Arterial grafting for myocardial revascularization: how better is it?

Details

Serval ID
serval:BIB_0739997EAE74
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Arterial grafting for myocardial revascularization: how better is it?
Journal
Current Opinion in Cardiology
Author(s)
Ferrari  E. R., von Segesser  L. K.
ISSN
0268-4705 (Print)
Publication state
Published
Issued date
11/2006
Volume
21
Number
6
Pages
584-8
Notes
Journal Article
Review --- Old month value: Nov
Abstract
PURPOSE OF REVIEW: Arterial conduits are becoming popular in cardiac surgery. Clinical studies and long-term follow-ups have proven that this technique provides satisfactory long-lasting results. The purpose of this review is to give an overview of the main articles from recent literature and compare the latest results. RECENT FINDINGS: Arterial conduits are currently used in cardiac surgery and clinical follow-ups are confirming some advantages in performing multiple arterial revascularization compared to the saphenous vein and the mammary artery. Mid-term follow-ups are encouraging the use of the radial artery as the second conduit of choice after the internal mammary artery. Moreover, off-pump cardiac surgery is an alternative to perform extensive myocardial revascularization in selected patients. Use of in-situ mammary arteries and off-pump surgery has already been described as the ideal solution to guarantee the 'no touch aorta technique'. Recent results lead us to use the radial artery and the gastroepiploic artery as complement composite grafts to perform total arterial myocardial revascularization during off-pump coronary surgery. SUMMARY: Arterial grafting provides satisfactory results. The second graft of choice after the mammary artery is the radial artery, but long-term results are still not available. To reduce the risk of major neurological complications, selected patients benefit from off-pump arterial revascularization.
Keywords
Coronary Arteriosclerosis/*surgery Coronary Artery Bypass, Off-Pump Coronary Vessels/*transplantation Humans Internal Mammary-Coronary Artery Anastomosis Mammary Arteries/*transplantation Myocardial Revascularization/*methods Radial Artery/*transplantation Saphenous Vein/transplantation Transplantation, Autologous *Treatment Outcome
Pubmed
Web of science
Create date
28/01/2008 9:16
Last modification date
20/08/2019 12:29
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