Early result of Coronary Artery Bypass Grafting Using the Internal Thoracic and the Radial Arteries.
- Author:
Chan Young NA
1
;
Young Thak LEE
;
Hong Joo JEON
;
Chang Ha LEE
;
Soo Chul KIM
;
Taek Youn LEE
;
Wook Sung KIM
;
Sam Se OH
;
Cheol Hyun CHUNG
;
Woong Han KIM
;
Young Kwhan PARK
;
Chong Whan KIM
;
Sung Nok HONG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital.
- Publication Type:Original Article
- Keywords:
Coronary artery bypass;
Internal thoracic artery;
Radial artery
- MeSH:
Angiography;
Cardiac Output, Low;
Coronary Artery Bypass*;
Coronary Vessels*;
Diabetes Mellitus;
Female;
Follow-Up Studies;
Hemorrhage;
Hope;
Hospital Mortality;
Humans;
Male;
Mammary Arteries;
Mortality;
Postoperative Complications;
Radial Artery*;
Saphenous Vein;
Transplants
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1999;32(10):891-896
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Increasing interest in the use of arterial conduites is based on the better patency of the internal thoracic artery(ITA) than the saphenous vein graft and the hope that other arterial conuits will perform similarly over the long term. MATERIAL AND METHOD: Between May 1997 and July 1998, 43 patients underwent coronary artery bypass grafting with ITA and the radial artery(RA). There were 28 men and 15 women with a mean age of 61.5 years(range, 35 to 78). In 43 patents, 30 bilateral ITA(including 7 diabetes mellitus, 5 more older 70 years), 8 bilateral ITA only, 2 left ITA and both RA, 11 left ITA and left RA and 22 both ITA and left RA were used. RESULT: There was 1 hospital mortality. Of the 42 patients alive, 39 patients are asymptomatic. Postoperative complications were postoperative bleeding in 1 patients, and low cardiac output syndrome in 3. Follow-up angiography was performed in 5 patients after the operation(mean 3 months), and all ITA & RA grafts showed excellent results. CONCLUSION: We conclude that complete arterial revascularization with internal thoracic artery and radial artery is technically feasiale with low mortality and morbidity, and but long term follow-up is needed.
