Elective vs Non-Elective Radial Artery Grafts: Comparing Midterm Results Through 64-Slice Computed Tomography

Rocha-e-Silva, Roberto; Santos, Tiago C. dos; Rochite, Carlos E.; Rocha-Filho, José A.; Mansur, Antônio de Pádua; Fabri, José; Ramos, Rogério Bicudo; Dallan, Luís Alberto Oliveira; Na, Stolf

doi:10.1590/s1807-59322007000600012

Cited by 11 publications

(16 citation statements)

References 18 publications

(16 reference statements)

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“…There are few reports approaching the use of arterial grafts in emergency surgeries. Our team demonstrated that the CABG, when exclusively performed with LITA and RA, presents good short-and mid-term clinical evolution, as much in elective surgeries as in emergency surgeries, with RA patency of 84% in 4 years [3,4]. Several studies have demonstrated that different RA resection techniques present similar outcomes.…”

Section: Introductionmentioning

confidence: 82%

Técnica para retirada da artéria radial sem utilização de clipes hemostáticos e experiência clínica

Oliveira¹,

Silva²,

Mola³

et al. 2008

Rev Bras Cir Cardiovasc

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Objective: The various techniques of radial artery (RA) harvesting produce similar results. These techniques use electrocautery, ultrasonic scalpel or sharp scissors in different combinations, but usually involve the use of hemostatic clips. We describe a RA harvesting technique with the combination of sharp scissors and electrocautery without the use of hemostatic clips.Methods: We describe a retrospective study of 107 patients between 28 and 78 years (mean age ranged from 53.3 ± 8 years). Bleeding, re-operation, infarct and death were analyzed. Results:No bleeding was imputed to the RA, and no reoperations were required. There were three (2.8%) infarcts possibly related to the RA anastomosis territory. Mortality was 0.9%, but unrelated to cardiac complications.Conclusion: RA electrocautery harvesting without hemostatic clips presented no bleeding and was an inexpensive procedure, requiring no investments in additional equipment.Descriptors: Radial artery. Myocardial revascularization. Myocardial ischemia. Coronary disease. Rev Bras Cir Cardiovasc 2008; 23(1): 114-117 115 OLIVEIRA, JB ET AL -Radial artery harvesting technique without hemostatic clips and clinical experience

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Section: Introductionmentioning

confidence: 82%

Técnica para retirada da artéria radial sem utilização de clipes hemostáticos e experiência clínica

Oliveira¹,

Silva²,

Mola³

et al. 2008

Rev Bras Cir Cardiovasc

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“…The rationale for not employing the left thoracic artery in the past in patients with ICM was due to apprehension about complications related to advanced age, urgency of revascularization, and reserved anxiety about long‐term prognosis 16. However, the findings of this study and other recent studies16,17,19-23 suggest that there is little cause for concern. Thus, patients with ICM should be managed with a left internal thoracic artery graft when revascularization is selected therapy 15.…”

Section: Discussionmentioning

confidence: 72%

“…Failure to previously demonstrate an association on ICM between the sort of graft for bypass and long‐term coronary events by other investigators may be related to the decreased application of the left internal thoracic artery (i.e., between 20% and 35% when informed) 7. The rationale for not employing the left thoracic artery in the past in patients with ICM was due to apprehension about complications related to advanced age, urgency of revascularization, and reserved anxiety about long‐term prognosis 16. However, the findings of this study and other recent studies16,17,19-23 suggest that there is little cause for concern.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of aneurysmectomy in patients with severe left ventricular dysfunction: favorable short- and long-term results in ischemic cardiomyopathy

Serrano

Ramires

Soeiro

et al. 2010

Clinics

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INTRODUCTION:The purpose of this study was to (1) identify the functional results after aneurysm surgery in patients with ischemic cardiomyopathy and (2) identify predictors of favorable outcomes.METHODS AND MATERIAL:Patients (n = 169) with angiographic left ventricular ejection fraction of 22±5% underwent aneurysm surgery and were prospectively followed for three years. Prior to surgery, 40% and 60% of the patients were in congestive heart failure NYHA class I/II and III/IV, respectively. Concomitant revascularization was performed on 95% of the patients.RESULTS:Cumulative in‐hospital and 36‐month mortalities were 7% and 15%, respectively. These respective rates varied according to preoperative parameters: CHF class I‐II, 4% and 13%; CHF class III‐IV, 8% and 16%; LVEF<20%, 12% and 26%; LVEF 21‐30%, 2% and 6%; gated LVEF exercise/rest >5%, <1% and 4%; and gated LVEF exercise/rest ≤5%, 17% and 38%. Higher LVEF ex/rest ratio (p = 0.01), male sex (p = 0.05), and a higher number of grafts (p = 0.01) were predictive of improvement in CHF class at follow‐up based on the results of a multivariate analysis. After three years of follow‐up, 84% of the patients were in class I/II, LVEF was 45±7%, and gated LVEF ex/rest ratio was 13% higher (p<0.01) compared to the beginning of the study.CONCLUSIONS:These data suggest that aneurysmectomy among patients with severe LV dysfunction result in short‐ and long‐term favorable functional outcome and survival. Selection of appropriate surgical candidates may substantially improve survival rates among these patients.

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“…First reports about using the LITA routinely for sequential grafting of a diagonal branch and the LAD were published in the mid 1990s [7]. At 52 months after surgery, patency of sequential LITA grafts to a diagonal branch and the LAD was found to be 79% in a relatively small number of 14 patients [8].…”

Section: Discussionmentioning

confidence: 99%

Comparison of sequential left internal thoracic artery grafting and separate left internal thoracic artery and venous grafting

Wendt

Schmidt

Wasserfuhr

et al. 2010

Herz

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Elective vs Non-Elective Radial Artery Grafts: Comparing Midterm Results Through 64-Slice Computed Tomography

Cited by 11 publications

References 18 publications

Técnica para retirada da artéria radial sem utilização de clipes hemostáticos e experiência clínica

Técnica para retirada da artéria radial sem utilização de clipes hemostáticos e experiência clínica

Efficacy of aneurysmectomy in patients with severe left ventricular dysfunction: favorable short- and long-term results in ischemic cardiomyopathy

Comparison of sequential left internal thoracic artery grafting and separate left internal thoracic artery and venous grafting

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