Skeletonized right gastroepiploic artery used for coronary artery bypass grafting

Off-pump coronary artery bypass grafting with an aortic nonclamping technique may reduce the incidence of cerebral complications

“…14 Skeletonized GEA has been preferentially used because of its easy handling for the anastomosis, particularly with sequential grafting; and its early patency rate is satisfactory. [15][16][17][18] Nishida et al reported that the exclusive use of in situ arterial grafts achieves signifi cantly better long-term survival than the combined use of arterial and vein grafts. 19 Kobayashi et al reported excellent results for reducing the incidence of stroke with the aortic nontouch technique using composite and sequential methods.…”

Midterm Results for Use of the Skeletonized Gastroepiploic Artery Graft in Coronary Artery Bypass

“…Our 20-year experience with 1,352 patients has shown that operative mortality is 1.26% and the respective actuarial 5-, 10-and 15-year survival rates are 91.7%, 81.4% and 71.3%, and cardiac death-free survival rates are 95.8%, 91.7% and 88.6%. 6 The recent technique of skeletonization of the GEA, introduced by Gagliardotto et al, 3 seems to achieve superior patency in the early postoperative period, even with offpump CABG. Kamiya et al have reported that their early (2 postoperative weeks) patency rate of the skeletonized GEA graft used in off-pump CABG was 98.3% (118/120 distal anastomosis).…”

Radial Artery as a Graft for Coronary Artery Bypass Grafting

“…[35][36][37] Although skeletonized and composite use of the GEA for larger internal diameter and flow has been reported, 38 avoiding flow competition has not been proved. [39][40][41] The IEA was first reported as an alternative arterial graft to the SV in 1990. 12 It is relatively short and only suitable for grafting to diagonal or intermediate branches.…”