| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Annals of Thoracic Surgery, Vol 57, 40-43, Copyright © 1994 by The Society of Thoracic Surgeons
D Navia, DM Cosgrove 3rd, BW Lytle, PC Taylor, PM McCarthy, RW Stewart, ER Rosenkranz and FD Loop
Reoperative coronary artery bypass grafting secondary to saphenous vein
graft (SVG) stenosis is a mushrooming problem. The internal thoracic artery
graft (ITA) provides superior long-term patency, but its flow is limited
and may be inadequate to meet large myocardial demands. To evaluate the
efficacy of the ITA as a replacement conduit for a stenotic SVG, 387
consecutive patients undergoing reoperative bypass grafting from 1985 to
1990 with a stenotic SVG to a totally obstructed left anterior descending
coronary artery (LAD) were analyzed. The patients were divided into four
groups according to the management of the previously placed SVG. Group I (n
= 155) underwent graft replacement with a new SVG. Group II (n = 90)
received an ITA with the old SVG left intact. In group III (n = 37), an ITA
was placed to the LAD with an SVG to the diagonal (old graft interrupted).
Group IV (n = 104) had an ITA only to the LAD (old graft interrupted).
There were 14 deaths (3.6%). Mortality rate was 7.9% for group IV and 2.1%
for groups I through III (p = 0.01). Multivariate analyses identified
advancing age (p = 0.001), ITA only (p = 0.001), and female sex (p = 0.04)
as independent predictors of operative mortality. Evidence of hypoperfusion
in the distribution of the LAD was present in 19 patients, all of whom were
in group IV (18.9%). Predictors of hypoperfusion were moderate/severe left
ventricular function (p = 0.02) and ITA to the LAD with interruption of the
old graft (p = 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)
ARTICLES
Is the internal thoracic artery the conduit of choice to replace a stenotic vein graft?
Cleveland Clinic Foundation, Ohio 44195.
This article has been cited by other articles:
|
|
 |
|
  S. Luthra and J. Tatoulis Reply Ann. Thorac. Surg., January 1, 2009; 87(1): 351 - 352. [Full Text] [PDF]
|
|
|
|
 |
|
 G. V. Gonzalez-Stawinski and B. W. Lytle Coronary Artery Reoperations Card. Surg. Adult, January 1, 2008; 3(2008): 711 - 732. [Full Text]
|
|
|
|
 |
|
 L. M. Fedoruk, J. A. Kern, B. B. Peeler, and I. L. Kron Anomalous origin of the right coronary artery: Right internal thoracic artery to right coronary artery bypass is not the answer J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 456 - 460. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nakajima, J. Kobayashi, O. Tagusari, K. Bando, K. Niwaya, and S. Kitamura Functional Angiographic Evaluation of Individual, Sequential, and Composite Arterial Grafts Ann. Thorac. Surg., March 1, 2006; 81(3): 807 - 814. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. F. Sabik III, E. H. Blackstone, P. L. Houghtaling, P. A. Walts, and B. W. Lytle Is Reoperation Still a Risk Factor in Coronary Artery Bypass Surgery? Ann. Thorac. Surg., November 1, 2005; 80(5): 1719 - 1727. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Shimizu, H. Suesada, M. Cho, S. Ito, K. Ikeda, and S. Ishimaru Flow Capacity of Gastroepiploic Artery Versus Vein Grafts for Intermediate Coronary Artery Stenosis Ann. Thorac. Surg., July 1, 2005; 80(1): 124 - 130. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Hirose, I. S. Gill, and B. W. Lytle Redo-aortic valve replacement after previous bilateral internal thoracic artery bypass grafting Ann. Thorac. Surg., September 1, 2004; 78(3): 782 - 785. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. W. Lytle Coronary Artery Reoperations Card. Surg. Adult, January 1, 2003; 2(2003): 659 - 679. [Full Text]
