Internal thoracic artery grafts for the entire heart at a mean of 12 years Lester R Sauvage, MD, Joshua G Rosenfeld, Paul V Roby, MD, David M Gartman,

Slides:

Advertisements

Similar presentations

Results of Coronary Artery Endarterectomy and Coronary Artery Bypass Grafting for Diffuse Coronary Artery Disease Srikrishna Sirivella, MD, Isaac Gielchinsky,

Advertisements

Is return of angina after coronary artery bypass grafting immutable, can it be delayed, and is it important? P. Sergeant, MD, E. Blackstone, MD*, B.

Longitudinal Outcome of Isolated Mitral Repair in Older Patients: Results From 14,604 Procedures Performed From 1991 to 2007 Vinay Badhwar, MD, Eric.

Improved clinical outcomes in patients undergoing coronary artery bypass grafting with coronary endarterectomy Oz M Shapira, MD, Gabriel Akopian, Ali.

Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,

Coronary artery bypass grafting with an expanded polytetrafluoroethylene graft Michael Weyand, MD, Sebastian Kerber, MD, Christof Schmid, MD, Norbert.

Leena Khaitan, MD, Francis P Sutter, Scott M Goldman, MD

Beating heart operations including hybrid revascularization: initial experiences Friedrich-Christian Riess, MD, Joachim Schofer, MD, Peter Kremer, MD,

Use of Bilateral Internal Thoracic Arteries in CABG Through Lateral Thoracotomy With Robotic Assistance in 150 Patients Sudhir Srivastava, MD, Suresh.

Coronary artery bypass grafting with gastroepiploic artery composite graft Toru Sato, MD, Tadashi Isomura, MD, Hisayoshi Suma, MD, Taiko Horii, MD, Norio.

Equivalency of Saphenous Vein and Arterial Composite Grafts: 5-Year Angiography and Midterm Clinical Follow-Up Ho Young Hwang, MD, PhD, Kyung-Hak Lee,

Peter K. Smith, MD, Michel Carrier, MD, John C

Left Subclavian Artery Stenosis in Coronary Artery Bypass: Prevalence and Revascularization Strategies Ho Young Hwang, MD, Jin Hyun Kim, MD, Whal Lee,

Hiroshi Takami, MD, Taizo Hiraishi, MD, Tohru Kobayashi, MD

Long-Term Consequences of Postoperative Heart Failure After Surgery for Aortic Stenosis Compared With Coronary Surgery Farkas B. Vánky, MD, PhD, Erik.

Coronary revascularization of the circumflex

Ventricular septal rupture caused by myocardial bridging

Exclusive Internal Thoracic Artery Grafting in Triple-Vessel–Disease Patients: Angiographic Control Alexandre Azmoun, MD, Ramzi Ramadan, MD, Nawwar Al-Attar,

No-Touch Saphenous Vein Harvesting May Improve Further the Patency of Saphenous Vein Composite Grafts: Early Outcomes and 1-Year Angiographic Results

Sequential Radial Artery Grafts for Multivessel Coronary Artery Bypass Graft Surgery: 10-Year Survival and Angiography Results Thomas A. Schwann, MD,

Is return of angina after coronary artery bypass grafting immutable, can it be delayed, and is it important? P. Sergeant, MD, E. Blackstone, MD*, B.

Cardiac troponin I release after open heart surgery: a marker of myocardial protection? Emmanuelle Vermes, MD, Martine Mesguich, MD, Rémi Houel, MD, Céline.

New-Onset Postoperative Atrial Fibrillation and Long-Term Survival After Aortic Valve Replacement Surgery Giovanni Filardo, PhD, MPH, Cody Hamilton,

Long-Term Mortality of Coronary Artery Bypass Graft Surgery and Stenting With Drug- Eluting Stents Chuntao Wu, MD, PhD, Fabian T. Camacho, MS, Songyang.

Coronary artery bypass grafting using the gastroepiploic artery in 1,000 patients Hitoshi Hirose, MD, Atushi Amano, MD, Shuichirou Takanashi, MD, Akihito.

