Abstract
We performed early postoperative angiography to assess anastomosis accuracy and patency after off-pump coronary artery bypass grafting. One thousand three hundred forty-five patients who underwent off-pump coronary artery bypass grafting between January 1998 and December 2007 were studied. Grafts for distal anastomoses were left internal thoracic artery (n=1281), right internal thoracic artery (n=679), right gastroepiploic artery (n=836), radial artery (n=14), and saphenous vein (n=188). Groups underwent off-pump coronary artery bypass grafting without (group I, n=234) or with (group II, n=1111) intraoperative graft flowmetry. Early postoperative (< or = 7 days) angiography was performed in 1278 cases (95.0%) at 1.6+/-1.2 postoperative days. Operative mortality was 1.6%. Average number of distal anastomoses was 3.0+/-1.0. Postoperative angiography showed early patencies of 98.9% for arterial grafts and 88.2% for venous grafts (P < .001). In group II, intraoperative flowmetry-guided revision was performed in 2.2% of distal anastomoses. Patency of arterial grafts was significantly higher in group II than group I (97.2% vs 99.1%, P < .001); however, patency of venous grafts was not significantly different (86.0% vs 92.2%, P=.099)....Continue Reading
References
Jun 4, 1999·The Annals of Thoracic Surgery·M A MarianiT Ebels
Sep 4, 1999·The Annals of Thoracic Surgery·M J MackJ A Osborne
Mar 29, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L WiklundE Berglin
Apr 12, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·G D'AnconaT A Salerno
Oct 4, 2000·The Annals of Thoracic Surgery·S N OmeroğluC Yakut
Jun 19, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·T HirotaniY Nakao
Sep 22, 2001·The Annals of Thoracic Surgery·K B KimY B Park
Nov 28, 2001·The Annals of Thoracic Surgery·H ShinS Kawada
Oct 29, 2002·The Annals of Thoracic Surgery·Ki-Bong KimYong Lak Kim
Jan 2, 2004·The New England Journal of Medicine·Natasha E KhanJohn Pepper
Jul 28, 2004·The Annals of Thoracic Surgery·Per Kristian HolErik Fosse
Jul 26, 2005·The Annals of Thoracic Surgery·Ki-Bong KimCheong Lim
Aug 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Lognathen BalacumaraswamiDavid P Taggart
Nov 25, 2005·The Annals of Thoracic Surgery·Alessandro ParolariPaolo Biglioli
May 30, 2006·The Annals of Thoracic Surgery·Per Snorre LingaasErik Fosse
Jun 3, 2006·BMJ : British Medical Journal·Sharif Al-RuzzehMohamed Amrani
Jan 3, 2007·The Journal of Thoracic and Cardiovascular Surgery·Hisato TakagiTakuya Umemoto
Sep 8, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kwang Ree ChoKi-Bong Kim
Nov 27, 2007·The Annals of Thoracic Surgery·Yoshiyuki TokudaToshiaki Akita
Feb 5, 2008·The Journal of Thoracic and Cardiovascular Surgery·Ki-Bong KimDong Seop Jeong
Citations
Oct 3, 2013·European Heart Journal·Stuart J HeadArie Pieter Kappetein
Oct 3, 2013·The Journal of Thoracic and Cardiovascular Surgery·Teresa M KieserMichelle M Graham
Oct 30, 2012·Heart, Lung & Circulation·J J B EdelmanM P Vallely
Jan 5, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Teresa M Kieser
Mar 24, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Teresa M KieserStuart J Head
Mar 24, 2018·Journal of Cardiac Surgery·Teresa M Kieser, David P Taggart
Aug 15, 2017·Current Opinion in Cardiology·Teresa M Kieser
Dec 1, 2018·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·James Tatoulis
Jun 9, 2021·Journal of Korean Medical Science·Jae Woong ChoiKi Bong Kim
Jul 29, 2021·JTCVS Techniques·Rami Akhrass, Faisal G Bakaeen
Jul 29, 2021·JTCVS Techniques·Frank Baciewicz
Aug 20, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mihály KárolyiMartin O Schmiady