|
|
|
|
 |
|
 K. M. Vural, E. Sener, and O. Tasdemir Long-term patency of sequential and individual saphenous vein coronary bypass grafts Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 140 - 144. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. H. Cohn Use of the Internal Mammary Artery Graft and In-Hospital Mortality and Other Adverse Outcomes Associated With Coronary Artery Bypass Surgery Circulation, January 30, 2001; 103(4): 483 - 484. [Full Text] [PDF]
|
|
|
|
|
|
M. A. Borger, V. Rao, R. D. Weisel, A. A. Floh, G. Cohen, C. M. Feindel, H. E. Scully, L. L. Mickleborough, and T. M. Yau Reoperative coronary bypass surgery: Effect of patent grafts and retrograde cardioplegia J. Thorac. Cardiovasc. Surg., January 1, 2001; 121(1): 0083 - 90. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Gobel, C. Ihling, J. Dentz, H. E. Schaefer, A. M. Zeiher, and G. Fraedrich Increased tissue endothelin-1-like immunoreactivity in the internal mammary artery of patients with diabetes or hypercholesterolemia modulates the graft flow in the peri-operative period Eur. J. Cardiothorac. Surg., October 1, 1999; 14(4): 367 - 372. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Noda and H. B. Barner Arterial conduits Ann. Thorac. Surg., January 1, 1999; 67(1): 285 - 286. [Full Text] [PDF]
|
|
|
|
 |
|
 D Dougenis and A H Brown Long term results of reoperations for recurrent angina with internal mammary artery versus saphenous vein grafts Heart, July 1, 1998; 80(1): 9 - 13. [Abstract] [Full Text]
|
|
|
|
|
|
S. Pagni, E. Salloum, J. Storey, W. Montgomery, P. Cerrito, D. Van Himbergen, L. A. Gray Jr., and P. A. Spence Double grafting of the left anterior descending artery: is the distance between the internal mammary artery and supplemental vein graft anastomoses relevant in graft survival? Eur. J. Cardiothorac. Surg., January 1, 1998; 13(1): 36 - 41. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. L. Kay, G.-W. Sun, A. Aoki, and C. A. Prejean Jr Influence of Ejection Fraction on Hospital Mortality, Morbidity, and Costs for CABG Patients Ann. Thorac. Surg., December 1, 1995; 60(6): 1640 - 1651. [Abstract] [Full Text]
|
|
|
|
|
|
L. R.S. Dewar, W.R. E. Jamieson, M. T. Janusz, M. Adeli-Sardo, E. Germann, J. S. MacNab, and G. F. O. Tyers Unilateral Versus Bilateral Internal Mammary Revascularization : Survival and Event-Free Performance Circulation, November 1, 1995; 92(9): 8 - 13. [Abstract] [Full Text]
|
|
|
|
|
|
P. A. Spence, W. D. Montgomery, and W. P. Santamore HIGH FLOW DEMAND ON SMALL ARTERIAL CORONARY BYPASS CONDUITS PROMOTES GRAFT SPASM J. Thorac. Cardiovasc. Surg., October 1, 1995; 110(4): 952 - 962. [Abstract] [Full Text]
|
|
|
|
|
|
M. Otaki, R. M. Lust, Y. S. Sun, T. O. Norton, D. T. Rock, P. A. Spence, and W. R. Chitwood Jr Experimental Supplemental Vein Grafting and Hypoperfusion Syndrome Ann. Thorac. Surg., June 1, 1995; 59(6): 1423 - 1428. [Abstract] [Full Text]
|
|
|
|
|
|
A. J. Tector, D. C. Kress, S. M. Amundsen, F. X. Downey, and T. M. Schmahl Reoperation in Patients With Closed SVG and Patent LITA-LAD Graft: T-Graft Approach Ann. Thorac. Surg., June 1, 1995; 59(6): 1509 - 1512. [Abstract] [Full Text]
|
|
|
|
|
|
J. G. Dralle, C. Turner, J. Hsu, and R. L. Replogle Coronary Artery Aneurysms After Angioplasty and Atherectomy Ann. Thorac. Surg., April 1, 1995; 59(4): 1030 - 1035. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
