Skeletonization of gastroepiploic artery graft in off-pump coronary artery bypass grafting: early clinical and angiographic assessment

Kamiya, Hiroyuki; Watanabe, Go; Takemura, Hirofumi; Tomita, Shigeyuki; Nagamine, Hiroshi; Kanamori, Taro

doi:10.1016/j.athoracsur.2003.10.101

Cited by 22 publications

(31 citation statements)

References 21 publications

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“…Several studies have documented successful results of off-pump CABG, employing the RGEA, via the sub-xiphoid approach. 17,18) As previously reported, nearly all patients undergoing the procedure by this approach can be managed without CPB. 17,18) We performed anastomosis of the RGEA to the RCA via a sub-xiphoid incision.…”

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confidence: 57%

“…17,18) As previously reported, nearly all patients undergoing the procedure by this approach can be managed without CPB. 17,18) We performed anastomosis of the RGEA to the RCA via a sub-xiphoid incision. The application of this strategy is effective for avoiding both resternotomy and CPB, and it is particularly advantageous in patients who have patent ITA and SV grafts.…”

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confidence: 57%

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Minimally Invasive Direct Coronary Artery Bypass Surgery with Right Gastroepiploic Artery for Redo Patients

Nakagawa¹,

Nabuchi²,

Terada³

et al. 2015

ATCS

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Coronary artery bypass grafting (CABG) has been widely performed for coronary artery disease. Therefore, cases requiring reoperative CABG are increasing. We performed a minimally invasive direct coronary artery bypass (MIDCAB) procedure on four patients, as reoperative CABG surgery for the right coronary artery (RCA), employing the right gastroepiploic artery (RGEA). The target sites were the distal RCA in two patients and the posterior descending (PD) branch in the other two. Complete revascularization was accomplished in all patients without sternotomy, cardiopulmonary bypass (CPB), or blood transfusion. The mean operative time was 3.0 h (range: 2.4-3.7 h). Postoperative coronary angiography showed all grafts to be patent. All patients were discharged without postoperative complications and remained free from cardiac events during a mean follow-up period of 1.5 years (range: 0.5-3.0 years). MIDCAB for the RCA, employing the RGEA via a subxiphoid incision showed, excellent revascularization in redo CABG cases. This technique is a safe and effective method for redo cases.

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confidence: 57%

Section: %mentioning

confidence: 57%

Minimally Invasive Direct Coronary Artery Bypass Surgery with Right Gastroepiploic Artery for Redo Patients

Nakagawa¹,

Nabuchi²,

Terada³

et al. 2015

ATCS

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“…Twelve studies16–20 22–28 provided data on early graft failure (≤1 year), of which seven had comparative and five had non-comparative conduit graft failure data. Fifteen studies21 22 24 28 30–40 provided mid-term (1–5 years) graft failure data, 10 of which contained comparative graft failure rates while 5 had single conduit data only. Five studies29 41–44 provided late (>5 years) graft failure data, of which three provided comparable data while the remaining two did not.…”

Section: Resultsmentioning

confidence: 99%

Are arterial grafts superior to vein grafts for revascularisation of the right coronary system? A systematic review

Athanasiou

Ashrafian

Mukherjee

et al. 2012

Heart

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“…This led to the exclusion of 14 studies, 11 non-cardiac papers and 3 due to a lack of clinical data. This left 13 articles, 6 focused on RA skeletonization [10-12,15,21,22] and 7 on GEA skeletonization [13,23,20,24]. There were no prospective, double blind, randomised controlled trials.…”

Section: Resultsmentioning

confidence: 99%

Skeletonization of radial and gastroepiploic conduits in coronary artery bypass surgery

Massey

Warren

Szczeklik

et al. 2007

J Cardiothorac Surg

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The use of a skeletonized internal thoracic artery in coronary artery bypass graft surgery has been shown to confer certain advantages over a traditional pedicled technique, particularly in certain patient groups. Recent reports indicate that radial and gastroepiploic arteries can also be harvested using a skeletonized technique. The aim of this study is to systematically review the available evidence regarding the use of skeletonized radial and gastroepiploic arteries within coronary artery bypass surgery, focusing specifically on it's effect on conduit length and flow, levels of endothelial damage, graft patency and clinical outcome. Four electronic databases were systematically searched for studies reporting the utilisation of the skeletonization technique within coronary revascularisation surgery in humans. Reference lists of all identified studies were checked for any missing publications. There appears to be some evidence that skeletonization may improve angiographic patency, when compared with pedicled vessels in the short to mid-term. We have found no suggestion of increased complication rates or increased operating time. Skeletonization may increase the length of the conduit, and the number of sequential graft sites, but no clear clinical benefits are apparent. Our study suggests that there is not enough high quality or consistent evidence to currently advocate the application of this technique to radial or gastroepiploic conduits ahead of a traditional pedicled technique.

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Skeletonization of gastroepiploic artery graft in off-pump coronary artery bypass grafting: early clinical and angiographic assessment

Cited by 22 publications

References 21 publications

Minimally Invasive Direct Coronary Artery Bypass Surgery with Right Gastroepiploic Artery for Redo Patients

Minimally Invasive Direct Coronary Artery Bypass Surgery with Right Gastroepiploic Artery for Redo Patients

Are arterial grafts superior to vein grafts for revascularisation of the right coronary system? A systematic review

Skeletonization of radial and gastroepiploic conduits in coronary artery bypass surgery

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