Is it better to use the radial artery as a composite graft? Clinical and angiographic results of aorto-coronary versus Y-graft1

Lemma, Massimo; Mangini, Andrea; Gelpi, Guido; Innorta, Andréa; Spina, Amedeo; Antona, Carlo

doi:10.1016/j.ejcts.2004.03.020

Cited by 41 publications

(49 citation statements)

References 20 publications

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“…Previous angiographic observational studies have shown that the RA achieved excellent short-(96% -100%), mid-(94% -97%), and long-term graft patency (84% -96%) when used as either an aortocoronary bypass or a composite graft [13,[29][30][31]. reported similar long-term graft patency [44][45][46][47].…”

Section: The Radial Artery (Ra)mentioning

confidence: 65%

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Molardi¹,

Benassi²,

Nicolini³

et al. 2013

WJCD

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The burden of diseases associated with diabetes mellitus is dramatic: adults with diabetes mellitus are 2 to 4 times more likely to have cardiovascular diseases than those without it, and at least 65% will die because of diabetes complications. The revascularization strategy in these types of patients included percutaneous coronary interventions with bare metal stents or medicated stents and surgical coronary artery bypass grafting (CABG), but it is well known that in the diabetic patient with two or more vessel disease, the surgical strategy allows the best mid-and longterm results. Moreover, benefits of CABG surgery are limited by life expectancy of the most common type of graft, the saphenous vein (SV). Nearly 40 years after the introduction of bypass surgery, the rate of vein graft failure remains at high levels. Several arterial conduits had been studied as alternative conduits to SV: the Right Internal Thoracic Artery (RITA), the Radial Artery (RA), the Gastroepiploic Artery (GEA) and the Inferior Epigastric Artery (IEA), 40 years ago. The aim of our article is to review the scientific literature of the past 15 years to answer this question: are we ready to treat the diabetic patient, with a completely arterial revascularization, avoiding the use of the great saphenous vein grafts?

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Section: The Radial Artery (Ra)mentioning

confidence: 65%

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Molardi¹,

Benassi²,

Nicolini³

et al. 2013

WJCD

View full text Add to dashboard Cite

show abstract

“…The use of the bilateral ITAs was also proposed and a better clinical evolution was confirmed by some authors [7][8][9] and contested by others [10,11]. It is frequently not used due to the increase in morbidities and the complexity of the technique [7,12].…”

Section: Discussionmentioning

confidence: 87%

“…The RA is easy to dissect, has a good caliber and is long enough to reach the arteries of the posterior face of the heart, and can be used in sequential anastomoses [7,13]. Its negative points are: the presence of atheroma plaque in elderly patients and a greater tendency for vasospasms due Table 6.…”

Section: Discussionmentioning

confidence: 99%

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Estudo comparativo randomizado da evolução imediata dos pacientes com artéria radial anastomosada proximalmente na aorta ou como enxerto composto

Sobral¹,

Santos²,

Santos³

et al. 2006

Rev Bras Cir Cardiovasc

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“…The use of artificial T-graft or Y-graft, as well as sequential anastomoses, can maximize the usage of arteries, theoretically expanding the long-term benefit [23,24]. In spite of encouraging evidences there is still a lack of evidences to support the routine use of these techniques.…”

Section: Using Composite Graftsmentioning

confidence: 99%

Revascularização do miocárdio com emprego de ambas artérias mamárias internas em pacientes com diabetes mellitus

Martins¹,

Santos²,

Tirado³

et al. 2007

Rev Bras Cir Cardiovasc

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Revascularização do miocárdio com emprego de ambas artérias mamárias internas em pacientes com diabetes mellitusCoronary artery bypass grafting using both internal mammary arteries in patients with diabetes mellitus Abstract Objective: We sought to describe the use of both internal thoracic arteries (ITA) in patients with diabetes mellitus (DM) submitted to a coronary artery bypass grafting (CABG).Method: Between January 1995 to August 2005, 4,569 patients received isolated CABG in our institution. Of the initial population, 1,298 had DM. The median age of the patients was 62 years and total mortality rate was 2.18% (100 patients). Both internal thoracic arteries were used in 700 patients. Patients were divided into two groups: with DM (group I, 148 patients), and without DM (group II, 552 patients). Patient selection for double ITA grafting was based on coronary artery anatomy and on the quality of sternum. The later was evaluated during the sternal transsection. When these two factors were considered favorable, we have both ITAs dissected, regardless whether the patient had DM. During the dissection of both internal thoracic arteries, one must take care not to open the pleural spaces.Results: There was a small difference between the two groups in terms of morbidity and mortality.Conclusion: Our data suggests that patients with DM can benefit with the efficient use of both internal thoracic arteries with a small increase in the risk of complications, if its application is carefully indicated.

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Is it better to use the radial artery as a composite graft? Clinical and angiographic results of aorto-coronary versus Y-graft1

Cited by 41 publications

References 20 publications

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Coronary artery bypass grafting in diabetic patients: Should we still use the saphenous vein graft? A review of literature in the past 15 years

Estudo comparativo randomizado da evolução imediata dos pacientes com artéria radial anastomosada proximalmente na aorta ou como enxerto composto

Revascularização do miocárdio com emprego de ambas artérias mamárias internas em pacientes com diabetes mellitus

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