Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts
Background. Use of bilateral skeletonized internal thoracic arteries (ITAs) in off-pump coronary artery bypass (OPCAB) retains several advantages that may eventually result in better patient outcomes. We compared the early results of OPCAB using bilateral ITAs as Y grafts with results of OPCAB using...
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| Veröffentlicht in: | The Annals of thoracic surgery 2002-10, Vol.74 (4), p.1371-1376 |
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| creator | Kim, Ki-Bong Cho, Kwang Ree Chang, Woo-Ik Lim, Cheong Ham, Byung Moon Kim, Yong Lak |
| description | Background. Use of bilateral skeletonized internal thoracic arteries (ITAs) in off-pump coronary artery bypass (OPCAB) retains several advantages that may eventually result in better patient outcomes. We compared the early results of OPCAB using bilateral ITAs as
Y grafts with results of OPCAB using bilateral ITAs as in situ grafts.
Methods. A total of 223 consecutive patients who underwent OPCAB using bilateral skeletonized ITAs as Y grafts (group I,
n = 113) or in situ grafts (group II,
n = 110) were studied.
Results. Both the number of distal anastomoses per patient and the number of distal anastomoses per bilateral ITA were higher in group I (3.5 ± 1.0 and 2.9 ± 0.7) than in group II (3.0 ± 0.7 and 2.4 ± 0.5) (
p < 0.01). Hospital mortality was 1.8% (2/113) in group I and 0.9% (1/110) in group II (
p = ns). There were no differences in postoperative complications including atrial fibrillation (13.3% vs 10.9%), perioperative myocardial infarction (0.9% vs 2.7%), mediastinitis (0.9% vs 1.8%), and hypoperfusion syndrome (0.9% vs 0%) between groups I and II (
p = ns). Postoperative coronary angiographies performed in 110 patients in group I and 108 patients in group II showed 99.0% (382/386) overall patency and 99.4% (319/321) patency for distal anastomoses using ITAs in group I, and 98.1% (312/318) overall patency and 98.1% (258/263) patency for distal anastomoses using ITA in group II. There were no significant differences in graft patency rates between the two groups (
p = ns).
Conclusions. Our results demonstrate that OPCAB using bilateral skeletonized ITAs is technically feasible, with excellent graft patency. Using bilateral skeletonized ITAs as Y grafts increases the number of distal anastomoses that can be performed and does not cause additional postoperative morbidity. |
| doi_str_mv | 10.1016/S0003-4975(02)03974-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_72621582</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003497502039747</els_id><sourcerecordid>72621582</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-1a761bec4f7f387857c5b7438960601a7d555eca1d2aac9ac9bc28d05d4638843</originalsourceid><addsrcrecordid>eNqFkEGP1CAUx4lx446rH0HDRaOHKtACrRejG93dZBMP6sETofR1RZlSeXST8e73lplp3KMJCeH9f-8BP0KecPaKM65ef2aM1VXTafmCiZes7nRT6Xtkw6UUlRKyu082_5BT8hDxRzmKEj8gp1w0jLWCbcif9z7YDMkGij8hQI6T_w0D9VMpTqWav8dknXfUplLZ0Ztkx-ynGywIjeNYzct2pi6mONkSr1S_my3iGwo2hR1NgEvIhabf6C0kXA7N6PNyHIePyMloA8LjdT8jXz9--HJ-WV1_urg6f3dduUbLXHGrFe_BNaMe61a3UjvZ66ZuO8UUK-kgpQRn-SCsdV1ZvRPtwOTQqLptm_qMPD_OnVP8tQBms_XoIAQ7QVzQaKGKoVYUUB5BlyJigtHMyW_LBw1nZu_fHPybvVzDhDn4N7r0PV0vWPotDHddq_ACPFsBi86GMdnJebzj6k7Viu-5t0cOio5bD8mg8zA5GHwCl80Q_X-e8hcH_qR3</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>72621582</pqid></control><display><type>article</type><title>Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Kim, Ki-Bong ; Cho, Kwang Ree ; Chang, Woo-Ik ; Lim, Cheong ; Ham, Byung Moon ; Kim, Yong Lak</creator><creatorcontrib>Kim, Ki-Bong ; Cho, Kwang Ree ; Chang, Woo-Ik ; Lim, Cheong ; Ham, Byung Moon ; Kim, Yong Lak</creatorcontrib><description>Background. Use of bilateral skeletonized internal thoracic arteries (ITAs) in off-pump coronary artery bypass (OPCAB) retains several advantages that may eventually result in better patient outcomes. We compared the early results of OPCAB using bilateral ITAs as
Y grafts with results of OPCAB using bilateral ITAs as in situ grafts.
Methods. A total of 223 consecutive patients who underwent OPCAB using bilateral skeletonized ITAs as Y grafts (group I,
n = 113) or in situ grafts (group II,
n = 110) were studied.
