Total Arterial Revascularization with Composite Y/T Grafts: Comparison of Early and Long-Term Outcomes of Bilateral Internal Mammary Arteries with Left Internal Mammary-Radial Artery Composite Grafts

2015 ◽  
Vol 63 (S 01) ◽  
Author(s):  
P. Davierwala ◽  
K. Penov ◽  
M. Mende ◽  
P. Amorim ◽  
B. Ferreira ◽  
...  
Keyword(s):  
Radial Artery ◽  
Long Term Outcomes ◽  
Arterial Revascularization ◽  
Total Arterial Revascularization ◽  
Composite Grafts ◽  
Mammary Arteries ◽  
Internal Mammary

Total Arterial Revascularization on Beating Heart: Experience in 803 Cases

2003 ◽  
Vol 11 (2) ◽  
pp. 107-112 ◽  
Author(s):  
Sushil Kumar Singh ◽  
Surya Kumar Mishra ◽  
Deepak Kumar ◽  
Ram Deo Yadave ◽  
Rajiv Agarwal ◽  
...  
Keyword(s):  
Beating Heart ◽  
Arterial Revascularization ◽  
Vessel Disease ◽  
Total Arterial Revascularization ◽  
Triple Vessel Disease ◽  
Mammary Arteries ◽  
Internal Mammary ◽  
Left And Right ◽  
Almost All ◽  
Single Vessel Disease

To avoid the deleterious effects of cardiopulmonary bypass, total arterial revascularization was performed on the beating heart, using an Octopus stabilizer, in this prospective study of 803 patients without selection bias. Single-vessel disease was present in 71 (9%) patients, double-vessel disease in 204 (25%), and triple-vessel disease in 528 (66%). An ejection fraction < 30% was found in 127 (16%) cases. Angiography was carried out before discharge in 204 (25%) patients. Grafts included left and right internal mammary arteries and the radial artery. There were 2,661 grafts placed with a mean of 3.31 grafts per patient (range, 1 to 6). Operative mortality was 0.5%. There was no postoperative stroke and few incidences of renal impairment, even in patients with chronic renal failure. Blood transfusion was not required in 558 (69%) patients. Mean hospital stay was 5.6 days. Overall angiographic patency was 98.6%. Total arterial revascularization on the beating heart was found to be safe, effective, and reproducible in almost all patients, with excellent short-term patency rates and minimal morbidity.

Composite grafts

2021 ◽  
pp. 327-332
Author(s):  
James Tatoulis ◽  
Brian F. Buxton
Keyword(s):  
Radial Artery ◽  
Internal Thoracic Artery ◽  
Coronary Revascularization ◽  
Arterial Revascularization ◽  
Total Arterial Revascularization ◽  
Composite Grafts

Composite grafts should be within the repertoire of every coronary surgeon. Validated in the early 1990s, they are used to accomplish multiple or total arterial revascularization, which achieves the best coronary revascularization results, either with two internal thoracic arteries or by a combination of an internal thoracic artery and a radial artery.

Prediction value of EuroSCORE II in total arterial revascularization and its usage in the evaluation of postoperative complications: Single-center experience

2021 ◽  
pp. 021849232199705
Author(s):  
Aleksandar V Milutinovic ◽  
Stasa D Krasic ◽  
Igor S Zivkovic ◽  
Andja M Cirkovic ◽  
Slobodan Z Lokas ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Internal Mammary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Arterial Revascularization ◽  
Total Arterial Revascularization ◽  
Mammary Arteries ◽  
Internal Mammary

Background Total arterial revascularization is the most durable and technically the most demanding type of coronary artery bypass grafting procedure. It has proven long-term supremacy in comparison to conventional coronary artery bypass grafting. In our study, we investigated the reliability of EuroSCORE II as a predictor of intrahospital death. We showed its impact on adverse perioperative events. Methods In this nonrandomized prospective study, we analyzed 116 consecutive patients who underwent the total arterial revascularization procedure at our Institute from January 2011 until the present. For myocardial revascularization, the most suitable combinations with left internal mammary artery, right internal mammary artery, and radial artery grafts were used. Main fact in this research was intrahospital mortality value in comparison with the value predicted. Results There were 104 (89.7%) males and 12 (10.3%) females. Mean preoperative EuroSCORE II prediction value was 1.98% and postoperative we obtained 1.72%. Postoperative redo for bleeding was 6%. Positive correlation was proven between the EuoroSCORE II value and intensive care unit stay (0.452; p < 0.001). Among patients who received two internal mammary arteries, the highest EuroSCORE II was among those with presternal wound infection (p = 0.005). Patients with bilateral internal mammary arteries and diabetes showed that they have the highest values of EuroSCORE II and, at the same time, that they are extremely prone to wound problems. Conclusions We achieved a lower intrahospital mortality level than it was predicted with preoperative EuroSCORE II value. This tool is a reliable method for preoperative death risk calculation in this group of patients.

“Y” Graft Bypass for Bilateral Coronary Ostial Aortoarteritis

2002 ◽  
Vol 10 (2) ◽  
pp. 162-164 ◽  
Author(s):  
Sushil K Singh ◽  
Deepak Kumar ◽  
Ram D Yadave ◽  
Asha R Khanna ◽  
Subhash K Sinha
Keyword(s):  
Angina Pectoris ◽  
Radial Artery ◽  
Internal Mammary Artery ◽  
Low Dose ◽  
Left Internal Mammary Artery ◽  
Arterial Revascularization ◽  
Total Arterial Revascularization ◽  
Internal Mammary

A case of bilateral coronary ostial aortoarteritis, which presented with angina pectoris, is reported. Emergency total arterial revascularization was performed using the bilateral mammary artery and radial artery, and the radial artery was hanged “Y” on the left internal mammary artery. The patient was discharged on low-dose steroid. He was asymptomatic at 1-year follow-up.

scholarly journals Long-term Outcomes Associated With Total Arterial Revascularization vs Non–Total Arterial Revascularization

2020 ◽  
Vol 5 (5) ◽  
pp. 507 ◽  
Author(s):  
Rodolfo V. Rocha ◽  
Derrick Y. Tam ◽  
Reena Karkhanis ◽  
Xuesong Wang ◽  
Peter C. Austin ◽  
...  
Keyword(s):  
Long Term Outcomes ◽  
Arterial Revascularization ◽  
Total Arterial Revascularization
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