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The Annals of Thoracic Surgery, Vol 54, 652-659, Copyright © 1992 by The Society of Thoracic Surgeons
C Acar, VA Jebara, M Portoghese, B Beyssen, JY Pagny, P Grare, JC Chachques, JN Fabiani, A Deloche and JL Guermonprez
Eighteen years after its first introduction for coronary artery
revascularization, the radial artery (RA) was reinvestigated because of
unexpected good long-term results in the early series. Since July 1989, 104
patients underwent myocardial revascularization using 122 RA grafts (18
patients received two grafts). The left internal mammary artery (IMA) was
concomitantly used as a pedicled graft in 100 cases and the right IMA in 19
cases; a free IMA graft was used in 29 cases and a saphenous vein graft in
24 cases. A mean of 2.8 grafts per patient were performed. Nine patients
underwent associated procedures: carotid endarterectomy (3), aortic valve
replacement (3), Bigelow procedure (1), and mitral valve repair (2). The
target artery receiving the RA was the circumflex (n = 59), diagonal (n =
29), right coronary (n = 27), and left anterior descending (n = 7). One
patient died (0.96%) and 2 had perioperative myocardial infarct. Sternal
wound infection was noted in 3 cases of double IMA implantation. No
ischemia of the hand was observed. All patients received diltiazem started
intraoperatively and continued after discharge. In addition aspirin (100
mg/day) was given at discharge. Early angiographic controls (less than 2
weeks) were obtained in the first 50 consecutive patients and revealed 56
of 56 patent RA grafts, 48 of 48 patent left IMA grafts, 11 of 11 patent
right IMA grafts, 14 of 18 patent free IMA grafts, and 8 of 9 patent vein
grafts.(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Revival of the radial artery for coronary artery bypass grafting
Department of Cardiovascular Surgery, Hopital Broussais, Paris, France.
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J. S. Corvera, C. D. Morris, J. M. Budde, D. A. Velez, J. D. Puskas, O. M. Lattouf, W. A. Cooper, R. A. Guyton, and J. Vinten-Johansen Pretreatment with phenoxybenzamine attenuates the radial artery's vasoconstrictor response to {alpha}-adrenergic stimuli J. Thorac. Cardiovasc. Surg., November 1, 2003; 126(5): 1549 - 1554. [Abstract] [Full Text] [PDF] |
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G. Possati, M. Gaudino, F. Prati, F. Alessandrini, C. Trani, F. Glieca, M. A. Mazzari, N. Luciani, and G. Schiavoni Long-Term Results of the Radial Artery Used for Myocardial Revascularization Circulation, September 16, 2003; 108(11): 1350 - 1354. [Abstract] [Full Text] [PDF] |
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A. R. Conant, M. J. Shackcloth, A. Y. Oo, M. R. Chester, A. W. M. Simpson, and W. C. Dihmis Phenoxybenzamine treatment is insufficient to prevent spasm in the radial artery: the effect of other vasodilators J. Thorac. Cardiovasc. Surg., August 1, 2003; 126(2): 448 - 454. [Abstract] [Full Text] [PDF] |
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M. Caputo, B. Reeves, G. Marchetto, B. Mahesh, K. Lim, and G. D. Angelini Radial versus right internal thoracic artery as a second arterial conduit for coronary surgery: early and midterm outcomes J. Thorac. Cardiovasc. Surg., July 1, 2003; 126(1): 39 - 47. [Abstract] [Full Text] [PDF] |
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M. Fabbrocini, K. Fattouch, G. Camporini, G. DeMicheli, C. Bertucci, P. Cioffi, and D. Mercogliano The descending branch of lateral femoral circumflex artery in arterial CABG: early and midterm results Ann. Thorac. Surg., June 1, 2003; 75(6): 1836 - 1841. [Abstract] [Full Text] [PDF] |
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S. K. Singh, S. K. Mishra, D. Kumar, R. D. Yadave, R. Agarwal, and S. K. Sinha Total Arterial Revascularization on Beating Heart: Experience in 803 Cases Asian Cardiovasc Thorac Ann, June 1, 2003; 11(2): 107 - 112. [Abstract] [Full Text] [PDF] |
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B. F. Buxton, J. S. Raman, P. Ruengsakulrach, I. Gordon, A. Rosalion, R. Bellomo, M. Horrigan, and D. L. Hare Radial artery patency and clinical outcomes: Five-year interim results of a randomized trial J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1363 - 1371. [Abstract] [Full Text] [PDF] |
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S. T. de Dios, D. Bruemmer, R. J. Dilley, M. E. Ivey, G. L.R. Jennings, R. E. Law, and P. J. Little Inhibitory Activity of Clinical Thiazolidinedione Peroxisome Proliferator Activating Receptor-{gamma} Ligands Toward Internal Mammary Artery, Radial Artery, and Saphenous Vein Smooth Muscle Cell Proliferation Circulation, May 27, 2003; 107(20): 2548 - 2550. [Abstract] [Full Text] [PDF] |
