Midterm Results for Use of the Skeletonized Gastroepiploic Artery Graft in Coronary Artery Bypass
Background To improve the long-term results of coronary artery bypass grafting (CABG), several arterial conduits have been used, including the skeletonized right gastroepiploic artery (GEA) graft. Methods and Results The skeletonized GEA graft was used for CABG in 223 patients over a 6-year period (...
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| Veröffentlicht in: | Circulation Journal 2007, Vol.71(10), pp.1503-1505 |
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| creator | Suma, Hisayoshi Tanabe, Hiroaki Yamada, Junya Mikuriya, Akiyoshi Horii, Taiko Isomura, Tadashi |
| description | Background To improve the long-term results of coronary artery bypass grafting (CABG), several arterial conduits have been used, including the skeletonized right gastroepiploic artery (GEA) graft. Methods and Results The skeletonized GEA graft was used for CABG in 223 patients over a 6-year period (208 males, 15 females, mean age 64 years). 1-, 2- and 3-vessel and left main trunk disease was noted in 1, 28, 122 and 72 patients, respectively. Internal thoracic artery, radial artery and saphenous vein grafts were concomitantly used in 217 (97%), 73 (33%) and 41 (18%) patients, respectively, and the mean number of grafts was 3.5. The sites of GEA grafting were 1 anterior descending, 10 diagonal, 97 circumflex, and 185 right coronary arteries, with 154 single in-situ, 33 free and 36 composite grafts, including 56 sequential grafts. There was 1 (0.4%) operative death. New Q wave was noted in 2 (0.9%) patients. Postoperative angiography revealed 97.6% early postoperative (within 1 month) and 91.5% midterm (mean 27 months) patency rates for GEA grafts. The cumulative 4-year patency rate of the skeletonized GEA graft was 86.4%. Conclusion The skeletonized GEA is a safe and effective arterial conduit for CABG. (Circ J 2007; 71: 1503 - 1505) |
| doi_str_mv | 10.1253/circj.71.1503 |
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Methods and Results The skeletonized GEA graft was used for CABG in 223 patients over a 6-year period (208 males, 15 females, mean age 64 years). 1-, 2- and 3-vessel and left main trunk disease was noted in 1, 28, 122 and 72 patients, respectively. Internal thoracic artery, radial artery and saphenous vein grafts were concomitantly used in 217 (97%), 73 (33%) and 41 (18%) patients, respectively, and the mean number of grafts was 3.5. The sites of GEA grafting were 1 anterior descending, 10 diagonal, 97 circumflex, and 185 right coronary arteries, with 154 single in-situ, 33 free and 36 composite grafts, including 56 sequential grafts. There was 1 (0.4%) operative death. New Q wave was noted in 2 (0.9%) patients. Postoperative angiography revealed 97.6% early postoperative (within 1 month) and 91.5% midterm (mean 27 months) patency rates for GEA grafts. The cumulative 4-year patency rate of the skeletonized GEA graft was 86.4%. Conclusion The skeletonized GEA is a safe and effective arterial conduit for CABG. (Circ J 2007; 71: 1503 - 1505)</description><identifier>ISSN: 1346-9843</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.71.1503</identifier><identifier>PMID: 17895540</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Adult ; Aged ; Arterial graft ; Coronary Angiography ; Coronary Artery Bypass - adverse effects ; Coronary Artery Bypass - methods ; Coronary artery bypass grafting ; Female ; Follow-Up Studies ; Gastroepiploic artery ; Gastroepiploic Artery - physiology ; Gastroepiploic Artery - transplantation ; Humans ; Ischemic heart disease ; Male ; Middle Aged ; Myocardial infarction ; Myocardial Infarction - surgery ; Myocardial Ischemia - surgery ; Regional Blood Flow - physiology ; Tissue and Organ Harvesting - methods ; Treatment Outcome</subject><ispartof>Circulation Journal, 2007, Vol.71(10), pp.1503-1505</ispartof><rights>2007 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c582t-6b839ddb6c38a7d5a151e82d32bbb76720363f21e39ee8bbbe513ca2381f2b7e3</citedby><cites>FETCH-LOGICAL-c582t-6b839ddb6c38a7d5a151e82d32bbb76720363f21e39ee8bbbe513ca2381f2b7e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17895540$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Suma, Hisayoshi</creatorcontrib><creatorcontrib>Tanabe, Hiroaki</creatorcontrib><creatorcontrib>Yamada, Junya</creatorcontrib><creatorcontrib>Mikuriya, Akiyoshi</creatorcontrib><creatorcontrib>Horii, Taiko</creatorcontrib><creatorcontrib>Isomura, Tadashi</creatorcontrib><title>Midterm Results for Use of the Skeletonized Gastroepiploic Artery Graft in Coronary Artery Bypass</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background To improve the long-term results of coronary artery bypass grafting (CABG), several arterial conduits have been used, including the skeletonized right gastroepiploic artery (GEA) graft. Methods and Results The skeletonized GEA graft was used for CABG in 223 patients over a 6-year period (208 males, 15 females, mean age 64 years). 1-, 2- and 3-vessel and left main trunk disease was noted in 1, 28, 122 and 72 patients, respectively. Internal thoracic artery, radial artery and saphenous vein grafts were concomitantly used in 217 (97%), 73 (33%) and 41 (18%) patients, respectively, and the mean number of grafts was 3.5. The sites of GEA grafting were 1 anterior descending, 10 diagonal, 97 circumflex, and 185 right coronary arteries, with 154 single in-situ, 33 free and 36 composite grafts, including 56 sequential grafts. There was 1 (0.4%) operative death. New Q wave was noted in 2 (0.9%) patients. Postoperative angiography revealed 97.6% early postoperative (within 1 month) and 91.5% midterm (mean 27 months) patency rates for GEA grafts. The cumulative 4-year patency rate of the skeletonized GEA graft was 86.4%. Conclusion The skeletonized GEA is a safe and effective arterial conduit for CABG. (Circ J 2007; 71: 1503 - 1505)</description><subject>Adult</subject><subject>Aged</subject><subject>Arterial graft</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary artery bypass grafting</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gastroepiploic artery</subject><subject>Gastroepiploic Artery - physiology</subject><subject>Gastroepiploic Artery - transplantation</subject><subject>Humans</subject><subject>Ischemic heart disease</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial infarction</subject><subject>Myocardial Infarction - surgery</subject><subject>Myocardial Ischemia - surgery</subject><subject>Regional Blood Flow - physiology</subject><subject>Tissue and Organ Harvesting - methods</subject><subject>Treatment Outcome</subject><issn>1346-9843</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkL1PwzAQxS0EglIYWZEnthR_1IkzQoGCVIQEdLYc50Jd0jjY7lD-etI2Apa707vfPZ0eQheUjCgT_NpYb5ajjI6oIPwADSgfZ8lYMnK4m9Mkl2N-gk5DWBLCciLyY3RCM5kLMSYDpJ9tGcGv8CuEdR0DrpzH8wDYVTguAL99Qg3RNfYbSjzVIXoHrW1rZw2-8d3lBk-9riK2DZ447xrdKf3idtPqEM7QUaXrAOd9H6L5w_375DGZvUyfJjezxAjJYpIWkudlWaSGS52VQlNBQbKSs6IosjRjhKe8YhR4DiA7DQTlRjMuacWKDPgQXe19W---1hCiWtlgoK51A24dVCo5ZZKmHZjsQeNdCB4q1Xq76v5WlKhtpmqXqcqo2mba8Ze98bpYQflH9yF2wN0eWIaoP-AX0D5aU8M_O9LXre_feqG9gob_AD74jIY</recordid><startdate>2007</startdate><enddate>2007</enddate><creator>Suma, Hisayoshi</creator><creator>Tanabe, Hiroaki</creator><creator>Yamada, Junya</creator><creator>Mikuriya, Akiyoshi</creator><creator>Horii, Taiko</creator><creator>Isomura, Tadashi</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2007</creationdate><title>Midterm Results for Use of the Skeletonized Gastroepiploic Artery Graft in Coronary