Hospital Outcome After Aorta-Radial Versus Internal Thoracic Artery-Radial Artery Grafts

Berreklouw, Eric; Pompei, Esmeralda; Ferrari, Enrico; Özdemir, H. Ibrahim; Woorst, Joost ter

doi:10.1111/j.0886-0440.2004.04100.x

Cited by 6 publications

(5 citation statements)

References 17 publications

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“…Berreklouw and colleagues [31], in a retrospective analysis of 512 patients, found similar in-hospital outcomes for patients who received aorta-based and ITAbased RA grafts. Al-Ruzzeh and associates [32] described the results of 600 RA patients (515 anastomosed to the aorta).…”

Section: Proximal Anastomosis and Target Vessel Characteristicsmentioning

confidence: 86%

Technical Aspects of the Use of the Radial Artery in Coronary Artery Bypass Surgery

Gaudino

Fremes

Schwann

et al. 2019

The Annals of Thoracic Surgery

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Background. The radial artery has been used for coronary artery bypass surgery for more than 25 years. The recent confirmation of the clinical benefits associated with the use of the artery is likely to drive a new interest toward this conduit in the next few years.Methods. A group of surgeons with extensive experience in the systematic use of the radial artery summarize here the key technical aspects of the use of the conduit for coronary bypass operations.Results. Preoperative evaluation of the ulnar collateral circulation and attention to the characteristics of the target vessel are keys for the successful use of the radial artery. Open or endoscopic harvesting can be used,

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Section: Proximal Anastomosis and Target Vessel Characteristicsmentioning

confidence: 86%

Technical Aspects of the Use of the Radial Artery in Coronary Artery Bypass Surgery

Gaudino

Fremes

Schwann

et al. 2019

The Annals of Thoracic Surgery

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“…The extended conduit is long enough to reach the ascending aorta for the proximal anastomosis. It has been shown that aorta-RA grafting is followed by less perioperative cardiac events than after ITA-RA grafting [4]. This is explained by possible initial higher flow rates in grafts originating directly from the ascending aorta than in grafts originating more peripherally [8].…”

Section: Discussionmentioning

confidence: 99%

“…Composite grafts are relatively technically difficult compared with conventional aorto-coronary RA grafts. Another disadvantage of composite grafts is the reliance on single inflow (proximal left ITA) to supply all grafted territories [4].…”

Section: Discussionmentioning

confidence: 99%

“…This technique preserves the collateral supply to the sternum and may reduce the incidence of wound complications [5]. The LITA is preserved in a gauze soaked in arterial vasodilation solution as reported earlier [4].…”

Section: Radial Artery Extension Techniquementioning

confidence: 97%

“…However, to optimize the use of RA as a coronary bypass conduit, several technical considerations have been emphasized [3]. In an earlier report [4], we showed that the best hospital outcome, using the RA, is obtained when this conduit is proximally anastomosed to the aorta. However, when both the right coronary artery and the circumflex artery must be grafted, the RA is too short to reach the aorta for the proximal anastomosis.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Use of extended radial artery conduit for complete arterial revascularization

Özdemir¹,

Hamad²,

Woorst³

et al. 2012

Interactive CardioVascular and Thoracic Surgery

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We have developed a new technique to elongate the radial artery (RA) with the distal segment of the left internal thoracic artery (LITA). The left anterior descending (LAD) artery is examined to define the site of the LITA-LAD anastomosis and the length of LITA required to perform the anastomosis. The distal segment of the LITA beyond this length is divided in order to elongate the RA. This extended conduit is long enough to perform complete arterial revascularization and to reach the ascending aorta for the proximal anastomosis. Between January 1998 and December 2010, 113 patients were operated on using this technique. There was no early mortality among the whole group. Two patients (1.8%) had perioperative myocardial infarction. Three patients (3.5%) had re-interventions. We conclude that this technique makes the optimal use of both arterial conduits and could be a valuable alternative option for patients who are selected for complete arterial revascularization.

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Technical Issues in the Use of the Radial Artery as a Coronary Artery Bypass Conduit

Gaudino¹,

Crea²,

Cammertoni³

et al. 2014

The Annals of Thoracic Surgery

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Hospital Outcome After Aorta-Radial Versus Internal Thoracic Artery-Radial Artery Grafts

Cited by 6 publications

References 17 publications

Technical Aspects of the Use of the Radial Artery in Coronary Artery Bypass Surgery

Technical Aspects of the Use of the Radial Artery in Coronary Artery Bypass Surgery

Use of extended radial artery conduit for complete arterial revascularization

Technical Issues in the Use of the Radial Artery as a Coronary Artery Bypass Conduit

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