Arterial grafting for coronary artery bypass surgery:
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| Format: | Electronic eBook |
| Language: | English |
| Published: |
Berlin [u.a.]
Springer
2006
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| Edition: | 2. ed. |
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| Item Description: | 1. Aufl. u.d.T.: Arterial grafts for coronary artery bypass surgery |
| Physical Description: | 1 Online-Ressource (XIX, 356 S.) Oll., graph. Darst. |
| ISBN: | 9783540300847 |
| DOI: | 10.1007/3-540-30084-8 |
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| 245 | 1 | 0 | |a Arterial grafting for coronary artery bypass surgery |c Guo-Wei He (ed.). With contributions by Floyd D. Loop ... |
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| adam_text | Contents
Foreword by Denton A. Cooley VII
Preface IX
I Biological Characteristics of Arterial Grafts
1 Histology and Comparison of Arterial Grafts
Used for Coronary Surgery
J.A.M. van Son, F.M.M. Smedts, C. Q. Yang,
G. W. He 3
1.1 Internal Mammary Artery 3
1.2 Right Gastroepiploic Artery 7
1.3 Inferior Epigastric Artery 8
1.4 Radial Artery 9
1.5 Intercostal Artery 10
1.6 Comment 11
References 14
2 Endothelial Function and Interaction
Between the Endothelium and Smooth Muscle
in Arterial Grafts
G. W. He 17
2.1 Endothelium Derived Relaxing Factors 17
2.2 Endothelium Derived Contracting Factors .... 17
2.3 Vasoconstrictors and Vasospasm in Arterial
Grafts 17
2.4 Vasoconstrictor Stimulated EDRF Release
in Arterial Grafts 19
2.5 Endothelium Dependent Relaxation
and Hyperpolarization in Arterial Grafts 20
2.6 The Balance Between EDRFs and EDCFs 21
References 22
3 Clinical Physiology and Related Biological
Characteristics
G. W. He 24
3.1 Differences in Biological Characteristics
Between Venous and Arterial Grafts 24
3.2 Are There Any Differences Among Arterial
Grafts? 24
3.3 Biological Characteristics 25
References 29
4 Clinical Classification of Arterial Grafts
G. W. He, C. Q. Yang 31
4.1 Introduction 31
4.2 Clinical Classification 31
References 34
II Use of Vasodilators for Arterial Grafts
in Coronary Bypass Surgery
5 Pharmacological Studies and Guidelines
for the Use of Vasodilators for Arterial Grafts
G. W. He, C. Q. Yang 39
5.1 Pharmacological Studies 39
5.2 Factors Determining the Effects of Vasodilator
Substances 42
5.3 Guidelines for the Use of Vasodilators
for Arterial Grafts in CABG 44
References 44
III Myocardial Protection During Coronary
Bypass Surgery Using Arterial Grafts
6 Myocardial Management in Arterial
Revascularization
B.S. Allen, G.D. Buckberg 51
6.1 Cardioplegic Prerequisites 51
6.2 Cardioplegic Composition 52
6.3 Blood Cardioplegia 52
6.4 Operative Strategy 53
6.5 Cardioplegia Pressure 57
6.6 Retrograde Cardioplegia 57
6.7 Specific Issues with all Arterial Conduits .... 59
6.8 Reperfusion 59
6.9 Topical Hypothermia 60
6.10 Conclusions 61
References 61
7 Cardiac Protection from the Viewpoint
of Coronary Endothelial Function
Q. Yang, G. W. He 63
7.1 Possible Mechanisms Underlying the Damage
of Cardioplegia and Organ Preservation
on Endothelial Function 64
XII Contents
7.2 Influence of Cardioplegic and Organ
Preservation Solutions on Individual EDRFs 65
7.3 Influence of Different Components in
Cardioplegic and Organ Preservation
Solutions on Endothelial Function 65
7.4 Effect of Different Additives to Cardioplegic
or Organ Preservation Solutions on Endo¬
thelial Function 66
References 68
IV Percutaneous Coronary Interventions Versus
Coronary Artery Bypass Surgery
8 Needle or Knife? A Comparison Between
Percutaneous Coronary Interventions (Includ¬
ing Plain Balloon Angioplasty and Coronary
Stenting) and Coronary Artery Bypass Surgery
D.J. Drenth, P.W. Boonstra 73
8.1 Introduction 73
8.2 Percutaneous Coronary Interventions 73
8.3 Coronary Artery Bypass Grafting 73
8.4 PCI Versus CABG 74
8.5 Drug Eluting Stents 75
8.6 Revascularization Strategy 76
References 76
V Clinical Choice of Arterial Grafts
9 Considerations in the Choice of Arterial
Grafts
G. W. He 81
9.1 General Condition of the Patient 82
9.2 Biological Characteristics 82
9.3 Anatomy of the Coronary Artery 84
9.4 Vessel Match Between the Graft and the
Coronary Artery 84
9.5 Technical Considerations 84
9.6 Conclusion 84
References 84
VI Internal Thoracic Artery Grafting
10 History of Internal Thoracic Artery Grafting
and Alternative Arterial Grafts
M. Durairaj, B. Buxton 89
10.1 Early Direct Arterial Revascularization
Techniques 90
