ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Jacob Gurevitch
Rephael Mohr
Vladimir Yakirevich
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Gurevitch, J.
Right arrow Articles by Yakirevich, V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Gurevitch, J.
Right arrow Articles by Yakirevich, V.

Ann Thorac Surg 1997;63:382-387
© 1997 The Society of Thoracic Surgeons

Original Article: Cardiovascular

High-Dose Isosorbide Dinitrate for Myocardial Revascularization With Composite Arterial Grafts

Jacob Gurevitch, MD, Hylton I. Miller, MB, Itzhak Shapira, MD, Amir Kramer, MD, Yosef Paz, MD, Menachem Matsa, MD, Rephael Mohr, MD, Vladimir Yakirevich, MD

Departments of Thoracic and Cardiovascular Surgery and Cardiology, Ichilov Hospital, Elias Sourasky Tel-Aviv Medical Center, Tel-Aviv University, Tel-Aviv, Israel

Accepted for publication July 29, 1996.

Background. Composite arterial grafting for myocardial revascularization is a surgical technique in which free arterial conduits are proximally attached to an in situ internal mammary artery.

Methods. Composite arterial grafting was performed in 78 patients with internal mammary artery (n = 24), inferior epigastric artery (n = 21), or radial artery (n = 33) connected to the internal mammary artery. Overall, 254 distal anastomoses were performed (average number, 3.3 per patient), 225 of which were arterial. All patients were treated postoperatively with high-dose isosorbide dinitrate (4 to 20 mg/h for 24 hours).

Results. The in-hospital mortality rate was 2.6% (2 patients). Early recatheterization studies performed 3 weeks (range, 1 to 20 weeks) after operation in 30 patients demonstrated patency rates of 100%, 93%, and 100% for the composite internal mammary artery, inferior epigastric artery, and radial artery groups, respectively. In addition, two inferior epigastric artery conduits had major intraluminal constriction. At a mean follow-up of 20 months (range, 1 to 42 months) all patients are alive, and all but 2 in the inferior epigastric group (97%) are angina free.

Conclusions. This surgical technique can be safely used. On the basis of our experience, the right internal mammary artery and the radial artery are the most suitable conduits for this procedure. High-dose nitrates given perioperatively prevent spasm and ensure early patency rates.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
S. Attaran, L. John, and A. El-Gamel
Clinical and Potential Use of Pharmacological Agents to Reduce Radial Artery Spasm in Coronary Artery Surgery
Ann. Thorac. Surg., April 1, 2008; 85(4): 1483 - 1489.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Ben-Gal, R. Mohr, R. Braunstein, A. Finkelstein, N. Hansson, A. Hendler, Y. Moshkovitz, and G. Uretzky
Revascularization of Left Anterior Descending Artery With Drug-Eluting Stents: Comparison With Minimally Invasive Direct Coronary Artery Bypass Surgery
Ann. Thorac. Surg., December 1, 2006; 82(6): 2067 - 2071.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Y. Ben-Gal, Y. Moshkovitz, N. Nesher, G. Uretzky, R. Braunstein, A. Hendler, E. Zivi, I. Herz, and R. Mohr
Drug-Eluting Stents Versus Coronary Artery Bypass Grafting in Patients with Diabetes Mellitus
Ann. Thorac. Surg., November 1, 2006; 82(5): 1692 - 1697.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. Herz, Y. Moshkovitz, D. Loberman, G. Uretzky, R. Braunstein, A. Hendler, E. Zivi, Y. Ben-Gal, and R. Mohr
Drug-Eluting Stents Versus Bilateral Internal Thoracic Grafting for Multivessel Coronary Disease
Ann. Thorac. Surg., December 1, 2005; 80(6): 2086 - 2090.
[Abstract] [Full Text] [PDF]

Home page
 ChestHome page
Y. Moshkovitz, R. Mohr, R. Braunstein, E. Zivi, G. Uretzky, Y. Ben-Gal, and I. Herz
Revascularization of Left Anterior Descending Coronary Artery in Patients With Single and Multivessel Disease: Comparison Between Off-Pump Internal Thoracic Artery and Drug-Eluting Stent
Chest, August 1, 2005; 128(2): 804 - 809.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. R. Sajja, G. Mannam, N. R. Pantula, and S. Sompalli
Role of Radial Artery Graft in Coronary Artery Bypass Grafting
Ann. Thorac. Surg., June 1, 2005; 79(6): 2180 - 2188.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. Herz, Y. Moshkovitz, A. Hendler, S. Z. Adam, G. Uretzky, Y. Ben-Gal, and R. Mohr
Revascularization of Left Anterior Descending Artery With Drug-Eluting Stents: Comparison With Off-Pump Surgery
Ann. Thorac. Surg., January 1, 2005; 79(1): 88 - 92.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
C. Locker, R. Mohr, O. Lev-Ran, G. Uretzky, A. Frimerman, Y. Shaham, and I. Shapira
Comparison of bilateral thoracic artery grafting with percutaneous coronary interventions in diabetic patients
Ann. Thorac. Surg., August 1, 2004; 78(2): 471 - 475.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
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]

Home page
 Ann. Thorac. Surg.Home page
J. Chanda, I. Brichkov, and C. C. Canver
Prevention of radial artery graft vasospasm after coronary bypass
Ann. Thorac. Surg., December 1, 2000; 70(6): 2070 - 2074.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. M. Shapira, J. D. Alkon, D. S.F. Macron, J. F. Keaney Jr, J. A. Vita, G. S. Aldea, and R. J. Shemin
Nitroglycerin is preferable to diltiazem for prevention of coronary bypass conduit spasm
Ann. Thorac. Surg., September 1, 2000; 70(3): 883 - 888.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. Kramer, M. Mastsa, Y. Paz, C. Locker, D. Pevni, J. Gurevitch, I. Shapira, O. Lev-Ran, and R. Mohr
Bilateral skeletonized internal thoracic artery grafting in 303 patients seventy years and older
J. Thorac. Cardiovasc. Surg., August 1, 2000; 120(2): 290 - 297.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Parolari, P. Rubini, F. Alamanni, A. Cannata, W. Xin, T. Gherli, G. Polvani, T. Toscano, M. Zanobini, and P. Biglioli
The radial artery: which place in coronary operation?
Ann. Thorac. Surg., April 1, 2000; 69(4): 1288 - 1294.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
C. Locker, I. Shapira, Y. Paz, A. Kramer, J. Gurevitch, M. Matsa, D. Pevni, and R. Mohr
Emergency myocardial revascularization for acute myocardial infarction: survival benefits of avoiding cardiopulmonary bypass
Eur. J. Cardiothorac. Surg., March 1, 2000; 17(3): 234 - 238.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Gurevitch, Y. Paz, I. Shapira, M. Matsa, A. Kramer, D. Pevni, O. Lev-Ran, Y. Moshkovitz, and R. Mohr
Routine use of bilateral skeletonized internal mammary arteries for myocardial revascularization
Ann. Thorac. Surg., August 1, 1999; 68(2): 406 - 411.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
O. M. Shapira, A. Xu, J. A. Vita, G. S. Aldea, N. Shah, R. J. Shemin, and J. F. Keaney Jr
NITROGLYCERIN IS SUPERIOR TO DILTIAZEM AS A CORONARY BYPASS CONDUIT VASODILATOR
J. Thorac. Cardiovasc. Surg., May 1, 1999; 117(5): 906 - 911.
[Abstract] [Full Text] [PDF]


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
Copyright © 1997 by The Society of Thoracic Surgeons.