Assessment of postoperative outcomes of radial artery as a sequential graft in coronary artery bypass grafting
10.3760/cma.j.cn112434-20210812-00267
- VernacularTitle:应用桡动脉序贯吻合行冠状动脉旁路移植术的疗效
- Author:
Xiaolong MA
1
;
Qingyu KONG
;
Lin LIANG
;
Wei XIAO
;
Jiaji LIU
;
Ran DONG
;
Jiangang WANG
;
Liqun CHI
Author Information
1. 首都医科大学附属北京安贞医院微创心脏外科中心，北京 100029
- Keywords:
Coronary artery bypass grafting;
Radial artery;
Sequential anastomosis;
Perioperative period
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(2):92-95
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the perioperative effect of radial artery as a sequential graft in coronary artery bypass grafting(CABG).Methods:The clinical data and perioperative complications of 109 patients, who underwent radial artery(RA) or great saphenous vein(SVG) as a sequential graft during CABG from April 2020 to December 2020 in Beijing Anzhen Hospital, were analyzed, there were 86 males and 23 females, aged from 39 to 79 years, with an average of(61.1±8.0)years old. According to the graft materials, they were divided into the RA group(n=47) and SVG group(n=62).Results:There were no significant differences between the two groups in age, gender, comorbidities, echocardiographic results, transplant vascular indexes, coronary angiography results, and operation methods(on-pump or off-pump, use of left internal mammary artery, number and distribution of distal anastomoses)( P>0.05). There were also no significant difference between the two groups in ICU stay, postoperative hospital stay and drainage with 24 hours after CABG( P>0.05). The incidence of postoperative cerebrovascular events, postoperative infection and secondary thoracotomy in the RA group were higher than that in the SVG group. The incidence of myocardial infarction, postoperative ventricular arrhythmia and postoperative IABP assistance in the SVG were higher than that in the RA group, but the difference was not statistically significant( P>0.05). Conclusion:The application of radial artery as a sequential graft during CABG does not increase the risk of perioperative complications, and the patients recover smoothly.
