Angiographic Results of Radial Artery Grafts that are Used for Myocardial Revascularization.
- Author:
Kilsoo YIE
1
;
Chan Young NA
;
Sam Sae OH
;
Jae Hyun KIM
;
Sung Ho SHINN
;
Soo Cheol KIM
;
Hong Joo SEO
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kangwon National University College of Medicine, Korea.
- Publication Type:Original Article
- Keywords:
Coronary artery bypass conduits;
Radial artery;
Vascular patency
- MeSH:
Constriction, Pathologic;
Coronary Artery Bypass;
Female;
Follow-Up Studies;
Heart;
Humans;
Mammary Arteries;
Myocardial Revascularization*;
Radial Artery*;
Retrospective Studies;
Saphenous Vein;
Transplants*;
Vascular Patency
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(8):546-551
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The radial artery is gaining widespread acceptance as complementary arterial conduits for surgical myocardial revascularization, but there have been limited reports about its angiographic patency compared with that of internal thoracic artery or saphenous vein. We tried to evaluate angiographic patency of radial artery graft and to compare that of radial artery and other grafts with retrospective manner. MATERIAL AND METHOD: From January 2001 to June 2006, totally 132 patients (male 92, female 40) who underwent coronary artery bypass graft using radial artery were re-admitted to our hospital for follow up angiographic examination. Mean age was 58.2+8.87 and mean follow up duration was 32 month (2~110 month). Off pump and on pump bypass surgery were performed 74 and 58 patients respectively. Along with radial artery, left internal thoracic arteries were used in 57 cases, concomitant left internal thoracic artery and saphenous veins were used in 47 cases and bilateral internal thoracic arteries were used in 20 cases. RESULT: Totally 412 distal anastomosis were performed and 376 anastomosis remained patent (91.2%). Left internal thoracic artery showed the most excellent patency in all of the conduits (98.5%). Radial artery graft patency was 90.8% (169/186). There was no statistical difference of the patency by conduit between on-pump and off-pump group. But radial artery showed more higher patency rate (98/110, 89%) in the severe stenotic lesion that preoperatively revealed more than 90% stenosis than in the lesser severe (<90%) stenotic lesion (60/76, 78%)(p<0.005). Radial artery conduit represented the worst result when it was grafted in the right coronary system. But when it was positioned in the left heart especially diagonal or obtuse marginal area, patency was comparable with left internal thoracic artery. CONCLUSION: Radial artery graft showed good midterm patency when it was used in the severe stenotic lesion more than 90% and left coronary system. But great notice should be taken when it is grafted in the right coronary system or less severe stenotic lesion.