Artery Bypass</title><author>Suma, Hisayoshi ; Tanabe, Hiroaki ; Yamada, Junya ; Mikuriya, Akiyoshi ; Horii, Taiko ; Isomura, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c582t-6b839ddb6c38a7d5a151e82d32bbb76720363f21e39ee8bbbe513ca2381f2b7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Arterial graft</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary artery bypass grafting</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gastroepiploic artery</topic><topic>Gastroepiploic Artery - physiology</topic><topic>Gastroepiploic Artery - transplantation</topic><topic>Humans</topic><topic>Ischemic heart disease</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial infarction</topic><topic>Myocardial Infarction - surgery</topic><topic>Myocardial Ischemia - surgery</topic><topic>Regional Blood Flow - physiology</topic><topic>Tissue and Organ Harvesting - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Suma, Hisayoshi</creatorcontrib><creatorcontrib>Tanabe, Hiroaki</creatorcontrib><creatorcontrib>Yamada, Junya</creatorcontrib><creatorcontrib>Mikuriya, Akiyoshi</creatorcontrib><creatorcontrib>Horii, Taiko</creatorcontrib><creatorcontrib>Isomura, Tadashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Suma, Hisayoshi</au><au>Tanabe, Hiroaki</au><au>Yamada, Junya</au><au>Mikuriya, Akiyoshi</au><au>Horii, Taiko</au><au>Isomura, Tadashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Midterm Results for Use of the Skeletonized Gastroepiploic Artery Graft in Coronary Artery Bypass</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2007</date><risdate>2007</risdate><volume>71</volume><issue>10</issue><spage>1503</spage><epage>1505</epage><pages>1503-1505</pages><issn>1346-9843</issn><eissn>1347-4820</eissn><abstract>Background To improve the long-term results of coronary artery bypass grafting (CABG), several arterial conduits have been used, including the skeletonized right gastroepiploic artery (GEA) graft. Methods and Results The skeletonized GEA graft was used for CABG in 223 patients over a 6-year period (208 males, 15 females, mean age 64 years). 1-, 2- and 3-vessel and left main trunk disease was noted in 1, 28, 122 and 72 patients, respectively. Internal thoracic artery, radial artery and saphenous vein grafts were concomitantly used in 217 (97%), 73 (33%) and 41 (18%) patients, respectively, and the mean number of grafts was 3.5. The sites of GEA grafting were 1 anterior descending, 10 diagonal, 97 circumflex, and 185 right coronary arteries, with 154 single in-situ, 33 free and 36 composite grafts, including 56 sequential grafts. There was 1 (0.4%) operative death. New Q wave was noted in 2 (0.9%) patients. Postoperative angiography revealed 97.6% early postoperative (within 1 month) and 91.5% midterm (mean 27 months) patency rates for GEA grafts. The cumulative 4-year patency rate of the skeletonized GEA graft was 86.4%. Conclusion The skeletonized GEA is a safe and effective arterial conduit for CABG. (Circ J 2007; 71: 1503 - 1505)</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>17895540</pmid><doi>10.1253/circj.71.1503</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Arterial graft Coronary Angiography Coronary Artery Bypass - adverse effects Coronary Artery Bypass - methods Coronary artery bypass grafting Female Follow-Up Studies Gastroepiploic artery Gastroepiploic Artery - physiology Gastroepiploic Artery - transplantation Humans Ischemic heart disease Male Middle Aged Myocardial infarction Myocardial Infarction - surgery Myocardial Ischemia - surgery Regional Blood Flow - physiology Tissue and Organ Harvesting - methods Treatment Outcome |
| title | Midterm Results for Use of the Skeletonized Gastroepiploic Artery Graft in Coronary Artery Bypass |
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