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Early adaptation of the left internal thoracic artery as a blood source of y-composite radial artery grafts in off-pump coronary artery bypass grafting.

Identifieur interne : 000555 ( PubMed/Checkpoint ); précédent : 000554; suivant : 000556

Early adaptation of the left internal thoracic artery as a blood source of y-composite radial artery grafts in off-pump coronary artery bypass grafting.

Auteurs : Osamu Tagusari [Japon] ; Junjiro Kobayashi ; Ko Bando ; Kazuo Niwaya ; Hiroyuki Nakajima ; Michiko Ishida ; Takeshi Nakatani ; Toshikatsu Yagihara ; Soichiro Kitamura

Source :

RBID : pubmed:14721991

English descriptors

Abstract

Y-composite grafting with the radial artery (RA) is often used in off-pump coronary artery bypass grafting (OPCAB). However, the early flow reserve of the left internal thoracic artery (LITA) as a blood source of the Y-composite RA graft has not been delineated.

PubMed: 14721991


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Le document en format XML

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<title xml:lang="en">Early adaptation of the left internal thoracic artery as a blood source of y-composite radial artery grafts in off-pump coronary artery bypass grafting.</title>
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<name sortKey="Tagusari, Osamu" sort="Tagusari, Osamu" uniqKey="Tagusari O" first="Osamu" last="Tagusari">Osamu Tagusari</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan. otagusar@bsp.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka</wicri:regionArea>
<wicri:noRegion>Osaka</wicri:noRegion>
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<author>
<name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name>
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<name sortKey="Bando, Ko" sort="Bando, Ko" uniqKey="Bando K" first="Ko" last="Bando">Ko Bando</name>
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<name sortKey="Niwaya, Kazuo" sort="Niwaya, Kazuo" uniqKey="Niwaya K" first="Kazuo" last="Niwaya">Kazuo Niwaya</name>
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<name sortKey="Nakajima, Hiroyuki" sort="Nakajima, Hiroyuki" uniqKey="Nakajima H" first="Hiroyuki" last="Nakajima">Hiroyuki Nakajima</name>
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<name sortKey="Ishida, Michiko" sort="Ishida, Michiko" uniqKey="Ishida M" first="Michiko" last="Ishida">Michiko Ishida</name>
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<author>
<name sortKey="Nakatani, Takeshi" sort="Nakatani, Takeshi" uniqKey="Nakatani T" first="Takeshi" last="Nakatani">Takeshi Nakatani</name>
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<author>
<name sortKey="Yagihara, Toshikatsu" sort="Yagihara, Toshikatsu" uniqKey="Yagihara T" first="Toshikatsu" last="Yagihara">Toshikatsu Yagihara</name>
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<name sortKey="Kitamura, Soichiro" sort="Kitamura, Soichiro" uniqKey="Kitamura S" first="Soichiro" last="Kitamura">Soichiro Kitamura</name>
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<title xml:lang="en">Early adaptation of the left internal thoracic artery as a blood source of y-composite radial artery grafts in off-pump coronary artery bypass grafting.</title>
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<name sortKey="Tagusari, Osamu" sort="Tagusari, Osamu" uniqKey="Tagusari O" first="Osamu" last="Tagusari">Osamu Tagusari</name>
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<nlm:affiliation>Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan. otagusar@bsp.</nlm:affiliation>
<country xml:lang="fr">Japon</country>
<wicri:regionArea>Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka</wicri:regionArea>
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<name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name>
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<name sortKey="Bando, Ko" sort="Bando, Ko" uniqKey="Bando K" first="Ko" last="Bando">Ko Bando</name>
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<name sortKey="Niwaya, Kazuo" sort="Niwaya, Kazuo" uniqKey="Niwaya K" first="Kazuo" last="Niwaya">Kazuo Niwaya</name>
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<name sortKey="Nakajima, Hiroyuki" sort="Nakajima, Hiroyuki" uniqKey="Nakajima H" first="Hiroyuki" last="Nakajima">Hiroyuki Nakajima</name>
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<name sortKey="Ishida, Michiko" sort="Ishida, Michiko" uniqKey="Ishida M" first="Michiko" last="Ishida">Michiko Ishida</name>
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<name sortKey="Nakatani, Takeshi" sort="Nakatani, Takeshi" uniqKey="Nakatani T" first="Takeshi" last="Nakatani">Takeshi Nakatani</name>
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<author>
<name sortKey="Yagihara, Toshikatsu" sort="Yagihara, Toshikatsu" uniqKey="Yagihara T" first="Toshikatsu" last="Yagihara">Toshikatsu Yagihara</name>
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<name sortKey="Kitamura, Soichiro" sort="Kitamura, Soichiro" uniqKey="Kitamura S" first="Soichiro" last="Kitamura">Soichiro Kitamura</name>
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<series>
<title level="j">The heart surgery forum</title>
<idno type="e-ISSN">1522-6662</idno>
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<date when="2003" type="published">2003</date>
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<term>Aged</term>
<term>Anastomosis, Surgical (methods)</term>
<term>Coronary Angiography</term>
<term>Coronary Artery Bypass (methods)</term>
<term>Coronary Circulation</term>
<term>Female</term>
<term>Humans</term>
