Role of right gastroepiploic artery in myocardial revascularization with arterial grafts

Antona, Carlo; Zanobini, Marco; Pompilio, Giulio; Lotto, A; Rona, P; Cavoretto, D; Alamanni, Francesco; Sala, A.; Biglioli, Paolo

doi:10.1016/0967-2109(96)82319-2

Cited by 7 publications

(4 citation statements)

References 22 publications

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“…The patency rate of arterial conduits is higher than that of venous conduits because of their biological characteristics that result in slower and lesser development of arteriosclerosis. 1 The excellent results associated with grafts of the left 2 and right 4,5 internal mammary arteries led to a search for other arterial conduits that produce good long-term results after coronary bypass surgery.…”

Section: Discussionmentioning

confidence: 99%

“…The right internal mammary artery, either as pedicled or free graft, has also provided good long-term results. 3 The other arterial conduits that are being used to achieve total or extensive arterial revascularization include the right gastroepiploic artery, 4 inferior and December 2000 were included in the study, while patients who underwent associated procedures, such as valve repair or replacement or carotid endarterectomy, were excluded. Data were prospectively entered into a database and retrospectively analyzed.…”

Section: Introductionmentioning

confidence: 99%

“…The right internal mammary artery, either as pedicled or free graft, has also provided good long-term results. 3 The other arterial conduits that are being used to achieve total or extensive arterial revascularization include the right gastroepiploic artery, 4 inferior INDIA epigastric artery, 5 and radial artery (RA). RA grafting, introduced in the 1970s 6 but abandoned because of poor results, has been revived, and the results are encouraging.…”

Section: Introductionmentioning

confidence: 99%

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Routine Use of the Radial Artery for Coronary Artery Revascularization

Meharwal

Trehan

2002

Asian Cardiovasc Thorac Ann

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Between January 1997 and December 2000, a total of 4,000 patients underwent myocardial revascularization using the radial artery as one of the conduits. The mean age of the patients was 54 +/- 7 years, and 92.8% of them were male. Of these patients, 31% had a left ventricular ejection fraction below 40% and 22.8% underwent urgent operation. A total of 4,225 distal anastomoses were performed using the radial artery. The average number of grafts was 3.3 +/- 0.5. The hospital mortality rate was 0.8%. Low cardiac output, inotropic support, perioperative myocardial infarction, reoperation for bleeding, atrial fibrillation, and sternal infection occurred in 1.8%, 2.8%, 1.2%, 1.2%, 16.8%, and 1.2% of the patients, respectively. None of the patients had major ischemia of the hand. The incidence of local hand wound complications was 0.7% (wound infection, 0.4%; wound dehiscence without infection, 0.1%; and hematoma, 0.2%). The average length of stay in the intensive care unit was 20 +/- 7 hours and in the hospital was 6 +/- 2 days. Postoperative angiography, performed in 106 patients at a mean interval of 18 months, showed that 92.4% of radial artery, 96.2% of internal mammary artery, and 76.2% of saphenous vein grafts were patent.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The right internal mammary artery, either as pedicled or free graft, has also provided good long-term results. 3 The other arterial conduits that are being used to achieve total or extensive arterial revascularization include the right gastroepiploic artery, 4 inferior INDIA epigastric artery, 5 and radial artery (RA). RA grafting, introduced in the 1970s 6 but abandoned because of poor results, has been revived, and the results are encouraging.…”

Section: Introductionmentioning

confidence: 99%

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Routine Use of the Radial Artery for Coronary Artery Revascularization

Meharwal

Trehan

2002

Asian Cardiovasc Thorac Ann

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“…Several reports have described more frequent cardiac arrhythmias and ECG abnormalities during endoscopy in patients with heart disease compared with normal patients [17 ± 20]. However, upper gastrointestinal endoscopy was thought to be important as one of the preoperative examinations of patients with heart disease, because anticoagulant therapy is usually given during and after cardiac surgery, and the right gastroepiploic artery has been occasionally used for coronary revascularization [21,22]. Monitoring and oxygen therapy are currently recommended during the procedures in ªat riskº patients [12,13], but these guidelines lack a scientific basis [23].…”

Section: Discussionmentioning

confidence: 99%