Coronary Artery Bypass Grafting with Radial Artery: Early Results

Authors

  • Taweesak Chotivatanapong Cardiothoracic Surgical Division, Central Chest Hospital, Nonthaburi 1 1000, Thailand.
  • Pradistchai Chaiseri Cardiothoracic Surgical Division, Central Chest Hospital, Nonthaburi 1 1000, Thailand.
  • Choosak Kasemsarn Cardiothoracic Surgical Division, Central Chest Hospital, Nonthaburi 1 1000, Thailand.
  • Vibhan Sungkahapong Cardiothoracic Surgical Division, Central Chest Hospital, Nonthaburi 1 1000, Thailand.

Abstract

            Coronary artery bypass grafting (CABG) using arterial conduits has gained increasing role in surgical treatment of patients with ischemic heart disease. This study reviews our early results of using radial artery in CABG at our institution.

            Between December 1997 and July 1999, a total of 32 patients underwent CABG at Central Chest Hospital. There were 28 males and 4 females with the average age of 57.9 years. Follow-up ranged from 1 to 19 months with the mean of 11.8 months. Average distal anastomoses in this study was 3.65 (ranged 2-6). Radial artery was used as unilateral (31) and bilateral (1). Bilateral internal mammary artery was used in 19 patients. There was one hospital mortality from problem of low cardiac output. No neurovascular complication of the upper extremity was found. We concluded from our study that radial artery can be used safely with good early result in CABG.

References

1. Carpentier A, Guermonprez JL, Deloche A, Frechette C, Dubost C. The aorta - to - coronary radial artery bypass graft. Ann Thorac. Surg 1973; 16: 111-21.

2. Acar C, Jebara V, Portoghese M, Beyssen B, Pagny J, Grare P, Chachques J. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 1992; 54: 652-60.

3. Reyes A, Frame R, Brodman R. Techniques for harvasting the radial artery as acoronary artery bypass graft. Ann Thorac Surg 1995; 59: 118-26.

4. Calafiore A, Giammarco G, Teodori G, D'Annunzio E, Vitolla G, Fino C, Maddestra N. Radial artery and inferior epigastric artery in composite grafts: improved midterm angiographic results. Ann Thorac Surg 1995; 60: 517-24.

5. Menasse E, Sperti G, Suma H, Canosa C, Kol A, Martinelli L, Schiavello R, Crea F, Masori A, Possati GF. Use of radial artery for myocardial revascularization. Ann Thorac Surg 1996; 62: 1076-83.

6. Dietl C, Benoit C. Radial artery graft for coronary revascularization: technical consideration. Ann Thorac Surg 1995;60:102-10.

7. Dacosta F, Dacosta I, Poffo R, Abuchaim D, Gaspar R, Garcia L, Faraco D. Myocardial revascularization with the radial artery : a clinical and angiographic study. Ann Thorac Surg 1996;62:475-80.

8. Brodman R, Frame R, Chamachom, Hue, Chen A, Hollinger I. Routine use of unilateral and bilateral radial arteries for coronary artery bypass graft surgery. J Am Coll Cardiol 1996;28:959-63.

Downloads

Published

2000-09-29

How to Cite

1.
Chotivatanapong T, Chaiseri P, Kasemsarn C, Sungkahapong V. Coronary Artery Bypass Grafting with Radial Artery: Early Results. Thai J Surg [Internet]. 2000 Sep. 29 [cited 2024 May 6];21(3):91-4. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243342

Issue

Vol. 21 No. 3 (2000): July - September

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.