Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1992-10-29
pubmed:abstractText
Eighteen years after its first introduction for coronary artery revascularization, the radial artery (RA) was reinvestigated because of unexpected good long-term results in the early series. Since July 1989, 104 patients underwent myocardial revascularization using 122 RA grafts (18 patients received two grafts). The left internal mammary artery (IMA) was concomitantly used as a pedicled graft in 100 cases and the right IMA in 19 cases; a free IMA graft was used in 29 cases and a saphenous vein graft in 24 cases. A mean of 2.8 grafts per patient were performed. Nine patients underwent associated procedures: carotid endarterectomy (3), aortic valve replacement (3), Bigelow procedure (1), and mitral valve repair (2). The target artery receiving the RA was the circumflex (n = 59), diagonal (n = 29), right coronary (n = 27), and left anterior descending (n = 7). One patient died (0.96%) and 2 had perioperative myocardial infarct. Sternal wound infection was noted in 3 cases of double IMA implantation. No ischemia of the hand was observed. All patients received diltiazem started intraoperatively and continued after discharge. In addition aspirin (100 mg/day) was given at discharge. Early angiographic controls (less than 2 weeks) were obtained in the first 50 consecutive patients and revealed 56 of 56 patent RA grafts, 48 of 48 patent left IMA grafts, 11 of 11 patent right IMA grafts, 14 of 18 patent free IMA grafts, and 8 of 9 patent vein grafts.(ABSTRACT TRUNCATED AT 250 WORDS)
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0003-4975
pubmed:author
pubmed:issnType
Print
pubmed:volume
54
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
652-9; discussion 659-60
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:1358040-Adult, pubmed-meshheading:1358040-Aged, pubmed-meshheading:1358040-Arm, pubmed-meshheading:1358040-Arteries, pubmed-meshheading:1358040-Coronary Angiography, pubmed-meshheading:1358040-Coronary Artery Bypass, pubmed-meshheading:1358040-Diltiazem, pubmed-meshheading:1358040-Female, pubmed-meshheading:1358040-Follow-Up Studies, pubmed-meshheading:1358040-Graft Occlusion, Vascular, pubmed-meshheading:1358040-Humans, pubmed-meshheading:1358040-Male, pubmed-meshheading:1358040-Middle Aged, pubmed-meshheading:1358040-Myocardial Revascularization, pubmed-meshheading:1358040-Postoperative Complications, pubmed-meshheading:1358040-Saphenous Vein, pubmed-meshheading:1358040-Spasm, pubmed-meshheading:1358040-Treatment Outcome, pubmed-meshheading:1358040-Vascular Diseases, pubmed-meshheading:1358040-Vascular Patency
pubmed:year
1992
pubmed:articleTitle
Revival of the radial artery for coronary artery bypass grafting.
pubmed:affiliation
Department of Cardiovascular Surgery, Hôpital Broussais, Paris, France.
pubmed:publicationType
Journal Article