| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2002;74:493-496
© 2002 The Society of Thoracic Surgeons
a Department of Cardiovascular Surgery, Graduate School of Medicine, Kyoto University, Kyoto, Japan
b Department of Nuclear Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan
* Address reprint requests to Dr Komeda, Graduate School of Medicine, Department of Cardiovascular Surgery, Kyoto University, 54 Kawahara-cho Shogoin Sakyo-ku, Kyoto, 606-8507, Japan
e-mail: masakom{at}kuhp.kyoto-u.ac.jp
Presented at the Poster Session of the Thirty-eighth Annual Meeting of The Society of Thoracic Surgeons, Fort Lauderdale, FL, Jan 28–30, 2002.
Background. It is not known whether a composite Y graft of the left internal thoracic artery can provide sufficient blood flow to the whole left coronary system. The aim of this study was to compare regional myocardial blood flow (MBF) and coronary flow reserve after coronary artery bypass grafting using arterial composite Y graft or independent arterial grafts.
Methods. Positron emission tomography was performed at rest and after dipyridamole infusion using oxygen-15-labeled water 2 weeks after coronary artery bypass grafting. Regional MBF was calculated in seven segments of the left ventricle. Coronary flow reserve was defined as the ratio of MBF after dipyridamole infusion to MBF at rest. In the Y graft group (n = 22), a free arterial graft to obtuse marginal arteries was anastomosed to the proximal side of in situ left internal thoracic artery, which was anastomosed to the left anterior descending artery. In the independent graft group (n = 13), left anterior descending and obtuse marginal arteries were independently revascularized using in situ left internal thoracic artery and a free arterial graft.
Results. There was no difference between the groups in MBF at rest. Coronary flow reserve in the Y graft group was lower than that in the independent group in the anterobasal (1.43 ± 0.07 versus 1.90 ± 0.13, p = 0.038), apical (1.24 ± 0.06 versus 1.64 ± 0.12, p = 0.003), septal (1.34 ± 0.05 versus 1.75 ± 0.13, p = 0.023), and lateral regions (1.19 ± 0.04 versus 1.66 ± 0.09, p = 0.001).
Conclusions. Although arterial composite Y graft improved MBF at rest, it was not as effective as independent grafts for improving coronary flow reserve soon after coronary artery bypass grafting.
This article has been cited by other articles:
|
|
 |
|
  D. Glineur, C. Hanet, W. D'hoore, A. Poncelet, L. De Kerchove, P. Y. Etienne, P. Noirhomme, and G. El Khoury Causes of non-functioning right internal mammary used in a Y-graft configuration: insight from a 6-month systematic angiographic trial Eur. J. Cardiothorac. Surg., July 1, 2009; 36(1): 129 - 136. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Glineur, C. Hanet, A. Poncelet, W. D'hoore, J.-C. Funken, J. Rubay, J. Kefer, P. Astarci, V. Lacroix, R. Verhelst, et al. Comparison of Bilateral Internal Thoracic Artery Revascularization Using In Situ or Y Graft Configurations: A Prospective Randomized Clinical, Functional, and Angiographic Midterm Evaluation Circulation, September 30, 2008; 118(14_suppl_1): S216 - S221. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Fukui, H. Fukuda, K. Toda, M. Yoshitatsu, T. Funatsu, T. Masai, and Y. Miyamoto Remodeling of the radial artery anastomosed to the internal thoracic artery as a composite straight graft. J. Thorac. Cardiovasc. Surg., November 1, 2007; 134(5): 1136 - 1142. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Shrestha, N. Khaladj, H. Kamiya, M. Maringka, A. Haverich, and C. Hagl Total Arterial Revascularization and Concomitant Aortic Valve Replacement Asian Cardiovasc Thorac Ann, October 1, 2007; 15(5): 381 - 385. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. M. El Oakley and H. F. Al Habib Total Arterial Coronary Revascularization Using Arterial Bypass Circle With Multiple Inflows Ann. Thorac. Surg., May 1, 2007; 83(5): 1911 - 1912. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. R. Cho, H. Y. Hwang, W. J. Kang, D. S. Lee, and K.-B. Kim Progressive improvement of myocardial perfusion after off-pump revascularization with bilateral internal thoracic arteries: Comparison of early versus 1-year postoperative myocardial single photon emission computed tomography J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 52 - 57. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. Kargar and M. Aazami Y-graft and proximal LIMA flow adaptability: the surgical wisdom of iatrogenics. Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 566 - 566. [Full Text] [PDF]
|
|
|
|
|
|