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S. Fazel, H. R. Mallidi, M. P. Pelletier, J. Y. Sever, G. T. Christakis, B. S. Goldman, and S. E. Fremes Radial artery use is safe in patients with moderate to severe left ventricular dysfunction Ann. Thorac. Surg., May 1, 2003; 75(5): 1414 - 1421. [Abstract] [Full Text] [PDF] |
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C. Muneretto, A. Negri, J. Manfredi, A. Terrini, G. Rodella, S. ElQarra, and G. Bisleri Safety and usefulness of composite grafts for total arterial myocardial revascularization: A prospective randomized evaluation J. Thorac. Cardiovasc. Surg., April 1, 2003; 125(4): 826 - 835. [Abstract] [Full Text] [PDF] |
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W. C.F. Chong, P. J.L. Ong, C. S. Hayward, P. Collins, and N. E. Moat Effects of radial artery harvesting on forearm function and blood flow Ann. Thorac. Surg., April 1, 2003; 75(4): 1171 - 1174. [Abstract] [Full Text] [PDF] |
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H. V. Riekkinen, K. O. Karkola, and A. Kankainen The radial artery is larger than the ulnar Ann. Thorac. Surg., March 1, 2003; 75(3): 882 - 884. [Abstract] [Full Text] [PDF] |
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M. Merlo, A. Terzi, M. Tespili, and P. Ferrazzi Reversal of radial artery 'string sign' at 6 months follow-up Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 432 - 434. [Abstract] [Full Text] [PDF] |
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G. E. Drossos, I. K. Toumpoulis, D. G. Katritsis, J. P. A. Ioannidis, P. Kontogiorgi, E. Svarna, and C. E. Anagnostopoulos Is vitamin C superior to diltiazem for radial artery vasodilation in patients awaiting coronary artery bypass grafting? J. Thorac. Cardiovasc. Surg., February 1, 2003; 125(2): 330 - 335. [Abstract] [Full Text] [PDF] |
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M. Haase, A. Sharma, A. Fielitz, S. Uchino, J. Rocktaeschel, R. Bellomo, L. Doolan, G. Matalanis, A. Rosalion, B. F. Buxton, et al. On-pump coronary artery surgery versus off-pump exclusive arterial coronary grafting: a matched cohort comparison Ann. Thorac. Surg., January 1, 2003; 75(1): 62 - 67. [Abstract] [Full Text] [PDF] |
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Y. J. Woo and T. J. Gardner Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2003; 2(2003): 581 - 607. [Full Text] |
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T. Modine, S. Al-Ruzzeh, W. Mazrani, F. Azeem, M. Bustami, C. Ilsley, and M. Amrani Use of radial artery graft reduces the morbidity of coronary artery bypass graft surgery in patients aged 65 years and older Ann. Thorac. Surg., October 1, 2002; 74(4): 1144 - 1147. [Abstract] [Full Text] [PDF] |
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S. Marasco and D. Esmore A novel method for performing sequential grafts with the radial artery Ann. Thorac. Surg., October 1, 2002; 74(4): 1262 - 1263. [Abstract] [Full Text] [PDF] |
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D. F. Del Rizzo, N. Yurkova, M. C. Moon, B. Litchie, and P. Zahradka Platelet-derived growth factor-induced expression of c-fos in human vascular smooth muscle cells: implications for long-term graft patency Ann. Thorac. Surg., July 1, 2002; 74(1): 90 - 95. [Abstract] [Full Text] [PDF] |
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K. Nakamura, S. Al-Ruzzeh, A. H. Chester, I. Schmidt, M. Barbir, M. H. Yacoub, and M. Amrani Effects of cerivastatin on vascular function of human radial and left internal thoracic arteries Ann. Thorac. Surg., June 1, 2002; 73(6): 1860 - 1865. [Abstract] [Full Text] [PDF] |
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A. Amano, A. Takahashi, and H. Hirose Skeletonized radial artery grafting: improved angiographic results Ann. Thorac. Surg., June 1, 2002; 73(6): 1880 - 1887. [Abstract] [Full Text] [PDF] |
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G.G. Santos, N.A.G. Stolf, L.F.P. Moreira, V.L.S. Haddad, R.M.C. Simoes, S.R.V. Carvalho, A.A. Salgado, and S.F. Avelar Jr. Randomized comparative study of radial artery and right gastroepiploic artery in composite arterial graft for CABG Eur. J. Cardiothorac. Surg., June 1, 2002; 21(6): 1009 - 1014. [Abstract] [Full Text] [PDF] |
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M. Ikeda, H. Ohashi, Y. Tsutsumi, K. Hige, T. Kawai, and M. Ohnaka Angiographic evaluation of the luminal changes in the radial artery graft in coronary artery bypass surgery: a concern over the long-term patency Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 800 - 803. [Abstract] [Full Text] [PDF] |
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V. S. Reddy, S. M. Parikh, D. C. Drinkwater Jr, A. Lo, T. P. Rauth, R. M. Moleski, and P. A. Chang Morbidity after procurement of radial arteries in diabetic patients and the elderly undergoing coronary revascularization Ann. Thorac. Surg., March 1, 2002; 73(3): 803 - 808. [Abstract] [Full Text] [PDF] |
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