47 research outputs found
Comparison between magnetic resonance imaging and single-photon emission tomography for the assessment of myocardial salvage after coronary revascularization in acute myocardial infarction
Long standing cyanosis in congenital heart disease does not cause diffuse myocardial fibrosis
Long standing cyanosis in congenital heart disease does not cause diffuse myocardial fibrosis
Navigator gated flow sensitive gradient echo sequence for quantification of aortic valve regurgitation
238 T2-weighted magnetic resonance imaging as marker for area at risk in acute myocardial infarction
Patency rates of endoscopically harvested radial arteries one year after coronary artery bypass grafting
ObjectivesTo improve patients’ acceptance of the radial artery as a graft for coronary revascularization, we introduced an endoscopic harvesting technique. The aim of this study was to assess graft quality 1 year after the operation.MethodsIn 50 patients who underwent endoscopic radial artery harvesting for coronary artery bypass grafting, 64-slice computed tomography, electrocardiography, and echocardiography were utilized to assess graft patency and left ventricle function at a 1-year follow-up. In addition, the influencing factors of radial artery graft patency were evaluated. Radial artery patency was compared with a control group from our database.ResultsAny patency of endoscopically harvested radial artery grafts was 78% (39/50) and perfect patency was 72% (36/50) 1 year after coronary revascularization. The implanting surgeon and graft harvester, patient factors, graft properties, medication, and target territory did not influence the patency rates of the radial artery graft. The only significant and strong parameter to predict perfect graft patency was the severity of the target vessel stenosis (P < .001). In patients with a target vessel stenosis of 90% or greater, radial artery graft patency was 90.3% (28/31). Patency rates of endoscopically (72%) and conventionally (74%) harvested radial arteries were not different (P = .822).ConclusionsPatency rates 1 year after endoscopic radial artery harvesting are comparable to the open technique. On the basis of our results, we attempt to use the radial artery as a bypass graft only for target coronary arteries with 90% or greater stenosis. We recommend endoscopic harvesting as the technique of choice to harvest the radial artery