Inverted T graft: novel technique using composite radial and internal thoracic arteries
| Autor: | Katsuhiko Nakamura, Tadashi Tashiro, Hidehiko Iwahashi, Akira Murai, Michio Kimura, Ryuzi Zaitu, Akio Iwakuma |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty medicine.diagnostic_test business.industry Internal thoracic artery Perioperative Anastomosis Surgery Coronary arteries surgical procedures operative medicine.anatomical_structure medicine.artery Internal medicine Angiography medicine Cardiology Derivation Radial artery Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | The Annals of Thoracic Surgery. 67:629-631 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(98)01240-5 |
| Popis: | Background . Multiple arterial revascularization is feasible because of the excellent long-term patency of the arterial grafts compared with venous grafts. We present a new operative technique for multiple arterial revascularization using composite radial and internal thoracic arterial grafts. Methods . Between January and September 1997, 12 patients had coronary artery bypass grafting with inverted T graft. The indications for inverted T graft were aortic calcification in 4 patients, repeat coronary artery bypass grafting in 1 patient, and total arterial revascularization in 7 young patients. The inverted T graft was constructed by interconnecting the coronary arteries and radial artery with end-to-side and side-to-side anastomoses, and by anastomosing the internal thoracic artery to the side of radial artery. Results . Overall, 38 distal anastomoses (average number per patient, 3.2) were made with an inverted T graft. There were no deaths or perioperative myocardial infarctions. Postoperative angiography disclosed that all of the anastomoses were patent. Conclusion . This technique allows multiple arterial revascularizations without technical difficulty. It is useful in patients with aortic calcification, repeat coronary artery bypass grafting patients, and young patients who are candidates for total arterial revascularization. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|