geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Coronary artery bypass grafting using the radial artery: midterm results in a Japanese institute


, : Coronary artery bypass grafting using the radial artery: midterm results in a Japanese institute. Annals of Thoracic Surgery 72(1): 120-125

To avoid remote cardiac events associated with graft occlusions, arterial conduits are being increasingly utilized in coronary artery bypass grafting (CABG). The development of antispasmic agents has enabled the use of the radial artery as a graft conduit in CABG. Between December 1995 and December 1998, 920 consecutive isolated CABG operations were performed at Shin-Tokyo Hospital. The radial artery was used for graft conduits in 475 of these patients, and their data were analyzed in this study. The patients were followed to determine midterm graft patency, cardiac events, and survival. All data are given as mean +/- standard deviation. The end points were patient death or occurrence of cardiac events. The radial artery was used in 475 patients (366 males and 109 females, with a mean age of 64.5+/-8.5 years). The left internal mammary artery was used in 94.9% of patients, the right internal mammary artery in 17.5%, the gastroepiploic artery in 50.9%, the inferior epigastric artery in 0.2%, and the saphenous vein in 39.2%. The in-hospital morbidity and mortality rates of the studied group were 12.8% and 0.6%, respectively. A major complication related to radial artery harvesting, compartment syndrome of the arm due to postoperative bleeding, was observed in 1 patient. No postoperative myocardial infarction attributable to radial artery bypass was observed. During the late follow-up period of 3.5+/-0.9 years, cardiac events were observed in 63 patients, giving actuarial 2- and 3-year event-free rates of 92.8% and 89.6%, respectively. A total of 24 late deaths were noted, including seven cardiac deaths, giving actuarial 2- and 3-year survival rates of 98.1% and 97.2%, respectively. Postoperative angiography was performed in selected patients. The cumulative graft patency rate of the radial artery was 93.0% during the mean angiographical follow-up period of 1.5+/-1.1 years. No adverse effects were noted after CABG using a radial artery graft in this short- and midterm follow-up period.

US$29.90

PMID: 11465164


Other references

Zinada, N.Y.A., 1999: A spotlight survey of sandflies of the genus Phlebotomus in Jeddah, Saudi Arabia. In a survey of sandflies in the Jeddah area carried out by sticky traps and CDC light traps, 3 species were identified. These were P. papatasii [P. papatasi], P. bergeroti and P. alexandri. Morphology of organs used for identification are illustra...

Donner, M.G.; Warskulat, U.; Saha, N.; Häussinger, D., 2004: Enhanced expression of basolateral multidrug resistance protein isoforms Mrp3 and Mrp5 in rat liver by LPS. Lipopolysaccharide (LPS) induces hepatocellular down-regulation and endocytic retrieval of multidrug resistance protein 2 (Mrp2, Abcc2). Basolateral Mrp isoforms may compensate for the intracellular metabolic changes in cholestasis. Therefore, the...

Aston, G., 2011: Recruit, reward, reengineer. Hospitals are embracing several strategies to weather the looming primary care physician shortage.

Knabe, J., 1961: Proposal for the style of formula writing in a new German pharmacopeia. Archiv der Pharmazie 294/66: 679-684

Lauri, G.; Bartlett, P., A., 1994: CAVEAT: A program to facilitate the design of organic molecules. A frequently encountered problem in the design of enzyme inhibitors and other biologically active molecules is the identification of molecular frameworks to serve as templates or linking units that can position functional groups in specific relati...

Ben Slama, K.; Jouini, A.; Ben Sallem, R.; Somalo, S.; Sáenz, Y.; Estepa, V.; Boudabous, A.; Torres, C., 2010: Prevalence of broad-spectrum cephalosporin-resistant Escherichia coli isolates in food samples in Tunisia, and characterization of integrons and antimicrobial resistance mechanisms implicated. The presence of broad-spectrum-cephalosporin-resistant <i>Escherichia coli</i> isolates and the implicated mechanisms of resistance were investigated in 79 food samples of animal origin obtained in different supermarkets and local butc...

Hayakawa, I., 1997: The possibility of drug design of quinolones effective for multiresistant gram-positive pathogens. Recently rapid increase in the emergence of multiresistant Gram-positive pathogen such as MRSA, penicillin resistant Streptococcus pneumoniae (PRSP), and vancomycin resistant Enterococcus (VRE). Whether quinolone antibacterial agent (quinolone) co...

Chan, K.J.; Gilbert, M.; O'connor, K.P.; Mccullough, L., 2000: Implementation of primary health care initiatives and its effect on malnutrition in rural northern Malawi. Journal of Investigative Medicine 48(1): 38A, January

Beavekman, S.W., 1957: The physiology and pathogenicity of Helminthosporium species on forage crops. In seedling tests at Pennsylvania University with isolates of 9 spp. of Helminthosporium, H. avenae infected oat, tall oat grass, barley, and orchard grass; H. phaeocomes infected the last named; H. dictyoides from the fescues infected these, whil...

Cope, J.A.; Ellison, R.G., 1957: Infected patent ductus arteriosus with massive lung infarction. Journal of Thoracic Surgery 34(2): 190-195