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The left internal thoracic artery and radial artery composite graft in off-pump coronary artery bypass grafting.
Ann Thorac Cardiovasc Surg. 2002 Aug; 8(4):204-8.AT

Abstract

Arterial multivessel bypass grafting without extra corporeal circulation and manipulation of the ascending aorta should be a good surgical option for the treatment of coronary artery disease. An internal thoracic artery (ITA)-radial artery (RA) composite graft was used for this purpose. Between July 2000 and October 2001, we employed the LITA-RA composite graft for off-pump coronary artery bypass in 15 cases. Mean patient age was 71.3 +/- 5.8 years old. Left main trunk disease was present in six patients and triple-vessel disease in four patients. Preoperative concomitant disease was renal dysfunction in three cases, cerebrovascular disease in four and diabetes mellitus in five cases. Two patients had a so-called bad aorta. Twelve elective operations and three urgent operations were carried out for unstable angina. Two to four (mean 2.6 +/- 0.7) anastomoses were performed per patient. Complete revascularization was achieved in 12 out of 15 patients. Mean operating time was 335 +/- 53 min. Mean intraoperative blood loss was 595 +/- 375 ml and nine patients underwent the operation without blood transfusion. There was no PMI, no brain disorder, and no death. Postoperative coronary angiography in all patients documented a good patency rate (LITA 15/15, RA 21/21, right gastroepiploic artery (RGEA) 2/2, and saphenous vein graft (SVG) 0/2). LITA-RA composite grafting in off-pump coronary artery bypass enables arterial multivessel revascularization using an aortic no touch technique. This can be done with minimum postoperative complications and without risk of cerebral infarction even in patients at high risk for extracorporeal circulation (ECC).

Authors+Show Affiliations

Department of Thoracic and Cardiovascular Surgery, Showa University Fujigaoka Hospital, Yokohama, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12472383

Citation

Tanaka, Hiroyuki, et al. "The Left Internal Thoracic Artery and Radial Artery Composite Graft in Off-pump Coronary Artery Bypass Grafting." Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, vol. 8, no. 4, 2002, pp. 204-8.
Tanaka H, Narisawa T, Mori N, et al. The left internal thoracic artery and radial artery composite graft in off-pump coronary artery bypass grafting. Ann Thorac Cardiovasc Surg. 2002;8(4):204-8.
Tanaka, H., Narisawa, T., Mori, N., Masuda, M., Kishi, D., Suzuki, T., & Takaba, T. (2002). The left internal thoracic artery and radial artery composite graft in off-pump coronary artery bypass grafting. Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 8(4), 204-8.
Tanaka H, et al. The Left Internal Thoracic Artery and Radial Artery Composite Graft in Off-pump Coronary Artery Bypass Grafting. Ann Thorac Cardiovasc Surg. 2002;8(4):204-8. PubMed PMID: 12472383.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The left internal thoracic artery and radial artery composite graft in off-pump coronary artery bypass grafting. AU - Tanaka,Hiroyuki, AU - Narisawa,Takashi, AU - Mori,Nobutaka, AU - Masuda,Mikio, AU - Kishi,Daijirou, AU - Suzuki,Takashi, AU - Takaba,Toshihiro, PY - 2002/12/11/pubmed PY - 2003/1/15/medline PY - 2002/12/11/entrez SP - 204 EP - 8 JF - Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia JO - Ann Thorac Cardiovasc Surg VL - 8 IS - 4 N2 - Arterial multivessel bypass grafting without extra corporeal circulation and manipulation of the ascending aorta should be a good surgical option for the treatment of coronary artery disease. An internal thoracic artery (ITA)-radial artery (RA) composite graft was used for this purpose. Between July 2000 and October 2001, we employed the LITA-RA composite graft for off-pump coronary artery bypass in 15 cases. Mean patient age was 71.3 +/- 5.8 years old. Left main trunk disease was present in six patients and triple-vessel disease in four patients. Preoperative concomitant disease was renal dysfunction in three cases, cerebrovascular disease in four and diabetes mellitus in five cases. Two patients had a so-called bad aorta. Twelve elective operations and three urgent operations were carried out for unstable angina. Two to four (mean 2.6 +/- 0.7) anastomoses were performed per patient. Complete revascularization was achieved in 12 out of 15 patients. Mean operating time was 335 +/- 53 min. Mean intraoperative blood loss was 595 +/- 375 ml and nine patients underwent the operation without blood transfusion. There was no PMI, no brain disorder, and no death. Postoperative coronary angiography in all patients documented a good patency rate (LITA 15/15, RA 21/21, right gastroepiploic artery (RGEA) 2/2, and saphenous vein graft (SVG) 0/2). LITA-RA composite grafting in off-pump coronary artery bypass enables arterial multivessel revascularization using an aortic no touch technique. This can be done with minimum postoperative complications and without risk of cerebral infarction even in patients at high risk for extracorporeal circulation (ECC). SN - 1341-1098 UR - https://www.unboundmedicine.com/medline/citation/12472383/The_left_internal_thoracic_artery_and_radial_artery_composite_graft_in_off_pump_coronary_artery_bypass_grafting_ L2 - https://medlineplus.gov/coronaryarterybypasssurgery.html DB - PRIME DP - Unbound Medicine ER -