Transplantation of the Free Gastroepiploic Artery Graft for Myocardial Revascularization: Long-Term Clinical and Angiographic Results

Eda, Tadahito; Matsuura, Akio; Miyahara, Kazuya; Takemura, Haruki; Sawaki, Shunji; Yoshioka, Teruaki; Yoshida, Naoki

doi:10.1016/j.athoracsur.2007.10.050

Cited by 10 publications

(8 citation statements)

References 21 publications

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“…We found that en-bloc free GEA grafting gives excellent early and long-term results. 9 On the other hand, skeletonization using an ultrasonic scalpel has been used in internal thoracic and radial artery harvesting. In general, skeletonization of an arterial graft increases the length and flow capacity, and facilitates handling of the graft.…”

Section: Discussionmentioning

confidence: 99%

En-Bloc Free Gastroepiploic Artery Graft Provides a Good Long-Term Patency Rate

Eda

Miyahara²,

Oshima

et al. 2010

Asian Cardiovasc Thorac Ann

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For coronary artery bypass grafting, the use of free gastroepiploic artery is unpopular because of its tendency to vasospasm. We assessed the en-bloc free gastroepiploic artery graft, which has the gastroepiploic vein anastomosed to the right atrial appendage to prevent graft spasm, and compared it to the skeletonized free gastroepiploic artery graft. A retrospective review was conducted in 57 patients who received en-bloc grafts and 29 who had skeletonized grafts. Kaplan-Meier analysis demonstrated the superiority of the en-bloc free gastroepiploic artery graft with an 80-month patency rate of 96.6% compared to 66.7% with skeletonized grafts. We selected 13 cases from each group, using propensity-score matching, and compared the long-term patency rates. Propensity-score matched analysis showed 80-month patency rates of 100% for en-bloc grafts and 60% for skeletonized grafts. Coronary artery bypass using free gastroepiploic artery grafts with venous drainage seems to provide good long-term results.

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Section: Discussionmentioning

confidence: 99%

En-Bloc Free Gastroepiploic Artery Graft Provides a Good Long-Term Patency Rate

Eda

Miyahara²,

Oshima

et al. 2010

Asian Cardiovasc Thorac Ann

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“…В настоящее время существует множество примеров, когда используются различные свободные артериальные кондуиты. Однако наиболее часто между Ао и КА в настоящее время применяются ЛА [23], ВГА [24] и в редких случаях ПЖСА [25]. Наибольший опыт имеется в отношении свободного кондуита ЛА.…”

Section: свободные артериальные кондуиты между аортой и каunclassified

Cardioprotective role of arterial conduits

Фролов¹,

Загородников²

2019

Kardio. vestn.

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ФГБНУ «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Россия В обзорной статье изложено современное представление о роли использования в коронарном шунтировании артериальных кондуитов как особых трансплантатов, обладающих кардиопротективным действием.

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“…Therefore, our experience suggested that the harvesting technique or the route of GEA graft had little impact on the safety of the relaparotomy. Free GEA grafts are good choice to eliminate any intervention [9]. However, the proximal anastomosis of free GEAs to the aorta is technically demanding due to the small diameter, and there have been few reports on the long-term patency rate of free GEAs.…”

Section: Commentmentioning

confidence: 99%