K. Takahashi, K. Daitoku, M. Minakawa, N. Kondo, K. Naito, and S. Oikawa Coronary artery bypass grafting using an abdominal artery as an inflow. Ann. Thorac. Surg., July 1, 2006; 82(1): 69 - 73. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Lemma, A. Innorta, M. Pettinari, A. Mangini, G. Gelpi, M. Piccaluga, P. Danna, and C. Antona Flow dynamics and wall shear stress in the left internal thoracic artery: composite arterial graft versus single graft. Eur. J. Cardiothorac. Surg., April 1, 2006; 29(4): 473 - 478. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Al-Ruzzeh, M. Bustami, T. Athanasiou, S. George, C. Ilsley, and M. Amrani A Technical Failure Changes a Y-graft into a C-conduit Causing Steal Syndrome Asian Cardiovasc Thorac Ann, April 1, 2006; 14(2): 155 - 157. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Orlov, J. Gurevitch, A. Kogan, V. Rubchevsky, A. Y. Zlotnick, and D. Aravot Multiple Arterial Revascularization Using the Tangential K-Graft Technique Ann. Thorac. Surg., November 1, 2005; 80(5): 1948 - 1950. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Glineur, P. Noirhomme, J. Reisch, G. El Khoury, P. Astarci, and C. Hanet Resistance to Flow of Arterial Y-Grafts 6 Months After Coronary Artery Bypass Surgery Circulation, August 30, 2005; 112(9_suppl): I-281 - I-285. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nishida, Y. Tomizawa, M. Endo, and H. Kurosawa Survival Benefit of Exclusive Use of In Situ Arterial Conduits Over Combined Use of Arterial and Vein Grafts for Multiple Coronary Artery Bypass Grafting Circulation, August 30, 2005; 112(9_suppl): I-299 - I-303. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S.-W. Ryu, B.-H. Ahn, S.-J. Choo, K.-J. Na, Y.-K. Ahn, M.-H. Jeong, and S.-H. Kim Skeletonized Gastroepiploic Artery as a Composite Graft for Total Arterial Revascularization Ann. Thorac. Surg., July 1, 2005; 80(1): 118 - 123. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Gatti, C. Bentini, G. Maffei, F. Ferrari, M. Dondi, P. Pacilli, and P. Pugliese Noninvasive Dynamic Assessment With Transthoracic Echocardiography of a Composite Arterial Y-Graft Achieving Complete Myocardial Revascularization Ann. Thorac. Surg., April 1, 2005; 79(4): 1217 - 1224. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Hyun Kang, K.-B. Kim, C. Soo Park, J. Chul Paeng, and D. Soo Lee Improvement of Myocardial Stress Perfusion After Off-Pump Revascularization Using Bilateral Internal Thoracic In Situ Grafts Versus Y-Composite Grafts Ann. Thorac. Surg., January 1, 2005; 79(1): 93 - 98. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. K. Kjaergard, A. Irmukhamedov, J. B. Christensen, and T. A. Schmidt Flow in Coronary Bypass Conduits On-Pump and Off-Pump Ann. Thorac. Surg., December 1, 2004; 78(6): 2054 - 2056. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Tagusari, J. Kobayashi, K. Bando, K. Niwaya, H. Nakajima, T. Nakatani, T. Yagihara, and S. Kitamura Total Arterial Off-Pump Coronary Artery Bypass Grafting for Revascularization of the Total Coronary System: Clinical Outcome and Angiographic Evaluation Ann. Thorac. Surg., October 1, 2004; 78(4): 1304 - 1311. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Lev-Ran, R. Mohr, D. Pevni, N. Nesher, Y. Weissman, D. Loberman, and G. Uretzky Bilateral internal thoracic artery grafting in diabetic patients: Short-term and long-term results of a 515-patient series J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1145 - 1150. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Lemma, A. Mangini, G. Gelpi, A. Innorta, A. Spina, and C. Antona Are composite Y-grafts able to fully respond to the left coronary system flow demand early after coronary bypass graft? Ann. Thorac. Surg., October 1, 2003; 76(4): 1339 - 1340. [Full Text] [PDF]
|
|
|
|
|
|
G. Sakaguchi and M. Komeda Are composite Y-grafts able to fully respond to the left coronary system flow demand early after coronary bypass graft?Reply Ann. Thorac. Surg., October 1, 2003; 76(4): 1340 - 1340. [Full Text] [PDF]
|
|
|
|
|
|
G. Sakaguchi and M. Komeda Reply Ann. Thorac. Surg., August 1, 2003; 76(2): 660 - 660. [Full Text] [PDF]
|
|
|
|
|
|
N. A. Attar Coronary flow reserve in composite arterial Y grafts Ann. Thorac. Surg., August 1, 2003; 76(2): 659 - 660. [Full Text] [PDF]
|
|
|
|
|
|
M. Lemma, A. Mangini, G. Gelpi, A. Innorta, P. Danna, F. Lavarra, E. Piccaluga, and C. Antona Effects of heart rate on phasic Y-graft blood flow and flow reserve in patients with complete arterial myocardial revascularizaton: an intravascular Doppler catheter study Eur. J. Cardiothorac. Surg., July 1, 2003; 24(1): 81 - 85. [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 |
