Use of radial artery graft reduces the morbidity of coronary artery bypass graft surgery in patients aged 65 years and older

Modine, Thomas; Al‐Ruzzeh, Sharif; Mazrani, Waseem; Azeem, Fazil; Bustami, Mahmoud; Ilsley, Charles; Amrani, Mohamed

doi:10.1016/s0003-4975(02)03835-3

Cited by 25 publications

(16 citation statements)

References 16 publications

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“…Several observational studies indicated higher patency of the RA compared to the SV [10,11]. Borger et al [7] demonstrated lower mortality or cardiovascular event in 5 years, in patients undergoing CABG with two arterial grafts compared to those receiving only ITA and SV grafts.…”

Section: Discussionmentioning

confidence: 99%

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Comparação da perviedade entre artéria radial e veia safena em pacientes em pós-operatório de cirurgia de revascularização miocárdica com retorno dos sintomas

Hortmann¹,

Oliveira

Rabello³

et al. 2010

Rev Bras Cir Cardiovasc

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Comparação da perviedade entre artéria radial e veia safena em pacientes em pós-operatório de cirurgia de revascularização miocárdica com retorno dos sintomasComparison of patency between radial artery and saphenous vein in a coronary artery bypass grafting post operative with return of the symptoms 219HORTMANN, HC ET AL -Comparison of patency between radial artery and saphenous vein in a coronary artery bypass grafting post operative with return of the symptoms Bras Cir Cardiovasc 2010; 25(2): 218-223 Rev

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Section: Discussionmentioning

confidence: 99%

“…The radial artery (RA) appeared as a good option, but there is still no proof of its superiority over the SV [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Comparação da perviedade entre artéria radial e veia safena em pacientes em pós-operatório de cirurgia de revascularização miocárdica com retorno dos sintomas

Hortmann¹,

Oliveira

Rabello³

et al. 2010

Rev Bras Cir Cardiovasc

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show abstract

“…The reluctance to use more arterial grafts in elderly patients by most surgeons is most likely based on concerns about long-term survival and on the concept that the extensive use of arterial grafts might be associated with an increased morbidity and mortality caused by excessive surgical invasiveness, prolonged operative time, and higher risk for arterial spasm. Nevertheless, it was demonstrated in a few recent studies 23,24 that RA as a graft in the elderly led to improved early clinical and cosmetic results, decreased hospital expenditure, decreased morbidity, and improved mid-term outcome. Moreover, there was a 95.8% patency of the RA graft, demonstrated by coronary angiography after a mean time of 74 months after the operation in our study, compared with a 98.3% patency after 5 years in recent study.…”

Section: Advantages Of Ra As a Graft For The Elderlymentioning

confidence: 99%

Radial Artery as Conduit is Safe and Effective in Coronary Bypass Surgery in the Elderly Single-Central Results From 326 Patients

Chen

Xie

et al. 2009

Circ J

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“…A series of observational studies indicated that the patency of RA grafts is greater than the SV [32,33]. On the other hand, Khot et al in 2004 concluded that the patency of the RA grafts is worse than the patency of all other vessels employed in CABG [28].…”

Section: Discussionmentioning

confidence: 99%

<![CDATA[<B>Radial artery versus saphenous vein to myocardial revascularization</B>: <B>meta-analysis (there is no statistically significant difference)</B>]]>

Locali¹,

Buffolo²,

Catani³

2006

Braz. j. cardiovasc. surg.

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Artéria radial versus veia safena para revascularização do miocárdio: metanálise (não houve diferença estatisticamente significante)Radial artery versus saphenous vein to myocardial revascularization: meta-analysis (there is no statistically significant difference) AbstractObjective: To compare the effectiveness of the radial artery graft with the saphenous vein graft for myocardial revascularization in association with the internal thoracic artery.Methods: A systematic review of the literature was made, searching for articles in the MEDLINE and LILACS databases. Two independent researchers performed the selection of articles, carefully evaluating the methodology described in articles considered relevant to the subject. Only controlled trials with an adequate randomization system were included. In all situations, when the researchers did not reach an agreement, a consensus meeting was held. No restrictions were stipulated in respect to the follow-up period for the angiographic evaluation of the graft, the vessel treated or the characteristics of the patients included in the studies. The results are expressed as Relative Risks (RR), with 95% Confidence Intervals (CI) to compare the effectiveness between the radial artery and the saphenous vein.Results: Based on these criteria, three studies were included. We did not find statistical differences between the patencies of the grafts (RR 0.53 [95% IC 0. -2.18]).Conclusion: Despite the studies having good methodologies we did not observe statistically significant differences between the grafts. The statistical power of the meta-analysis is low and therefore, more randomized controlled trials are necessary, with adequate sample sizes to detect possible differences between the different treatments.Descriptors: Radial artery. Saphenous vein. Myocardial revascularization. Meta-analysis. 256LOCALI, RF ET AL -Radial artery versus saphenous vein to myocardial revascularization: meta-analysis (there is no statistically significant difference) Braz J Cardiovasc Surg 2006; 21(3): 255-261

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Use of radial artery graft reduces the morbidity of coronary artery bypass graft surgery in patients aged 65 years and older

Cited by 25 publications

References 16 publications

Comparação da perviedade entre artéria radial e veia safena em pacientes em pós-operatório de cirurgia de revascularização miocárdica com retorno dos sintomas

Comparação da perviedade entre artéria radial e veia safena em pacientes em pós-operatório de cirurgia de revascularização miocárdica com retorno dos sintomas

Radial Artery as Conduit is Safe and Effective in Coronary Bypass Surgery in the Elderly Single-Central Results From 326 Patients

<![CDATA[<B>Radial artery versus saphenous vein to myocardial revascularization</B>: <B>meta-analysis (there is no statistically significant difference)</B>]]>

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