<term>Internal Mammary-Coronary Artery Anastomosis (methods)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Radial Artery (transplantation)</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Anastomosis, Surgical</term>
<term>Coronary Artery Bypass</term>
<term>Internal Mammary-Coronary Artery Anastomosis</term>
</keywords>
<keywords scheme="MESH" qualifier="transplantation" xml:lang="en">
<term>Radial Artery</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Aged</term>
<term>Coronary Angiography</term>
<term>Coronary Circulation</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front>
<div type="abstract" xml:lang="en">Y-composite grafting with the radial artery (RA) is often used in off-pump coronary artery bypass grafting (OPCAB). However, the early flow reserve of the left internal thoracic artery (LITA) as a blood source of the Y-composite RA graft has not been delineated.</div>
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<PMID Version="1">14721991</PMID>
<DateCreated>
<Year>2004</Year>
<Month>01</Month>
<Day>14</Day>
</DateCreated>
<DateCompleted>
<Year>2004</Year>
<Month>03</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised>
<Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
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<ISSN IssnType="Electronic">1522-6662</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>6</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2003</Year>
</PubDate>
</JournalIssue>
<Title>The heart surgery forum</Title>
<ISOAbbreviation>Heart Surg Forum</ISOAbbreviation>
</Journal>
<ArticleTitle>Early adaptation of the left internal thoracic artery as a blood source of y-composite radial artery grafts in off-pump coronary artery bypass grafting.</ArticleTitle>
<Pagination>
<MedlinePgn>E93-8</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Y-composite grafting with the radial artery (RA) is often used in off-pump coronary artery bypass grafting (OPCAB). However, the early flow reserve of the left internal thoracic artery (LITA) as a blood source of the Y-composite RA graft has not been delineated.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">The size of the LITA was examined angiographically in 42 patients who underwent OPCAB using LITA and Y-composite RA grafting between June 2000 and February 2002. In these patients, the LITA was used as a blood source of the Y-composite RA graft. The mean patient age +/- SD was 67 +/- 8 years. The average number of d i stal anastomoses was 3.2 +/- 0.7. Total coronary revascularization was carried out in 34 patients with only LITA and Y-composite RA grafting. RA grafting was used for revascularization of the circumflex artery alone in 5 patients, for the right coronary artery system (RCS) alone in 6 patients, and for both the circumflex and the RCS in 23 patients. The average number of distal anastomoses using the RA was 1.9 +/- 0.7. Flow measurements of the proximal LITA were achieved intraoperatively with a transit-time flowmeter. The diameters of the LITA before and after the operation were measured angiographically. Intraoperative flow volume was correlated with the ratio of the LITA diameters before and after the operation.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean flow rate of the LITA was 61 +/- 35 mL/min (range, 9-196 mL/min). The mean diameters of the LITA before and after the operation were 1.97 +/- 0.36 mm and 2.74 +/- 0.60 mm, respectively. The mean ratio of the LITA diameter after the opera t ion to that before the operation was 1.43 +/- 0.27. The intraoperative flow volume was positively correlated with the ratio of LITA diameters (r = 0.414; P =.006).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results demonstrate the early adaptation of the LITA as a blood source of the Y-composite RA graft in OPCAB and the rationale for using the LITA as a single blood source for total coronary artery revascularization.</AbstractText>
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<LastName>Tagusari</LastName>
<ForeName>Osamu</ForeName>
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<Affiliation>Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan. otagusar@bsp.</Affiliation>
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<LastName>Kobayashi</LastName>
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<DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
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<DescriptorName MajorTopicYN="N" UI="D017534">Radial Artery</DescriptorName>
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<name sortKey="Bando, Ko" sort="Bando, Ko" uniqKey="Bando K" first="Ko" last="Bando">Ko Bando</name>
<name sortKey="Ishida, Michiko" sort="Ishida, Michiko" uniqKey="Ishida M" first="Michiko" last="Ishida">Michiko Ishida</name>
<name sortKey="Kitamura, Soichiro" sort="Kitamura, Soichiro" uniqKey="Kitamura S" first="Soichiro" last="Kitamura">Soichiro Kitamura</name>
<name sortKey="Kobayashi, Junjiro" sort="Kobayashi, Junjiro" uniqKey="Kobayashi J" first="Junjiro" last="Kobayashi">Junjiro Kobayashi</name>
<name sortKey="Nakajima, Hiroyuki" sort="Nakajima, Hiroyuki" uniqKey="Nakajima H" first="Hiroyuki" last="Nakajima">Hiroyuki Nakajima</name>
<name sortKey="Nakatani, Takeshi" sort="Nakatani, Takeshi" uniqKey="Nakatani T" first="Takeshi" last="Nakatani">Takeshi Nakatani</name>
<name sortKey="Niwaya, Kazuo" sort="Niwaya, Kazuo" uniqKey="Niwaya K" first="Kazuo" last="Niwaya">Kazuo Niwaya</name>
<name sortKey="Yagihara, Toshikatsu" sort="Yagihara, Toshikatsu" uniqKey="Yagihara T" first="Toshikatsu" last="Yagihara">Toshikatsu Yagihara</name>
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<name sortKey="Tagusari, Osamu" sort="Tagusari, Osamu" uniqKey="Tagusari O" first="Osamu" last="Tagusari">Osamu Tagusari</name>
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