10.2 Coronary Arteriography 91
10.3 Saphenous Vein Coronary Artery Bypass 92
10.4 Internal Thoracic Artery Grafting 92
10.5 Expanded Use of the ITA Graft 92
10.6 Alternative Arterial Grafts 93
10.7 ITA Grafts and Minimally Invasive Coronary
Artery Bypass Grafting 93
10.8 The Future 93
References 94
11 Surgical Techniques for Internal Thoracic
Artery Grafting
S. Seevanayagam, B. Buxton 97
11.1 Introduction 97
11.2 Anatomy 97
11.3 Harvesting 97
11.4 Histology 100
11.5 Goals of Arterial Grafting 100
11.6 Grafting Strategy 101
11.7 Grafting Techniques 101
11.8 Beating Heart Bypass Surgery 103
11.9 Less Invasive Surgical Techniques 103
11.10 Conclusions 104
References 104
12 Long Term Results of Internal Thoracic
Artery Grafting
J.F. Sabik III, ED. Loop 105
12.1 Introduction 105
12.2 History 105
12.3 Patency 105
12.4 Survival 107
12.5 Freedom from Recurrent Ischemic Events 109
12.6 Conclusions 110
References 110
13 Bilateral Versus Unilateral Internal Thoracic
Artery in Coronary Bypass Grafting
E. Berreklouw, G. W. He 113
13.1 Introduction 113
13.2 History 113
13.3 Indications for Use of Bilateral ITAs 113
13.4 Relative Contraindications 114
13.5 Early Mortality 114
13.6 Myocardial Infarction 115
13.7 Late Results 119
13.8 Postoperative Flow Measurements 123
13.9 Late ECG Stress Testing 123
13.10 Late Blood Flow Studies 123
13.11 Late Patency Rates 124
13.12 Conclusions 125
References 125
14 Left Sided Myocardial Revascularization
with Bilateral Skeletonized Internal
Thoracic Artery
R. Mohr, A. Kramer 130
14.1 Introduction 130
14.2 Harvesting and Preparation of the
Skeletonized ITA 131
14.3 Strategies of Left Sided Arterial
Revascularization 132
14.4 Clinical Results 137
14.5 Comments 137
References 138
15 Free Compared with Pedided Right Internal
Thoracic Arteries for Coronary Artery Bypass
Grafting
J. Tatoulis, B.F. Buxton, J.A. Fuller 140
15.1 Introduction 140
15.2 Materials and Methods 140
15.3 Indications 141
15.4 Surgical Technique 141
15.5 Follow up 143
15.6 Results 143
15.7 Discussion 144
15.8 Conclusion 146
References 146
VII Radial Artery Grafting
16 History and Operative Technique
C. Acar 151
16.1 History 151
16.2 Preoperative Assessment 151
16.3 Operative Technique 153
References 155
17 Radial Artery Grafting: Clinical Antispastic
Protocols
G. W. He 156
17.1 GWH Protocol (Previously University of
Hong Kong Protocol) 157
17.2 Discussion 160
References 162
18 Radial Artery: Clinical Results
C. Acar 165
18.1 Early Results 165
18.2 Late Results 166
18.3 Conclusion 169
References 169
19 Angiographic Studies of the Radial
Artery Graft
C.A. Dietl 171
19.1 Introduction 171
19.2 Patients and Methods 171
19.3 Surgical Technique 171
19.4 Results 172
19.5 Angiographic Studies 172
19.6 Discussion 174
References 176
VIII Gastroepiploic Artery Grafting
20 Right Gastroepiploic Artery Grafting:
History and Operative Techniques
J. Pym 181
20.1 Introduction 181
20.2 Anatomy 181
Contents X
20.3 History 181
20.4 Harvesting Technique 184
20.5 Preparation of the Artery 187
20.6 Routing the Pedicle 187
20.7 Anastomotic Technique 188
20.8 Perioperative Management 191
20.9 Conclusion 191
References 191
21 The Right Gastroepiploic Artery Graft
H. Suma 193
21.1 Introduction 193
21.2 Clinical Results 193
References 195
22 Technique and Results for Skeletonized GEA
Using the Harmonic Scalpel in Combination
with Other Arterial Grafts in Off Pump
Coronary Bypass Surgery
T. Asai 196
22.1 History of GEA Skeletonization 196
22.2 A Technique for Skeletonizing GEA Using
the Harmonic Scalpel 197
22.3 Results of Skeletonized GEA in Combination
with Skeletonized IMA in OPCAB 199
22.4 Comments 200
References 200
IX Inferior Epigastric Artery Grafting
23 Inferior Epigastric Artery Grafting: History,
Anatomy and Surgical Techniques
L. Boro Puig, S. Almeida de Oliveira ... 203
23.1 Historical Note 203
23.2 Inferior Epigastric Artery 203
23.3 Anatomy of the Epigastric Artery 203
23.4 Surgical Technique 204
23.5 Postoperative Angiography 206
23.6 Remodeling of the IEA 206
23.7 Clinical Experience 207
References 207
24 Inferior Epigastric Artery Grafting:
Clinical Results
F. Dagenais, L.P. Perreault, M. Carrier 208
24.1 Introduction 208
24.2 Indications, Perioperative Mortality and
Myocardial Infarction Rate 208
24.3 Morbidity Related to IEA Harvesting 208
24.4 Patency Rates 209
24.5 Composite Grafts Using the IEA 210
24.6 Conclusion 210
References 211
XIV Contents
X Rarely or Possibly Used Arterial Grafting
25 Splenic Artery Grafting
B. