Korean J Thorac Cardiovasc Surg.  1999 Oct;32(10):891-896.

Early result of Coronary Artery Bypass Grafting Using the Internal Thoracic and the Radial Arteries

• Na CY
• Lee YT
• Jeon HJ
• Lee CH
• Kim SC
• Lee TY
• Kim WS
• Oh SS
• Chung CH
• Kim WH
• Park YK
• Kim CW
• Hong SN

Abstract

BACKGROUND: Increasing interest in the use of arterial conduites is based on the better patency of the internal thoracic artery(ITA) than the saphenous vein graft and the hope that other arterial conuits will perform similarly over the long term. MATERIAL AND METHOD: Between May 1997 and July 1998, 43 patients underwent coronary artery bypass grafting with ITA and the radial artery(RA). There were 28 men and 15 women with a mean age of 61.5 years(range, 35 to 78). In 43 patents, 30 bilateral ITA(including 7 diabetes mellitus, 5 more older 70 years), 8 bilateral ITA only, 2 left ITA and both RA, 11 left ITA and left RA and 22 both ITA and left RA were used. RESULT: There was 1 hospital mortality. Of the 42 patients alive, 39 patients are asymptomatic. Postoperative complications were postoperative bleeding in 1 patients, and low cardiac output syndrome in 3. Follow-up angiography was performed in 5 patients after the operation(mean 3 months), and all ITA & RA grafts showed excellent results.
CONCLUSION
We conclude that complete arterial revascularization with internal thoracic artery and radial artery is technically feasiale with low mortality and morbidity, and but long term follow-up is needed.

Keyword

Coronary artery bypass; Internal thoracic artery; Radial artery

MeSH Terms

Angiography
Cardiac Output, Low
Coronary Artery Bypass*
Coronary Vessels*
Diabetes Mellitus
Female
Follow-Up Studies
Hemorrhage
Hope
Hospital Mortality
Humans
Male
Mammary Arteries
Mortality
Postoperative Complications
Radial Artery*
Saphenous Vein
Transplants