Has the in situ right internal thoracic artery been overlooked? An angiographic study of the radial artery, internal thoracic arteries and saphenous vein graft patencies in symptomatic patients☆

Shah, Pallav; Bui, Khoi; Blackmore, Shane A.; Gordon, Ian; Hare, David; Fuller, John A.; Seevanayagam, Siven; Buxton, Brian F.

doi:10.1016/j.ejcts.2005.01.027

Cited by 67 publications

(46 citation statements)

References 22 publications

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“…Some retrospective studies suggested better immediate results using the RA as the second arterial graft [14,15] but other studies demonstrate the better patency of the RITA compared to the RA [16,17]. However we are far from reaching a consensus on this issue.…”

Section: Introductionmentioning

confidence: 65%

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Miana¹,

Lima²,

Whitaker³

et al. 2007

Rev Bras Cir Cardiovasc

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Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdioImmediate results of right internal thoracic artery and radial artery as the second arterial graft in myocardial revascularization Abstract Objective: We sought to compare early clinical outcomes in patients receiving a right internal thoracic artery or a radial artery as the second arterial graft in myocardial revascularization.Methods: We retrospectively studied 58 consecutive patients who underwent coronary artery bypass surgery and received both a left internal thoracic artery graft and either a right internal thoracic artery (n=20) or a radial artery graft (n=38), between January 2004 and March 2006. Hospital mortality, pleural drainage, operative time and postoperative complications were analyzed.Results: There were no significant preoperative differences between groups. There was only one (1.7%) in-hospital death which occurred in the Radial Group. Operative times was significantly higher in the Right Internal Thoracic Group (p-value = 0.0018), but were not associated with increased Intensive Care Unit stays, mechanical ventilation or other postoperative complications. We were able to perform significantly more distal anastomosis using the radial artery than the right internal thoracic artery (1.57 versus 1.05: pvalue =0.003).Conclusion: In our group of patients, the use of a right internal thoracic artery as a second arterial graft was associated with a prolonged operative time, but had no interference with the immediate clinical outcomes. 61MIANA, LA ET AL -Immediate results of right internal thoracic artery and radial artery as the second arterial graft in myocardial revascularization Braz J Cardiovasc Surg 2007; 22(1): 60-67

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Section: Introductionmentioning

confidence: 65%

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Miana¹,

Lima²,

Whitaker³

et al. 2007

Rev Bras Cir Cardiovasc

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“…The use of the RA as a graft for coronary revascularization was already introduced in the 1970s, but shortly thereafter it was abandoned due to high incidence of vasospasm and comparatively poorer short-term and long-term patency rates than IMA [27,[122][123][124]. This was partly due to the inability to recognize RA spasm, but it was also due to lack of proper pharmacological tools to prevent this.…”

Section: Radial Arterymentioning

confidence: 99%

Pharmacology of Arterial Grafts for Coronary Artery Bypass Surgery

Yıldız¹,

Seyrek²,

Gül³

2013

Artery Bypass

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“…51 The SV graft still has a role as a graft to the moderately stenotic right coronary territory because of the high incidence of flow competition of composite RA grafts to the right coronary branches, 11,43,44,47,51,52 and the poor early graft patency of the RITA to the right coronary artery. 53,54 The advantage and disadvantage of the grafts are listed in Table 1.…”

Section: Disadvantages Of Ra Usementioning

confidence: 99%

Radial Artery as a Graft for Coronary Artery Bypass Grafting

Kobayashi

2009

Circ J

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Has the in situ right internal thoracic artery been overlooked? An angiographic study of the radial artery, internal thoracic arteries and saphenous vein graft patencies in symptomatic patients☆

Abstract: Consideration should be given to the routine use of both internal thoracic arteries for coronary artery bypass grafting. When additional grafts are required, there is no evidence to suggest that either the radial artery or saphenous vein is superior.

Cited by 67 publications

References 22 publications

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Pharmacology of Arterial Grafts for Coronary Artery Bypass Surgery

Radial Artery as a Graft for Coronary Artery Bypass Grafting

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