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Ann Thorac Surg 2002;73:1860-1865
© 2002 The Society of Thoracic Surgeons
a National Heart and Lung Institute, Heart Science Centre, Harefield Hospital, Harefield, Middlesex, United Kingdom
Accepted for publication February 2, 2002.
* Address reprint requests to Mr Amrani, Harefield Hospital, Harefield, Middlesex UB9 6JH, UK
e-mail: mr.amrani{at}rbh.nthames.nhs.uk
Background. Statins may enhance vascular function independently of effects on cholesterol. This study investigated the ability of statins to modulate the vascular recovery of arteries used as coronary bypass grafts.
Methods. Specimens of radial artery and left internal thoracic artery were obtained during coronary artery bypass grafting. The specimens were divided into vascular rings, which were incubated in the absence or presence of cerivastatin (10-6 mol/L) for either 2 or 24 hours. Using an organ bath technique, endothelial function was examined using acetylcholine (10-9 to 10-5 mol/L) after contraction by 3x10-8 mol/L of endothelin-1.
Results. Time-related endothelial dysfunction was shown in the control group of radial artery but not in the cerivastatin group: maximal endothelium-dependent vasodilation in the control and cerivastatin groups were 56.8% ± 10.2% and 65.9% ± 10.1% at 2 hours and 39.4% ± 4.7% and 68.4% ± 5.0% (p < 0.01, vs control) at 24 hours, respectively. On the other hand, in the left internal thoracic artery, those in the control and cerivastatin groups were 38.3% ± 8.2% and 45.0% ± 5.5% at 2 hours and 38.1% ± 8.2% and 56.5% ± 8.8% at 24 hours, respectively (NS).
Conclusions. In radial artery, cerivastatin significantly preserved endothelium-dependent vasodilation, which diminished with time in the control group. This could have very important implications in the clinical practice of coronary artery bypass grafting.
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Ann. Thorac. Surg. 2002 73: 1865.
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