Molecular differences between arterial and venous grafts in the first year after coronary artery bypass grafting

Author(s):  
Christina Maria Steger ◽  
Arndt Hartmann ◽  
Ralf Joachim Rieker
2019 ◽  
Vol 12 ◽  
pp. 117954761982871
Author(s):  
Akshyaya Pradhan ◽  
Vikas Gupta ◽  
Monika Bhandari ◽  
Pravesh Vishwakarma ◽  
Rishi Sethi

Long term outcomes following coronary artery bypass grafting are governed by patency of vascular grafts. In this regard, the use of arterial grafts, (preferably the left internal mammary artery) has demonstrated improved survival relative to their venous counterparts. These benefits are a consequence of greater patency of LIMA at 10 years vis-a-vis venous grafts. Uncommonly, there is a possibility of occlusion of LIMA early in the post operative period due to procedural reasons but late occlusion of LIMA is rare. We report an unusual case of late occlusion of LIMA after seven years of CABG.


2013 ◽  
Vol 20 (6) ◽  
pp. 583-591 ◽  
Author(s):  
Bartłomiej Perek ◽  
Agnieszka Malińska ◽  
Danuta Ostalska-Nowicka ◽  
Mateusz Puślecki ◽  
Marcin Ligowski ◽  
...  

2004 ◽  
Vol 77 (5) ◽  
pp. 1542-1549 ◽  
Author(s):  
Todd M. Dewey ◽  
Katherine Crumrine ◽  
Morley A. Herbert ◽  
Allison Leonard ◽  
Syma L. Prince ◽  
...  

Author(s):  
W. Brent Keeling ◽  
Michael E. Halkos ◽  
John D. Puskas

Coronary artery bypass grafting (CABG) has evolved to become an incredibly safe and effective therapy for ischaemic heart disease. Despite advances in revascularization both with and without cardiopulmonary bypass, cerebrovascular events continue to occur following CABG. Many of these events have been directly related to aortic manipulation (cannulation, aortic clamping, proximal anastomotic devices), and this fact has led a number of surgeons to consider and implement a surgical revascularization strategy whereby the aorta is not manipulated at all. This ‘no-touch’ technique utilizes a number of conduits and orientations in order to achieve complete myocardial revascularization while eliminating aortic manipulation and significantly decreasing the risk of perioperative stroke. Outcomes of patients who suffer a permanent stroke after CABG are dismal. In-hospital mortality rates for patients suffering a permanent stroke after CABG have been reported to be as high as 13.5%. Following discharge from the hospital, patients who suffered a perioperative stroke have a significantly higher risk of mortality within the first year following surgery.


2006 ◽  
Vol 40 (1) ◽  
pp. 25-28 ◽  
Author(s):  
Henrik K. Kjaergard ◽  
Per Hostrup Nielsen ◽  
Jan Jesper Andreasen ◽  
Daniel Steinbrüchel ◽  
Lars Ib Andersen ◽  
...  

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
L Sichinava ◽  
A Payvin ◽  
D Denisiuk ◽  
M Snegirev ◽  
N Khvan ◽  
...  

Abstract Background Minithoracotomy avoids the complications specific to sternotomy access, which in turn creates the conditions for early activation and rehabilitation of patients, especially elderly, with diabetes mellitus, obesity, disorders of the musculo-skeletal system. Purpose To assess the patency of grafts after minimally invasive coronary artery bypass grafting (MICS CABG). Methods We analyzed the results of 50 MSCT- angiography made to patients with MICS CABG operated between 2014 and 2016 (28,5±13,5 months after surgery). Totally 132 conduits were used, 47 (35.6%) of them – arterial, 85 (64.4%) – venous. In all cases left internal mammary artery (LIMA) was used for revascularization of the left anterior descending artery (LAD). The great saphenous vein was used as a conduit for revascularization of: diagonal branch (DA) – 10 (11.7%) cases, left circumflex artery (LCx) – 44 (51.8%), right coronary artery (RCA) – 12 (14.1%), posterior interventricular branch – 19 (22.4%). Assessment of the patency of grafts were performed: 1–2 years (33 conduits: 13 arterial, 20 venous), after 2–3 years (51 conduits: 19 arterial, 32 venous) and after 3–4 years (48 conduits: 15 arterial, 33 venous). Results Assessment of coronary grafts patency in the first period revealed occlusion of 3 (15%) venous conduits. In 2 cases, the venous conduit was anastomosed with the LCx, in 1 case with the RCA. The cumulative patency of the grafts was as follows: arterial – 100%, venous – 85%. In the second point of the study occlusion and stenotic changes of LIMA has not been revealed. Determined occlusion 5 (15,6%) venous grafts. In all cases, the occluded venous conduits revascularized the RCA. Total permeability of conduits: arterial – 100%, venous-84.4%. In the third time interval it was revealed: in 1 case of LIMA occlusion and 7 venous grafts, in 4 cases in the area of the LCx, in 2 – DA and in 1 case – in the area of the RCA. Total patency of grafts: arterial – 93.3%, venous – 78.8%. Total permeability of conduits: arterial – 97.9%, venous – 82.4%. Conclusion The analysis shows good long–term results of the functioning of grafts after MICS CABG and their comparability with the results of patency of the conduits after CABG performed by the traditional Funding Acknowledgement Type of funding source: None


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