Sequential bypass using the right gastroepiploic artery for coronary artery bypass grafting

被引：5
作者：
Toru Ishida
Hiromi Kurosawa
Hiroshi Nishida
Shigeyuki Aomi
Masahiro Endo
机构：
[1] Tokyo Women's Medical University,Department of Cardiovascular Surgery, The Heart Institute of Japan
来源：
The Japanese Journal of Thoracic and Cardiovascular Surgery | 2003年 / 51卷 / 7期
关键词：
coronary artery bypass grafting; right gastroepiploic artery; sequential bypass; arterial revascularization;
D O I：
10.1007/BF02719378
中图分类号：
学科分类号：
摘要：
Objective: Since 1989, we have applied the right gastroepiploic artery (RGEA) as a third arterial conduit for coronary artery bypass grafting (CABG) and started to use sequential RGEA in 1992. We evaluated the feasibility and efficacy of sequential RGEA grafting in CABG.Methods: From December 1990 to January 2000, 46 patients underwent CABG with sequential RGEA. There were 42 male and 4 female patients with a mean age of 59±8.1 years. Mean postoperative follow-up period was 70 months.Results: The mean number of anastomoses was 3.7 per patient. Mean luminal diameter of the RGEA was 2.2±0.4 mm by preoperative angiography and 2.3±0.6 mm by intraoperative measurement. Patency of the sequential RGEA was 92%; proximal anastomosis 100%, distal anastomosis 86% (p=0.01). The 5-year actuarial survival and cardiac event-free rate were 91% and 93%, respectively.Conclusions: Sequential bypass using the RGEA is feasible, with excellent early and long-term results. The indication for sequential RGEA, however, needs careful anatomical consideration of both the luminal diameter of the RGEA and proximal stenosis of the target coronary arteries.
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页码：277 / 281
页数：4
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