JTCS Speed Up Your Browser
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):
Ernesto E. Weinschelbaum
Raffaele Smimmo
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 Weinschelbaum, E. E.
Right arrow Articles by Suárez, L. D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Weinschelbaum, E. E.
Right arrow Articles by Suárez, L. D.

J Thorac Cardiovasc Surg 1997;114:911-916
© 1997 Mosby, Inc.

SURGERY FOR ACQUIRED HEART DISEASE

TOTAL MYOCARDIAL REVASCULARIZATION WITH ARTERIAL CONDUITS: RADIAL ARTERY COMBINED WITH INTERNAL THORACIC ARTERIES

Ernesto E. Weinschelbaum , MDa, Eduardo D. Gabe , MDb, Alejandro Macchia , MDb, Raffaele Smimmo , MDa, Luis D. Suárez , MDc

Received for publication Feb. 6, 1997 Revisions requested March 11, 1997 Revisions received June 16, 1997 Accepted for publication July 21, 1997 Address for reprints: Ernesto Eduardo Weinschelbaum, MD, Department of Cardiovascular Surgery, Favaloro Foundation, Belgrano 1746, 1093 Buenos Aires, Argentina.

Abstract

Objective: We prospectively tested the feasibility of achieving total arterial revascularization with the use of the radial artery to revascularize the circumflex, diagonal, and right coronary arteries combined with a left internal thoracic artery graft to the left anterior descending artery and, in some cases, a right internal thoracic artery graft to the right coronary artery. Methods: In 164 patients, the radial artery was used as a free Y or T graft from the left internal thoracic artery. Of 568 grafts (3.5 ± 1 [standard deviation] per patient), 296 (1.8 ± 0.8 per patient) were constructed with the radial artery as single grafts or as double, triple, or quadruple sequential anastomoses to the circumflex, diagonal, and posterior descending arteries. Diltiazem was administered to prevent spasm. Forty-six patients underwent coronary angiography before discharge from the hospital. Follow-up time was 1 to 19 (9.5 ± 6.1) months. Results: Total arterial revascularization was achieved in 137 patients (83.5%). Three (1.8%) died postoperatively of sepsis, ventricular fibrillation, and heart failure, respectively. Three (1.8%) had postoperative myocardial infarction. No hand ischemia occurred. Angiography showed patency of all arterial conduits. Radial artery spasm appeared in 3 (6.5%) of 46 angiograms. Two patients (1.2%) died during the follow-up period of pneumonia and gastrointestinal tract bleeding, respectively. No other events or reoperations occurred, and 95.1% of the patients are free of symptoms. Conclusions: The radial artery, as a free Y or T graft from the left internal thoracic artery to the circumflex, diagonal, and right coronary arteries, permits total arterial revascularization with excellent patency rates, minimal morbidity and mortality, and no need for reoperation. Longer follow-up times are necessary to draw definitive conclusions.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
T. A. Schwann, A. Zacharias, C. J. Riordan, S. J. Durham, A. S. Shah, and R. H. Habib
Sequential radial artery grafts for multivessel coronary artery bypass graft surgery: 10-year survival and angiography results.
Ann. Thorac. Surg., July 1, 2009; 88(1): 31 - 39.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. G. Raja, H. Siddiqui, C. D. Ilsley, and M. Amrani
In-hospital outcomes of off-pump multivessel total arterial and conventional coronary artery bypass grafting: single surgeon, single center experience.
Ann. Thorac. Surg., July 1, 2009; 88(1): 47 - 52.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. Nakajima, J. Kobayashi, T. Funatsu, Y. Shimahara, M. Kawamura, A. Kawamura, T. Yagihara, and S. Kitamura
Predictive factors for the intermediate-term patency of arterial grafts in aorta no-touch off-pump coronary revascularization
Eur. J. Cardiothorac. Surg., November 1, 2007; 32(5): 711 - 717.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
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]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
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]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. Nakajima, J. Kobayashi, O. Tagusari, K. Niwaya, T. Funatsu, A. Brik, T. Yagihara, and S. Kitamura
