Mid-Term Angiographic Comparison of Sequential and Individual Anastomosis Techniques for Diagonal Artery
| Autor: | Harun Tatar, Mehmet Yokuşoğlu, Hikmet Iyem, Hakki Tankut Akay, Cengiz Bolcal, Erkan Kuralay, Bilgehan Savas Öz, Ufuk Demirkilic |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Coronary Revascularization Procedure Turkey Anastomosis Coronary Angiography Coronary artery bypass surgery Internal medicine medicine.artery medicine Humans Saphenous Vein Prospective Studies Coronary Artery Bypass Mammary Arteries Radial artery Prospective cohort study Vascular Patency Aged business.industry Anastomosis Surgical Coronary Stenosis Middle Aged Surgery Coronary arteries Treatment Outcome surgical procedures operative medicine.anatomical_structure Radial Artery Coronary vessel Cardiology Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Journal of Cardiac Surgery. 21:471-474 |
| ISSN: | 1540-8191 0886-0440 |
| DOI: | 10.1111/j.1540-8191.2006.00279.x |
| Popis: | Objective: The mid-term patency rates for individual and sequential grafts as coronary bypass conduits for diagonal arteries were angiographically compared; the impact of native coronary vessel and type of the conduit characteristics are investigated. Methods: Between March 1992 and April 2000, we performed a total number of 811 distal anastomosis on diagonal arteries of left anterior descending (LAD) artery in 296 patients who underwent coronary artery bypass surgery (CABG) distal anastomosis in our clinic. The patients were divided into two groups in this prospective study. In group A (n = 195) individual anastomosis technique, in group B (n = 101) sequential anastomosis technique was chosen as the myocardial revascularization strategy. At an average of 49.4 ± 13.2 months after coronary revascularization procedure coronary angiographies were evaluated. Individual and sequential grafting techniques were compared by graft patency rates. Results: The patency rates of sequential conduits were markedly higher than those of individual conduits (66.7% vs. 89.2%, p = 0.0001). This difference was also clear in coronary arteries with poor quality and small ( |
| Databáze: | OpenAIRE |
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