Lesions of the Target Vessel During Minimally Invasive Myocardial Revascularization

Alessandrini, Francesco; Gaudino, Mario; Glieca, Franco; Luciani, Nicola; Piancone, Felice; Zimarino, Marco; Possati, Gianfederico

doi:10.1016/s0003-4975(97)00918-1

Cited by 23 publications

(9 citation statements)

References 19 publications

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“…External occlusion devices during OPCAB may lead to target coronary artery occlusions, septal myocardial infarction, and distal embolization with atheromatous debris into the coronary circulation [6,18,20,21]. Insertion of TICS can cause dissection and harm endothelial integrity because of the unavoidable brushing effect on the vessel lumen caused by the insertion maneuver [22].…”

Section: Discussionmentioning

confidence: 99%

Intracoronary Shunt Versus Bulldog Clamp in Off-Pump Bypass Surgery. Endothelial Trauma: Shunt Versus Clamp

Vural

Yalcinkaya

Türk

et al. 2008

Journal of Surgical Research

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Section: Discussionmentioning

confidence: 99%

Intracoronary Shunt Versus Bulldog Clamp in Off-Pump Bypass Surgery. Endothelial Trauma: Shunt Versus Clamp

Vural

Yalcinkaya

Türk

et al. 2008

Journal of Surgical Research

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“…60 The protective role of the IEL in the development of atherosclerotic lesions might explain why the ITA, an elastic artery commonly used in bypass surgery as a conduit to bypass major coronary artery stenoses, features much greater long-term patency rates and improved survival as compared with saphenous vein grafts, which lack a definite IEL; 68 notably, ITA shows a very high long-term patency rate (>90%), most of failures being strictly related to periprocedural harvesting and anastomosis issues. 69 Similarly, the subclavian artery, a large elastic artery from which the ITA originates, is classically Atherosclerosis localization Pescetelli et al 827 spared from atherosclerosis, thus accounting for an asymmetric plaque distribution as compared with the carotid artery in the upper district. 70 The perivascular adipose tissue…”

Section: The Discontinuation Of the Internal Elastic Laminamentioning

confidence: 99%

Localizing factors in atherosclerosis

Pescetelli

Zimarino

Ghirarduzzi

et al. 2015

Journal of Cardiovascular Medicine

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Atherosclerotic vascular disease is the leading cause of death worldwide. Although the entire vascular bed is constantly exposed to the same risk factors, atheromatous lesions present a distinct intra-individual pattern of localization and progression, being consistently more frequent in specific segments of the arterial vascular bed. This peculiar distribution may be related to selective sensitivity of such locations to the influence of risk factors or to histopathological and flow differences, and has relevant clinical implications, as the prognosis of the disease varies according to localization. We here review the theories that have been formulated to explain such preferential locations, as its understanding can be useful to pursue diagnostic screening strategies and focused preventive measures.

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“…Double snaring, however, raised many concerns. Alessandrini, et al 6 reported cases of iatrogenic lesions of the target coronary artery at the level where the stay sutures were placed. This finding is supported by studies on the carotid and femoral arteries of animals that have shown that an adventitial lesion may be induced by positioning a hollow silicone elastomer collar around the vessel leading to the formation of intimal hyperplasia and, in the presence of hypercholesterolemia, even atherosclerotic plaque 7 .…”

Section: Introductionmentioning

confidence: 99%