Thoracodorsal artery as a free graft for coronary artery bypass grafting

Šimić, Ognjen; Zambelli, Mario; Zelić, Marko; Pirjavec, Aleksandra

doi:10.1016/s1010-7940(99)00144-x

Cited by 7 publications

(3 citation statements)

References 7 publications

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“…The thoracodorsal axis has previously been used in coronary artery bypass-grafting. [5] Bifurcated artery-grafts such as the one we describe offer several advantages to vein-grafts. We needed to bypass to both anterior cerebral arteries, and therefore a long Y-shaped graft connected to the carotid would be ideal.…”

Section: Discussionmentioning

confidence: 99%

Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

et al. 2012

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Section: Discussionmentioning

confidence: 99%

Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

et al. 2012

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“…In two case reports a sternotomy was used for reoperative CAB in one and minimally invasive direct CAB for an initial operation in the other [72]. If a left thoracotomy is not used then the optimal approach to the subscapsular thoracodorsal artery (STA) is via an axillary incision [73]. Mills anastomosed the STA to the descending aorta which may require a pericardial patch; otherwise composite grafting is necessary for this short graft (range, 10 to 12 cm).…”

Section: Seldom Used Arterial Graftsmentioning

confidence: 99%

Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's

Barner

2013

Korean J Thorac Cardiovasc Surg

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This is the third in a series on coronary artery bypass which reviews three alternative arterial conduits. The radial artery has become the most widely used of the three and accumulating experience demonstrates better patency at 10 years versus saphenous vein. Drawbacks are a long incision on the forearm, the propensity for spasm and persistent sensory disturbance in about 10%. The first is answered by endoscopic harvest which may yield a shorter conduit but reduces sensory nerve injury. Spasm is managed pharmacologically and by less harvest trauma. The gastroepiploic artery is used in situ and free and although the abdominal cavity is entered complications are minimal and patency compares favorably with the radial artery. Use of the inferior epigastric artery remains minimal and its similar length often requires composite use but limited patency data are supportive. Other arteries have had rare use and this is unlikely to change because the three presented here have significant advantages and acceptance.

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“…Barner ve ark., (7) 12 yıllık sürede 1000 hasta üzerinde yaptıkları çalışmada ATI ve VSM açık kalma oranlarını sırasıyla 1. yılda %95 -%93, 5. yılda %88 -%74 ve 10. yılda %83 -%41 olarak bildirmişlerdir. Arteria thoracica internadaki bu üstün-lük nedeniyle a. radialis (AR), a. gastroepiploica dextra (AGED), a. epigastrica inferior (AEI), a. splenica, a. subscapularis, a. mesenterica inferior, a. circumflexa femoris lateralis'in r. descendens'i ve a. ulnaris koroner bypass cerrahisinde arteryel greft olarak kullanım alanı bulmuştur (3,(9)(10)(11)(12)(13)(14)(15). Ayrıca aa.…”

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Koroner By-pass Cerrahisinde Alternatif Arteryel Greft Olarak A. Thoracodorsalis ve A. Thoracica Lateralis: Morfolojik Bir Çalıșma

KURTOĞLU

2017

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Amaç: A. thoracica interna ve v. saphena magna günümüzde en sık kullanılan koroner by-pass greftleridir. Arteryel greftler, venöz greftlere göre daha iyi açık kalma oranlarına sahiptir. A. thoracica interna ve v. saphena magna'nın kullanılamayacağı veya daha önceki operasyonda kullanıldığı, ayrıca birden fazla koroner artere aynı anda by-pass gerektiren veya birden fazla grefte ihtiyaç duyulan durumlarda halen alternatif arteryel greftlere ihtiyaç vardır.Gereç ve Yöntem: Bu çalıșmada, yaș ortalaması 56,67±6,38 olan 9 erkek kadavradan bilateral olarak elde edilen, a. thoracica lateralis ve a. thoracodorsalis'in koroner by-pass operasyonlarında greft olarak kullanıma uygun olup olmadıklarının ortaya konulması amaçlandı. Bu arterlerin baș, orta ve son kısımlarına ait morfolojik özellikler (boy, lümen çapı, tunica intima ve media kalınlıkları, lamina elastica interna ve externa'nın özellikleri, tunica media tabakasının elastik ve düz kas dokusu içeriği) a. thoracica interna, a. radialis ve koroner arterlerin (r. interventricularis anterior, r. circumflexus, a. coronaria dextra) morfolojik özellikleriyle karșılaștırıldı. Bulgular:A. thoracica lateralis ve a. thoracodorsalis'in iyi gelișmiș lamina elastica interna'ya sahip oldukları saptandı. Ayrıca a. thoracica lateralis ve a. thoracodorsalis'nin tunica intima ve media kalın-lıkları genellikle a. thoracica interna ve a. radialis'in tunica intima ve media kalınlıklarına benzer veya daha ince olduğu görüldü. Bu bulgular, her iki arterin koroner by-pass cerrahisinde greft olarak kullanılabilmesi açısından olumlu özellikler olarak değerlendirildi.Sonuç: A. thoracica lateralis'in boy ve lümen çapı, tek bașına serbest greft olarak kullanım için yeterli bulunmazken, a. thoracodorsalis ise yeterli bulundu. Bununla birlikte her iki arterin, diğer greftlerle birlikte kompozit greft (Y greft gibi) uygulamalarında, boy ve lümen açısından yeterli olabileceği sonucuna varıldı.Anahtar Sözcükler: Alternatif Arteryel Greft, a. Thoracica Lateralis, a. Thoracodorcalis, Koroner By-pass Cerrahisi.Objectives: Today, the internal thoracic artery and great saphenous vein are the most used coronary bypass grafts. Patency of the arterial grafts is better than vein grafts. Alternative arterial grafts are needed in the following cases: when the internal thoracic artery and great saphenous vein cannot be used or they were used in the previous operations, when more than one coronary artery is needed for grafting, or more than one graft is neded at the operation. Material and Methods:This study aims to reveal whether lateral thoracic and thoracodorsal arteries taken from 9 male cadavers at 56,67±6,38 years old, bilaterally are available to be used as a graft in coronary bypass surgery. The morphologic properties (length, lumen diamater, thickness of tunica intima and media, properties of internal and external elastic lamina, elastic and smooth muscle component of tunica media) of the proximal, middle and distal parts of these arteries are compared with internal thoracic, radial and coronary arteri...

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Thoracodorsal artery as a free graft for coronary artery bypass grafting

Cited by 7 publications

References 7 publications

Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

Extracranial-intracranial bypass of the bilateral anterior cerebral circulation using a thoracodorsal axis artery-graft

Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's

Koroner By-pass Cerrahisinde Alternatif Arteryel Greft Olarak A. Thoracodorsalis ve A. Thoracica Lateralis: Morfolojik Bir Çalıșma

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