Graft design strategies with optimum antegrade bypass flow in total arterial off-pump coronary artery bypass
Eur. J. Cardiothorac. Surg., February 1, 2007; 31(2): 276 - 282.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. Nakajima, J. Kobayashi, O. Tagusari, K. Niwaya, T. Funatsu, A. Kawamura, T. Yagihara, and S. Kitamura
Angiographic flow grading and graft arrangement of arterial conduits.
J. Thorac. Cardiovasc. Surg., November 1, 2006; 132(5): 1023 - 1029.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Nakajima, J. Kobayashi, O. Tagusari, K. Bando, K. Niwaya, and S. Kitamura
Functional Angiographic Evaluation of Individual, Sequential, and Composite Arterial Grafts
Ann. Thorac. Surg., March 1, 2006; 81(3): 807 - 814.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Fukui, S. Takanashi, Y. Hosoda, and S. Suehiro
Total Arterial Myocardial Revascularization Using Composite and Sequential Grafting With the Off-Pump Technique
Ann. Thorac. Surg., August 1, 2005; 80(2): 579 - 585.
[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
 CirculationHome page
S. Verma, P. E. Szmitko, R. D. Weisel, D. Bonneau, D. Latter, L. Errett, Y. LeClerc, and S. E. Fremes
Should Radial Arteries Be Used Routinely for Coronary Artery Bypass Grafting?
Circulation, August 3, 2004; 110(5): e40 - e46.
[Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Gaudino, F. Alessandrini, C. Pragliola, N. Luciani, C. Trani, F. Burzotta, F. Girola, G. Nasso, G. Guarini, and G. Possati
Composite Y internal thoracic artery-saphenous vein grafts: Short-term angiographic results and vasoreactive profile
J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1139 - 1144.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. Kamiya, G. Watanabe, H. Takemura, S. Tomita, H. Nagamine, and T. Kanamori
Total arterial revascularization with composite skeletonized gastroepiploic artery graft in off-pump coronary artery bypass grafting
J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1151 - 1157.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
J. F. Legare, K. J. Buth, J. A. Sullivan, and G. M. Hirsch
Composite arterial grafts versus conventional grafting for coronary artery bypass grafting
J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 160 - 166.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Gaudino, M. Di Mauro, A. L. Iaco, C. Canosa, G. Vitolla, and A. M. Calafiore
Immediate flow reserve of Y thoracic artery grafts: an intraoperative flowmetric study
J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 1076 - 1079.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
M. Caputo, B. Reeves, G. Marchetto, B. Mahesh, K. Lim, and G. D. Angelini
Radial versus right internal thoracic artery as a second arterial conduit for coronary surgery: early and midterm outcomes
J. Thorac. Cardiovasc. Surg., July 1, 2003; 126(1): 39 - 47.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Fabbrocini, K. Fattouch, G. Camporini, G. DeMicheli, C. Bertucci, P. Cioffi, and D. Mercogliano
The descending branch of lateral femoral circumflex artery in arterial CABG: early and midterm results
Ann. Thorac. Surg., June 1, 2003; 75(6): 1836 - 1841.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
B. F. Buxton, J. S. Raman, P. Ruengsakulrach, I. Gordon, A. Rosalion, R. Bellomo, M. Horrigan, and D. L. Hare
Radial artery patency and clinical outcomes: Five-year interim results of a randomized trial
J. Thorac. Cardiovasc. Surg., June 1, 2003; 125(6): 1363 - 1371.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Amano, A. Takahashi, and H. Hirose
Skeletonized radial artery grafting: improved angiographic results
Ann. Thorac. Surg., June 1, 2002; 73(6): 1880 - 1887.
[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
 Asian Cardiovasc. Thorac. Ann.Home page
Z. S. Meharwal and N. Trehan
Routine Use of the Radial Artery for Coronary Artery Revascularization
Asian Cardiovasc Thorac Ann, March 1, 2002; 10(1): 20 - 24.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
A. M. Calafiore, M. D. Mauro, S. D'Alessandro, G. Teodori, G. Vitolla, M. Contini, A. L. Iaco, and G. Spira