Impact of Extracardiac Vascular Disease on Vein Graft Failure and Outcomes After Coronary Artery Bypass Surgery Ralf E. Harskamp, MD, John H. Alexander,

Potassium and Magnesium Supplementation Do Not Protect Against Atrial Fibrillation After Cardiac Operation: A Time-Matched Analysis Timothy S. Lancaster,

Does arterial revascularization decrease the risk of infarction after coronary artery bypass grafting? Paul T Sergeant, MD, PhD, Eugene H Blackstone,

Patency of Saphenous Vein Grafts Using the PAS-Port System During Coronary Artery Bypass Surgery Hiroshi Kubota, MD, Hidehito Endo, MD, Hikaru Ishii,

Transmyocardial laser as an adjunct to minimally invasive CABG for complete myocardial revascularization Naresh Trehan, MD, Yugal Mishra, PhD, Yatin.

A decade after the Surgical Treatment for Ischemic Heart Failure (STICH) trial: Weaving firm clinical recommendations from lessons learned Robert E.

Long-Term Survival After Coronary Arterial Grafts in Patients With End-Stage Renal Disease Taro Nakatsu, MD, Nobushige Tamura, MD, PhD, Yutaka Sakakibara,

Bartosz Rylski, MD, Nimesh D. Desai, MD, PhD, Joseph E

One-stage coronary and abdominal aortic operation with or without cardiopulmonary bypass: early and midterm follow-up Raimondo Ascione, MD, Gabriele.

The effect of coronary artery bypass grafting on specific causes of long-term mortality in the Bypass Angioplasty Revascularization Investigation David.

A randomized comparison of the Saphenous Vein Versus Right Internal Thoracic Artery as a Y-Composite Graft (SAVE RITA) trial: One-year angiographic results.

J. Trent Magruder, MD, Allen Young, BA, Joshua C. Grimm, MD, John V

Long Segmental Reconstruction of Diffusely Diseased Left Anterior Descending Coronary Artery With Left Internal Thoracic Artery With or Without Endarterectomy

Do the EXCEL and NOBLE Trial Results Change Meta-Analysis Findings?

Impact of statin therapy on patients with coronary heart disease and aortic aneurysm or dissection Junichi Tazaki, MD, Takeshi Morimoto, MD, PhD, Ryuzo.

Complete Revascularization of the Three-Vessel Territories Using a Left Internal Thoracic Artery Composite Graft Ho Young Hwang, MD, PhD, Hong Chul Oh,

Two internal thoracic artery grafts are better than one

Intraoperative coronary artery imaging with infrared camera in off-pump CABG Hisayoshi Suma, MD, Tadashi Isomura, MD, Taiko Horii, MD, Toru Sato, MD

Yin-Shu Chang, MD, Jia-Xiang Wang, MD, PhD, Da-Wei Chang, PhD

Effect of blood transfusion on long-term survival after cardiac operation Milo C Engoren, MD, Robert H Habib, PhD, Anoar Zacharias, MD, Thomas A Schwann,

Application of cabrol technique to off-pump coronary artery bypass grafting using radial artery Won-Min Jo, MD, Chan-Young Na, MD, PhD, Man-Jong Baek,

Intraoperative evaluation of coronary anastomosis by transit-time ultrasonic flow measurement Tetsuro Morota, MD, PhD, Francis G Duhaylongsod, MD, William.

Aortic Valve Replacement for Patients With Severe Aortic Stenosis: Risk Factors and Their Impact on 30-Month Mortality Edward L. Hannan, PhD, Zaza Samadashvili,

Morbidity, cost, and six-month outcome of minimally invasive direct coronary artery bypass grafting James A Magovern, MD, Daniel H Benckart, MD, Rodney.

Michel Carrier, MD, Michel Pellerin, MD, Louis P Perrault, MD, PhD, B

Ischemic preconditioning does not improve myocardial preservation during off-pump multivessel coronary operation Hannu J Penttilä, MD, Martti V.K Lepojärvi,

Current Clinical Outcomes of Percutaneous Coronary Intervention and Coronary Artery Bypass Grafting Michael J. Mack, MD, Syma L. Prince, RN, Morley Herbert,

Stent Versus Off-Pump Coronary Bypass Grafting in the Second-Generation Drug- Eluting Stent Era Gijong Yi, MD, PhD, Hyun-Chel Joo, MD, Young-Nam Youn,

W. Brent Keeling, MD, Jose Binongo, PhD, Michael E

A. Thomas Pezzella, MD, Sari D

M.Keith Odayan, Hugh S Paterson The Annals of Thoracic Surgery

P.K. Spanos, MD, A.D. Bisbos, MD, I.I. Arditis, MD

Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population Christian McNeely, MD, Stephen.

Left Ventricular Reconstruction Benefits Patients With Dilated Ischemic Cardiomyopathy Atsushi Yamaguchi, MD, Hideo Adachi, MD, Koji Kawahito, MD, Seiichiro.

