Angiographic 5-year follow-up study of right gastroepiploic artery grafts

作者: Sari Voutilainen , Kalervo Verkkala , Antero Järvinen , Pekka Keto

DOI: 10.1016/0003-4975(96)00316-5

关键词: Vascular PatencyAngiographyInternal thoracic arteryCoronary circulationLumen (anatomy)AnastomosisMedicineRight gastroepiploic arterySurgeryStenosisRadiologyPulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: Background. The right gastroepiploic artery (RGEA) has been used from 1987 in coronary bypass grafting several clinical studies. However, the published 1- to 5-year patency rates have dependent on selection of patients for angiography. Methods. In our study, RGEA was March May 1990 31 consecutive patients, 25 male and 6 female. All but 1 patient had triple-vessel disease, mean number distal anastomoses 3.9 (range, 2 5). Internal thoracic grafts were concomitantly all patients. Results. One early two late deaths occurred. 28 surviving underwent angiographic follow-up examinations 3 months 5 years after operation. 82.1%, with a 95% confidence interval 63.1% 93.9%. 4 nonvisualized cases, recipient showed proximal stenosis up 70%, allowing substantial competitive flow. graft near that left internal artery, at 90.3%, 94.4%; superior 66.7% venous grafts. Conclusions. At follow-up, angiography good function smooth lumen, especially if more than 70%.

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