_graft_coronary_artery_bypass_grafting_using_bilateral_internal_thoracic_and_radial_arterial_conduits]_ L2 - https://medlineplus.gov/coronaryarterybypasssurgery.html DB - PRIME DP - Unbound Medicine ER -