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[Off-pump coronary artery bypass grafting using in-situ right internal thoracic artery extended with radial artery as I-composite graft].
Kyobu Geka. 2008 Mar; 61(3):175-9; discussion 179-82.KG

Abstract

OBJECTIVE

The purpose of this study is to assess the feasibility of utilizing the proximal right internal thoracic artery (RITA) extended with the radial artery (RA) as I-composite graft (RITA-RA graft) in off-pump coronary artery bypass grafting (OPCAB), which preserves the left internal thoracic artery to the left anterior descending artery as an isolated graft and the ascending aorta no-touch technique.

METHODS

Between January 2002 and August 2006, 37 patients (aged 67.4+/-7.5 years, 86.5% male) underwent OPCAB using RITA-RA graft. All grafts were harvested in a skeletonized fashion. RITA transected at the middle portion was extended with entirely dissected RA. RITA-RA graft was anastomosed to 1 or 2 lateral artery in a parallel sequential pattern.

RESULTS

The total number of distal anastomoses of RITA-RA graft was 48. The early graft patency rate was 97.9%. Five cases (13.5%) needed intra-aortic balloon pumping support during operation. Only 1 patient (2.7%) required ventilator support longer than 24 hours. The percentage of patients requiring homologous blood transfusion was 13.5%. There was no cerebrovascular accident or mediastinitis in the postoperative course. All patients were discharged from hospital.

CONCLUSIONS

OPCAB using RITA-RA graft is feasible and safe. It provides satisfactory early clinical and angiographic outcomes.

Authors+Show Affiliations

Department of Cardiovascular Surgery, Cardiovascular Center, Toranomon Hospital, Tokyo, Japan.No affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

jpn

PubMed ID

18323179

Citation

Tanaka, Keita, et al. "[Off-pump Coronary Artery Bypass Grafting Using In-situ Right Internal Thoracic Artery Extended With Radial Artery as I-composite Graft]." Kyobu Geka. the Japanese Journal of Thoracic Surgery, vol. 61, no. 3, 2008, pp. 175-9; discussion 179-82.
Tanaka K, Naruse Y, Sato K. [Off-pump coronary artery bypass grafting using in-situ right internal thoracic artery extended with radial artery as I-composite graft]. Kyobu Geka. 2008;61(3):175-9; discussion 179-82.
Tanaka, K., Naruse, Y., & Sato, K. (2008). [Off-pump coronary artery bypass grafting using in-situ right internal thoracic artery extended with radial artery as I-composite graft]. Kyobu Geka. the Japanese Journal of Thoracic Surgery, 61(3), 175-9; discussion 179-82.
Tanaka K, Naruse Y, Sato K. [Off-pump Coronary Artery Bypass Grafting Using In-situ Right Internal Thoracic Artery Extended With Radial Artery as I-composite Graft]. Kyobu Geka. 2008;61(3):175-9; discussion 179-82. PubMed PMID: 18323179.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Off-pump coronary artery bypass grafting using in-situ right internal thoracic artery extended with radial artery as I-composite graft]. AU - Tanaka,Keita, AU - Naruse,Y, AU - Sato,K, PY - 2008/3/8/pubmed PY - 2008/4/16/medline PY - 2008/3/8/entrez SP - 175-9; discussion 179-82 JF - Kyobu geka. The Japanese journal of thoracic surgery JO - Kyobu Geka VL - 61 IS - 3 N2 - OBJECTIVE: The purpose of this study is to assess the feasibility of utilizing the proximal right internal thoracic artery (RITA) extended with the radial artery (RA) as I-composite graft (RITA-RA graft) in off-pump coronary artery bypass grafting (OPCAB), which preserves the left internal thoracic artery to the left anterior descending artery as an isolated graft and the ascending aorta no-touch technique. METHODS: Between January 2002 and August 2006, 37 patients (aged 67.4+/-7.5 years, 86.5% male) underwent OPCAB using RITA-RA graft. All grafts were harvested in a skeletonized fashion. RITA transected at the middle portion was extended with entirely dissected RA. RITA-RA graft was anastomosed to 1 or 2 lateral artery in a parallel sequential pattern. RESULTS: The total number of distal anastomoses of RITA-RA graft was 48. The early graft patency rate was 97.9%. Five cases (13.5%) needed intra-aortic balloon pumping support during operation. Only 1 patient (2.7%) required ventilator support longer than 24 hours. The percentage of patients requiring homologous blood transfusion was 13.5%. There was no cerebrovascular accident or mediastinitis in the postoperative course. All patients were discharged from hospital. CONCLUSIONS: OPCAB using RITA-RA graft is feasible and safe. It provides satisfactory early clinical and angiographic outcomes. SN - 0021-5252 UR - https://www.unboundmedicine.com/medline/citation/18323179/[Off_pump_coronary_artery_bypass_grafting_using_in_situ_right_internal_thoracic_artery_extended_with_radial_artery_as_I_composite_graft]_ L2 - http://www.pieronline.jp/openurl?issn=0021-5252&volume=61&issue=3&spage=175 DB - PRIME DP - Unbound Medicine ER -