Results. Both the number of distal anastomoses per patient and the number of distal anastomoses per bilateral ITA were higher in group I (3.5 ± 1.0 and 2.9 ± 0.7) than in group II (3.0 ± 0.7 and 2.4 ± 0.5) (
p < 0.01). Hospital mortality was 1.8% (2/113) in group I and 0.9% (1/110) in group II (
p = ns). There were no differences in postoperative complications including atrial fibrillation (13.3% vs 10.9%), perioperative myocardial infarction (0.9% vs 2.7%), mediastinitis (0.9% vs 1.8%), and hypoperfusion syndrome (0.9% vs 0%) between groups I and II (
p = ns). Postoperative coronary angiographies performed in 110 patients in group I and 108 patients in group II showed 99.0% (382/386) overall patency and 99.4% (319/321) patency for distal anastomoses using ITAs in group I, and 98.1% (312/318) overall patency and 98.1% (258/263) patency for distal anastomoses using ITA in group II. There were no significant differences in graft patency rates between the two groups (
p = ns).
Conclusions. Our results demonstrate that OPCAB using bilateral skeletonized ITAs is technically feasible, with excellent graft patency. Using bilateral skeletonized ITAs as Y grafts increases the number of distal anastomoses that can be performed and does not cause additional postoperative morbidity.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(02)03974-7</identifier><identifier>PMID: 12400820</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Atrial Fibrillation - etiology ; Biological and medical sciences ; Coronary Angiography ; Female ; Humans ; Male ; Mediastinitis - etiology ; Medical sciences ; Middle Aged ; Myocardial Infarction - etiology ; Myocardial Revascularization - methods ; Myocardial Revascularization - mortality ; Postoperative Complications ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Treatment Outcome ; Vascular Patency</subject><ispartof>The Annals of thoracic surgery, 2002-10, Vol.74 (4), p.1371-1376</ispartof><rights>2002 The Society of Thoracic Surgeons</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-1a761bec4f7f387857c5b7438960601a7d555eca1d2aac9ac9bc28d05d4638843</citedby><cites>FETCH-LOGICAL-c475t-1a761bec4f7f387857c5b7438960601a7d555eca1d2aac9ac9bc28d05d4638843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0003497502039747$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>309,310,314,776,780,785,786,3537,23909,23910,25118,27901,27902,65534</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13963610$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12400820$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Ki-Bong</creatorcontrib><creatorcontrib>Cho, Kwang Ree</creatorcontrib><creatorcontrib>Chang, Woo-Ik</creatorcontrib><creatorcontrib>Lim, Cheong</creatorcontrib><creatorcontrib>Ham, Byung Moon</creatorcontrib><creatorcontrib>Kim, Yong Lak</creatorcontrib><title>Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Background. Use of bilateral skeletonized internal thoracic arteries (ITAs) in off-pump coronary artery bypass (OPCAB) retains several advantages that may eventually result in better patient outcomes. We compared the early results of OPCAB using bilateral ITAs as
Y grafts with results of OPCAB using bilateral ITAs as in situ grafts.
Methods. A total of 223 consecutive patients who underwent OPCAB using bilateral skeletonized ITAs as Y grafts (group I,
n = 113) or in situ grafts (group II,
n = 110) were studied.
Results. Both the number of distal anastomoses per patient and the number of distal anastomoses per bilateral ITA were higher in group I (3.5 ± 1.0 and 2.9 ± 0.7) than in group II (3.0 ± 0.7 and 2.4 ± 0.5) (
p < 0.01). Hospital mortality was 1.8% (2/113) in group I and 0.9% (1/110) in group II (
p = ns). There were no differences in postoperative complications including atrial fibrillation (13.3% vs 10.9%), perioperative myocardial infarction (0.9% vs 2.7%), mediastinitis (0.9% vs 1.8%), and hypoperfusion syndrome (0.9% vs 0%) between groups I and II (
p = ns). Postoperative coronary angiographies performed in 110 patients in group I and 108 patients in group II showed 99.0% (382/386) overall patency and 99.4% (319/321) patency for distal anastomoses using ITAs in group I, and 98.1% (312/318) overall patency and 98.1% (258/263) patency for distal anastomoses using ITA in group II. There were no significant differences in graft patency rates between the two groups (
p = ns).
