Utilização da artéria radial como segundo enxerto arterial em pacientes acima de 70 anos

Whitaker, Joseph Fredric; Passos, Pedro H. C; Ramalho, Gustavo de Moraes; Muniz, Antônio José; Pimentel, Rogério de Castro; Lourdes, João Batista Lopes; Borges, A; Miana, Antônio Augusto

doi:10.1590/s0102-76382005000100013

Cited by 3 publications

(1 citation statement)

References 17 publications

(8 reference statements)

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“…In cases in which the RA was utilized, the first surgical assistant dissected the artery, which was then prepared in a solution containing papaverine and diltiazem. All patients received intravenous diltiazem for the induction of anesthesia, followed by a continuous venous infusion of nitroglycerin which was continued for at least the first 24 hours of the postoperative period [18].…”

Section: Operative Proceduresmentioning

confidence: 99%

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Miana¹,

Lima²,

Whitaker³

et al. 2007

Rev Bras Cir Cardiovasc

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Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdioImmediate results of right internal thoracic artery and radial artery as the second arterial graft in myocardial revascularization Abstract Objective: We sought to compare early clinical outcomes in patients receiving a right internal thoracic artery or a radial artery as the second arterial graft in myocardial revascularization.Methods: We retrospectively studied 58 consecutive patients who underwent coronary artery bypass surgery and received both a left internal thoracic artery graft and either a right internal thoracic artery (n=20) or a radial artery graft (n=38), between January 2004 and March 2006. Hospital mortality, pleural drainage, operative time and postoperative complications were analyzed.Results: There were no significant preoperative differences between groups. There was only one (1.7%) in-hospital death which occurred in the Radial Group. Operative times was significantly higher in the Right Internal Thoracic Group (p-value = 0.0018), but were not associated with increased Intensive Care Unit stays, mechanical ventilation or other postoperative complications. We were able to perform significantly more distal anastomosis using the radial artery than the right internal thoracic artery (1.57 versus 1.05: pvalue =0.003).Conclusion: In our group of patients, the use of a right internal thoracic artery as a second arterial graft was associated with a prolonged operative time, but had no interference with the immediate clinical outcomes. 61MIANA, LA ET AL -Immediate results of right internal thoracic artery and radial artery as the second arterial graft in myocardial revascularization Braz J Cardiovasc Surg 2007; 22(1): 60-67

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Section: Operative Proceduresmentioning

confidence: 99%

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Miana¹,

Lima²,

Whitaker³

et al. 2007

Rev Bras Cir Cardiovasc

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Análise do grau de lesão obstrutiva coronária e sua correspondente parede miocárdica como fatores preditivos de perviedade e remodelamento da artéria radial na revascularização do miocárdio

Carneiro¹

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Advances in Coronary Heart Disease Surgery in Latin America

et al. 2007

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Background-The beginnings of coronary artery bypass graft in Latin America could be set in the year 1971. Since then, improvements in technique and greater experience have resulted in a rapid increase in the rate of interventions performed in the region. Methods and Results-Searches through PubMed and Literatura Latinoamericana y del Caribe en Ciencias de la Salud, as well as personal communications from specialists from Latin America, have been the source of information. Articles were selected by their content related to the theme, and the authors' nationality and information is mainly from Latin America. Demographic information of the population of Latin America denotes higher age averages, and this implies an increase in the severity of comorbidities in patients who undergo surgery. Longer life expectancy and improvements in medical therapy have implied that patients survive a first intervention beyond the expected time a bypass persists patent. Wall vessel properties of arterial conduits, plus a better anastomotic technique, seem to be the current solution to worsening in the coronary health of patients who undergo revascularization surgery in Latin America. Conclusions-Despite scarce economic investment in medical sciences, many academic groups contribute to the exploration of therapeutic pharmacological combinations and inclusively apply genetic strategies.

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Utilização da artéria radial como segundo enxerto arterial em pacientes acima de 70 anos

Cited by 3 publications

References 17 publications

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Resultados imediatos da artéria torácica interna direita e artéria radial como segundo enxerto arterial em revascularização do miocárdio

Análise do grau de lesão obstrutiva coronária e sua correspondente parede miocárdica como fatores preditivos de perviedade e remodelamento da artéria radial na revascularização do miocárdio

Advances in Coronary Heart Disease Surgery in Latin America

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