Revascularization of the lateral wall: Long-term angiographic and clinical results of radial artery versus right internal thoracic artery grafting
J. Thorac. Cardiovasc. Surg., February 1, 2002; 123(2): 225 - 231.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. S. Maniar, T. M. Sundt, H. B. Barner, S. M. Prasad, L. Peterson, T. Absi, and P. Moustakidis
Effect of target stenosis and location on radial artery graft patency
J. Thorac. Cardiovasc. Surg., January 1, 2002; 123(1): 45 - 52.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. V. Moran, R. Baeza, E. Guarda, R. Zalaquett, M. J. Irarrazaval, E. Marchant, and C. Deck
Predictors of radial artery patency for coronary bypass operations
Ann. Thorac. Surg., November 1, 2001; 72(5): 1552 - 1556.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
G. Vitolla, G. Di Giammarco, G. Teodori, V. Mazzei, C. Canosa, M. Di Mauro, S. D'Alessandro, and A. M. Calafiore
Composite lengthened arterial conduits: Long-term angiographic results of an uncommon surgical strategy
J. Thorac. Cardiovasc. Surg., October 1, 2001; 122(4): 687 - 690.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. L. Iaco, G. Teodori, G. Di Giammarco, M. Di Mauro, L. Storto, V. Mazzei, G. Vitolla, B. Mostafa, and A. M. Calafiore
Radial artery for myocardial revascularization: long-term clinical and angiographic results
Ann. Thorac. Surg., August 1, 2001; 72(2): 464 - 468.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. D. Gabe, J. C. Figal, J. N. Wisner, and R. Laguens
Radial artery graft vasospasm
Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 102 - 104.
[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
E. E. Weinschelbaum, A. Macchia, V. M. Caramutti, H. A. Machain, H. A. Raffaelli, M. R. Favaloro, R. R. Favaloro, E. A. Dulbecco, J. A. Abud, M. D. Laurentiis, et al.
Myocardial revascularization with radial and mammary arteries: initial and mid-term results
Ann. Thorac. Surg., October 1, 2000; 70(4): 1378 - 1383.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. E. Weinschelbaum, A. Machain, H. A. Raffaelli, V. M. Caramutti, M. R. Favaloro, E. A. Dulbecco, and R. Danielo
Off-pump coronary operation at the Favaloro Foundation: results in 264 patients
Ann. Thorac. Surg., September 1, 2000; 70(3): 1030 - 1033.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
G. Speziale, G. Ruvolo, R. Coppola, and B. Marino
Intraoperative flow measurement in composite Y arterial grafts
Eur. J. Cardiothorac. Surg., May 1, 2000; 17(5): 505 - 508.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. R. Bond, J. L. Zellner, B. H. Dorman, M. M. Multani, J. M. Kratz, A. J. Crumbley III, F. A. Crawford Jr, and F. G. Spinale
Differential effects of calcium channel antagonists in the amelioration of radial artery vasospasm
Ann. Thorac. Surg., April 1, 2000; 69(4): 1035 - 1040.
[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
 CirculationHome page
P. Ruengsakulrach, R. Sinclair, M. Komeda, J. Raman, I. Gordon, and B. Buxton
Comparative Histopathology of Radial Artery Versus Internal Thoracic Artery and Risk Factors for Development of Intimal Hyperplasia and Atherosclerosis
Circulation, November 9, 1999; 100 (2009): II-139 - II-144.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. G. Royse, C. F. Royse, and J. S. Raman
Exclusive Y graft operation for multivessel coronary revascularization
Ann. Thorac. Surg., November 1, 1999; 68(5): 1612 - 1618.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. G. Royse, C. F. Royse, K. L. Groves, and G. Yu
Blood flow in composite arterial grafts and effect of native coronary flow
Ann. Thorac. Surg., November 1, 1999; 68(5): 1619 - 1622.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. M. Sundt III, H. B. Barner, C. J. Camillo, and W. A. Gay Jr
Total arterial revascularization with an internal thoracic artery and radial artery T graft
Ann. Thorac. Surg., August 1, 1999; 68(2): 399 - 404.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Shimizu, T. Hirayama, K. Ikeda, S. Ito, and S. Ishimaru
Coronary revascularization with arterial conduits collateral to the lower limb
Ann. Thorac. Surg., June 1, 1999; 67(6): 1783 - 1785.
[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 American Association for Thoracic Surgery.