Conclusions. Our results demonstrate that OPCAB using bilateral skeletonized ITAs is technically feasible, with excellent graft patency. Using bilateral skeletonized ITAs as Y grafts increases the number of distal anastomoses that can be performed and does not cause additional postoperative morbidity.</description><subject>Atrial Fibrillation - etiology</subject><subject>Biological and medical sciences</subject><subject>Coronary Angiography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Mediastinitis - etiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - etiology</subject><subject>Myocardial Revascularization - methods</subject><subject>Myocardial Revascularization - mortality</subject><subject>Postoperative Complications</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Treatment Outcome</subject><subject>Vascular Patency</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEGP1CAUx4lx446rH0HDRaOHKtACrRejG93dZBMP6sETofR1RZlSeXST8e73lplp3KMJCeH9f-8BP0KecPaKM65ef2aM1VXTafmCiZes7nRT6Xtkw6UUlRKyu082_5BT8hDxRzmKEj8gp1w0jLWCbcif9z7YDMkGij8hQI6T_w0D9VMpTqWav8dknXfUplLZ0Ztkx-ynGywIjeNYzct2pi6mONkSr1S_my3iGwo2hR1NgEvIhabf6C0kXA7N6PNyHIePyMloA8LjdT8jXz9--HJ-WV1_urg6f3dduUbLXHGrFe_BNaMe61a3UjvZ66ZuO8UUK-kgpQRn-SCsdV1ZvRPtwOTQqLptm_qMPD_OnVP8tQBms_XoIAQ7QVzQaKGKoVYUUB5BlyJigtHMyW_LBw1nZu_fHPybvVzDhDn4N7r0PV0vWPotDHddq_ACPFsBi86GMdnJebzj6k7Viu-5t0cOio5bD8mg8zA5GHwCl80Q_X-e8hcH_qR3</recordid><startdate>20021001</startdate><enddate>20021001</enddate><creator>Kim, Ki-Bong</creator><creator>Cho, Kwang Ree</creator><creator>Chang, Woo-Ik</creator><creator>Lim, Cheong</creator><creator>Ham, Byung Moon</creator><creator>Kim, Yong Lak</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><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>20021001</creationdate><title>Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts</title><author>Kim, Ki-Bong ; Cho, Kwang Ree ; Chang, Woo-Ik ; Lim, Cheong ; Ham, Byung Moon ; Kim, Yong Lak</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-1a761bec4f7f387857c5b7438960601a7d555eca1d2aac9ac9bc28d05d4638843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Atrial Fibrillation - etiology</topic><topic>Biological and medical sciences</topic><topic>Coronary Angiography</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Mediastinitis - etiology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - etiology</topic><topic>Myocardial Revascularization - methods</topic><topic>Myocardial Revascularization - mortality</topic><topic>Postoperative Complications</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Treatment Outcome</topic><topic>Vascular Patency</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Ki-Bong</creatorcontrib><creatorcontrib>Cho, Kwang Ree</creatorcontrib><creatorcontrib>Chang, Woo-Ik</creatorcontrib><creatorcontrib>Lim, Cheong</creatorcontrib><creatorcontrib>Ham, Byung Moon</creatorcontrib><creatorcontrib>Kim, Yong Lak</creatorcontrib><collection>Pascal-Francis</collection><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>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Ki-Bong</au><au>Cho, Kwang Ree</au><au>Chang, Woo-Ik</au><au>Lim, Cheong</au><au>Ham, Byung Moon</au><au>Kim, Yong Lak</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>2002-10-01</date><risdate>2002</risdate><volume>74</volume><issue>4</issue><spage>1371</spage><epage>1376</epage><pages>1371-1376</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><coden>ATHSAK</coden><abstract>Background. Use of bilateral skeletonized internal thoracic arteries (ITAs) in off-pump coronary artery bypass (OPCAB) retains several advantages that may eventually result in better patient outcomes. We compared the early results of OPCAB using bilateral ITAs as
Y grafts with results of OPCAB using bilateral ITAs as in situ grafts.
Methods. A total of 223 consecutive patients who underwent OPCAB using bilateral skeletonized ITAs as Y grafts (group I,
n = 113) or in situ grafts (group II,
n = 110) were studied.
Results. Both the number of distal anastomoses per patient and the number of distal anastomoses per bilateral ITA were higher in group I (3.5 ± 1.0 and 2.9 ± 0.7) than in group II (3.0 ± 0.7 and 2.4 ± 0.5) (
p < 0.01). Hospital mortality was 1.8% (2/113) in group I and 0.9% (1/110) in group II (
p = ns). There were no differences in postoperative complications including atrial fibrillation (13.3% vs 10.9%), perioperative myocardial infarction (0.9% vs 2.7%), mediastinitis (0.9% vs 1.8%), and hypoperfusion syndrome (0.9% vs 0%) between groups I and II (
p = ns). Postoperative coronary angiographies performed in 110 patients in group I and 108 patients in group II showed 99.0% (382/386) overall patency and 99.4% (319/321) patency for distal anastomoses using ITAs in group I, and 98.1% (312/318) overall patency and 98.1% (258/263) patency for distal anastomoses using ITA in group II. There were no significant differences in graft patency rates between the two groups (
p = ns).
Conclusions. Our results demonstrate that OPCAB using bilateral skeletonized ITAs is technically feasible, with excellent graft patency. Using bilateral skeletonized ITAs as Y grafts increases the number of distal anastomoses that can be performed and does not cause additional postoperative morbidity.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>12400820</pmid><doi>10.1016/S0003-4975(02)03974-7</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Atrial Fibrillation - etiology Biological and medical sciences Coronary Angiography Female Humans Male Mediastinitis - etiology Medical sciences Middle Aged Myocardial Infarction - etiology Myocardial Revascularization - methods Myocardial Revascularization - mortality Postoperative Complications Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Treatment Outcome Vascular Patency |
| title | Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts |
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