scholarly journals Clinical Outcomes for Radial Artery Versus Saphenous Vein in Coronary Artery Bypass Graft Surgery

2018 ◽  
Vol 13 (1) ◽  
pp. 21-25
Author(s):  
AKM Manzurul Alam ◽  
Istiaq Ahmed ◽  
Manzil Ahmad ◽  
Md Mohashinreza ◽  
Mamun Hossain ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Clinical Outcome ◽  
Clinical Outcomes ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
Saphenous Vein ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Myocardial Revascularization ◽  
Young Patients

Aims: The aim this study was to see the clinical outcome of coronary artery bypass grafting (CABG) in patients of coronary artery disease and to compare the patients revascularisedwith left internal mammary artery (LIMA) and radial artery (RA) group with LIMA and reverse saphenous venous group(RSVG) group.Methods:Between March 2011 and November 2015, 200 patients underwent isolated CABG and were randomized in 1:1 fashion to receive either LIMA and RA grafts or LIMA and SVGs.All patients were operated in department of cardiac surgery, National Institute of Cardiovascular Disease (NICVD) and Hospital, Dhaka, Bangladesh and Al Helal Specialized Hospital, Mirpur- 10, Dhaka.Written consent was obtained from all patients prior to the procedure. Patients were followed for 4 years since index surgery for the composite of cardiovascular mortality, non-fatal myocardial infarction and need for repeat myocardial revascularization (either surgical or percutaneous). Data were collected either by phone or during visits. The data were entered into an electronic database (Access, Microsoft) and analyzed using the SPSS 16.0 software (SPSS Inc.).Results: This study reports on our series of 200 patients undergoing isolated, primary CABG using LIMA grafting and the SVG in one group, and RA grafting as the second conduit in the second group. Our data indicate that there is no difference in the long-term clinical outcome between the patients in whom RA or SVG is used as a second conduit, beside LIMA.Conclusion: In this small randomized study our data indicate that there is no difference in the 4 year clinical outcomes in relatively young patients between those having a RA or a saphenous vein graft used as a second conduit, beside LIMA, for surgical myocardial revascularization.University Heart Journal Vol. 13, No. 1, January 2017; 21-25

scholarly journals The Use of Radial Artery for CABG: An Update

2021 ◽  
Vol 2021 ◽  
pp. 1-14
Author(s):  
Francesco Nappi ◽  
Francesca Bellomo ◽  
Pierluigi Nappi ◽  
Camilla Chello ◽  
Adelaide Iervolino ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
Saphenous Vein ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Large Patient

We used the radial artery as a second target conduit for coronary artery bypass grafting since 1971. However, randomized clinical studies have demonstrated differences in clinical outcomes between the radial artery and other grafts because these trials are underpowered. As we proceed toward 50 years of experience with radial artery grafting, we examined the literature to define the best second-best target vessel for coronary artery bypass grafting. The literature was reviewed with emphasis, and a large number of randomized controlled trials, propensity-matched observational series, and meta-analyses were identified with a large patient population who received arterial conduit and saphenous vein grafts. The radial artery has been shown to be effective and safe when used as a second target conduit for coronary artery bypass grafting. Results and patency rates were superior to those for saphenous vein grafting. It has also been shown that the radial artery is a safe and effective graft as a third conduit into the territory of the artery right coronary artery. However, there is little evidence based on a few comparable series limiting the use of the gastroepiploic artery. In its fifth decade of use, we can finally deduced that the aorto-to-coronary radial bypass graft is the conduit of choice for coronary operations after the left internal thoracic artery to the left anterior descending artery.

scholarly journals EEffect of Great Saphenous Vein Harvesting in Lower Limb Following Coronary Artery Bypass Grafting in Diabetic Patients

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 59-61
Author(s):  
Mahbub Ahsan ◽  
Md Abul Kashem ◽  
Md Golam Kibria
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Saphenous Vein ◽  
Lower Limb ◽  
Great Saphenous Vein ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Myocardial Revascularization ◽  
Diabetic Patients ◽  
Vein Harvesting

Background: Coronary artery bypass graft Surgery is an established method of myocardial revascularization. Great saphenous vein is the conduit of choice for all cardiac surgeons. Objective: To compare the effect of great saphenous vein harvesting on lower limb such as swelling, pain, discharge with diabetic and non diabetic CABG patients in whom great saphenous vein was used as a conduit. Materials and Methods: It was a cross sectional study on 60 patients who underwent CABG during July 2003 to June 2005 in department of cardiovascular surgery, National Institute of Cardiovascular Diseases (NICVD). Results: The age in group A (Diabetic) ranged from 40-72 years in group B (Non Diabetic) the age range was 40-65 years. Myocardial infarction and Congestive cardiac failure were the predominant risk factors in both age groups. There was no motor or sensory disturbances post operatively. Some patients developed swelling, tenderness, paresthesia in both group but it was not statistically significant. Conclusion: Morbidity occurs in both diabetic and non diabetic patients with certain complications like numbness, paresthesia, swelling etc. at the harvesting site. KYAMC Journal Vol. 11, No.-2, July 2020, Page 59-61

Assessment of the Radial Artery and Hand Circulation by Computed Tomography Angiography: A Pilot Study

2005 ◽  
Vol 8 (1) ◽  
pp. 28 ◽  
Author(s):  
Omer Faruk Dogan ◽  
Musturay Karcaaltincaba ◽  
Umit Duman ◽  
Deniz Akata ◽  
Aytekin Besim ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Radial Artery ◽  
Anatomic Variation ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Preoperative Imaging ◽  
Median Artery ◽  
Test Result

Objectives: The radial artery (RA) is increasingly being used as a coronary bypass graft. Results of a previous study using Doppler ultrasound and histopathologic examinations indicated that the RA has a higher incidence of preexisting intimal hyperplasia, medial calcification, and atherosclerosis than the internal thoracic artery. The aims of this study were to evaluate the use of computed tomographic angiography (CTA) to display hand collateral circulation, to define the criteria for an abnormal CTA test result, and to demonstrate usefulness of CTA as an alternative to conventional angiography for evaluation of the radial artery. Materials and Methods: Sixteen patients scheduled for coronary artery bypass grafting entered this study. We performed 32 examinations of forearm and hand arterial anatomy in these patients. CTA was performed in patients with a normal Allen test result, except 1 patient who had a persistent median artery. Soft tissue density forehand roentgenography was performed in all patients before the CTA evaluation. There was no selection of patients in relation to patient characteristics. As a risk factor for radial artery calcification, 6 of the patients had diabetes mellitus, 6 had aortofemoral occlusive disease, and 4 had a history of smoking. Results: Bilateral forearm arteries were visualized in all patients. Severe RA calcification was found in 1 patient, and distal occlusion was found in another patient. Focal RA calcification was noted in 2 patients. In the remaining patients no radial artery calcification or occlusion was noted. Anatomic variation of the upper limb arteries was shown in 2 patients; these variations were persistent median artery with absence of the radial and ulnar arteries and high bifurcation of the radial artery from the brachial artery. Conclusion: CTA is useful and safe for detection of radial artery calcific disease and assessment of the forehand circulation and its anatomic variations. Preoperative imaging of the RA is a means to avoid unnecessary forearm exploration or inadvertent use of a diseased conduit in coronary artery bypass candidates with multiple risk factors such as diabetes mellitus.

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