Angiographic predictors of 6-month patency of bypass grafts implanted to the right coronary artery a prospective randomized comparison of gastroepiploic artery and saphenous vein grafts

Journal of the American College of Cardiology
David GlineurClaude Hanet

Abstract

The purpose of this study was to define the pre-operative angiographic variables that could influence graft patency and flow pattern. Saphenous vein grafts (SVG) and pedicled right gastroepiploic artery (RGEA) grafts are routinely used to revascularize the right coronary artery (RCA). Little is known about the predictive value of objective pre-operative angiographic parameters on the 6-month graft patency and on the interest of these parameters to select the optimal graft material in individual cases. We prospectively enrolled 172 consecutive patient candidates for coronary revascularization. Revascularization of the RCA was randomly performed with SVG in 82 patients or with the RGEA in 90 patients. Both groups were comparable with respect to all pre-operative continuous and discrete variable and risk factors. All patients underwent a systematic angiographic control 6 months after surgery. Pre-operative angiographic parameters included minimal lumen diameter (MLD), percent stenosis and reference diameter of the RCA measured by quantitative angiography (CAAS II system, Pie Medical, Maastricht, the Netherlands), location of the stenosis, run off of the RCA, and regional wall motion of the revascularized territory. A significant d...Continue Reading

References

Sep 1, 1984·The Annals of Thoracic Surgery·A J Tector, T M Schmahl
Aug 1, 1995·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·T TedoriyaY Watanabe
Feb 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·H HashimotoH Suma
Aug 1, 1996·The Annals of Thoracic Surgery·S VoutilainenP Keto
Nov 1, 1996·The Annals of Thoracic Surgery·N Uchida, Y Kawaue
Sep 2, 1998·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·A AlbertiniR Dion
Aug 30, 2000·The Journal of Thoracic and Cardiovascular Surgery·H SumaT Sato
Aug 2, 2001·The Journal of Thoracic and Cardiovascular Surgery·R DionC Hanet
Jun 28, 2003·The Journal of Thoracic and Cardiovascular Surgery·Brian F BuxtonDavid L Hare
Feb 1, 2005·The Annals of Thoracic Surgery·Dmitry PevniRephael Mohr

❮ Previous
Next ❯

Citations

Mar 17, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·David Glineur, Claude Hanet
Feb 1, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·David GlineurGebrine El Khoury
Nov 7, 2014·Surgery Research and Practice·Michael Diodato, Edgar G Chedrawy
Aug 30, 2008·Journal of the American College of Cardiology·Morton J Kern
Apr 6, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·David P TaggartGeorge Krasopoulos
Jul 14, 2016·Circulation. Cardiovascular Interventions·David GlineurGebrine El Khoury
Dec 10, 2017·Journal of Biomechanical Engineering·Keith J GoochBenjamin W Scandling
Jun 21, 2019·Current Opinion in Cardiology·Cristiano SpadaccioMario F L Gaudino
Mar 7, 2019·Reviews on Recent Clinical Trials·Giovanni CuminettiRoberto Lorusso
Mar 25, 2011·Journal of Cardiovascular Medicine·Sean O Z BelloPradip K Sarkar
Oct 19, 2012·Current Opinion in Cardiology·David Glineur, Claude Hanet
Jan 17, 2019·Interactive Cardiovascular and Thoracic Surgery·Sho AkitaAkihiko Usui
Oct 7, 2015·The Journal of Thoracic and Cardiovascular Surgery·Joseph F Sabik
Apr 21, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Jasmin H ShahinianDavid Glineur

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.