Total Arterial Off-Pump Coronary Surgery: Time to Change Our Habits?

Adam E Saltman, MD, PhD, Walter H Dzik, MD, Sidney Levitsky, MD

Sérgio A de Oliveira, MD The Annals of Thoracic Surgery

Sequential In Situ Left Internal Thoracic Artery Grafting to the Circumflex and Right Coronary Artery Areas Cihat Bakay, MD, Burak Onan, MD, Aşkin Ali.

Stunned myocardium after off-pump coronary artery bypass grafting

Variation in mortality risk factors with time after coronary artery bypass graft operation Dexiang Gao, PhD, Gary K Grunwald, PhD, John S Rumsfeld, MD,

Increased Rehospitalization Rate After Coronary Bypass Operation for Acute Coronary Syndrome: A Prospective Study in 200 Patients Staffan Bjessmo, MD,

Utilization and Outcomes of Unprotected Left Main Coronary Artery Stenting and Coronary Artery Bypass Graft Surgery Chuntao Wu, MD, PhD, Edward L. Hannan,

Left Ventricular End-Diastolic Pressure Predicts Survival in Coronary Artery Bypass Graft Surgery Patients Jeevan Nagendran, MD, PhD, Colleen M. Norris,

Revascularization in severe ventricular dysfunction (15% ≤ LVEF ≤ 30%): a comparison of bypass grafting and percutaneous intervention Koichi Toda, MD,

Magnus Dalén, MD, Torbjörn Ivert, MD, PhD, Martin J

Presentation transcript:

Internal thoracic artery grafts for the entire heart at a mean of 12 years Lester R Sauvage, MD, Joshua G Rosenfeld, Paul V Roby, MD, David M Gartman, MD, William P Hammond, MD, Lloyd D Fisher, PhD The Annals of Thoracic Surgery Volume 75, Issue 2, Pages 501-504 (February 2003) DOI: 10.1016/S0003-4975(02)04344-8

Fig 1 Strategies for complete three-vessel coronary artery bypass grafting using only internal thoracic artery (ITA) grafts, depending on graft length and coronary target sites. Shown are operative sketches and composite films from 3 patients, one for each strategy, during the follow-up period. Angios in A were performed after an episode of congestive failure, in B after a near-fainting episode, and in C for evaluation of a positive treadmill response (no angina). Arrows identify anastomoses. Number of patients receiving each strategy, average aggregate flow rates, and postoperative intervals are given. (A) Angiograms performed 6 years after Strategy I procedure in male patient, age 42 at time of surgery. In most Strategy I cases, the LITA was anastomosed first to the circumflex and then to the LAD. (B) Angiograms performed 12 years after Strategy II procedure in male patient, age 63 at the time of surgery. (C) Angiograms performed at 11 years after Strategy III procedure in male patient, age 67 at time of surgery. RITA was used as a free graft in constructing LITA-RITA bifurcation graft. (CABG = coronary artery bypass graft; LAD = left anterior descending; LITA = left ITA; RITA = right ITA.) The Annals of Thoracic Surgery 2003 75, 501-504DOI: (10.1016/S0003-4975(02)04344-8)

Fig 2 This Kaplan-Meier survival curve shows the proportion of patients surviving after complete three-vessel coronary bypass using only internal thoracic artery grafts. Steps in the curve represent individual fatalities with censoring at that point. Tick marks indicate survival periods of individual patients living at last follow-up, with average follow-up of 12.1 years (range, 10.7 to 13.6 years). The Annals of Thoracic Surgery 2003 75, 501-504DOI: (10.1016/S0003-4975(02)04344-8)

Fig 3 This Kaplan-Meier curve shows the proportion of patients developing a myocardial infarction (MI) after complete three-vessel coronary bypass using only internal thoracic artery grafts. The four steps in the curve represent the occurrence of four MIs at those times: one at 6.5 years (patient living 6 years later at time of last follow-up), one at 7.5 years (patient died 15 months later of sudden cardiac death), one at 9.7 years (patient died 6 days later of pneumonia and congestive failure), and one at 10.5 years (patient living 3 months later at time of last follow-up). Tick marks represent the 121 censored non-MI patients comprising 57 patients dying without an MI during the observation period and 64 patients living at last follow-up. The heavy concentration of tick marks after 10 years of MI-free survival are mainly patients living at last follow-up. The Annals of Thoracic Surgery 2003 75, 501-504DOI: (10.1016/S0003-4975(02)04344-8)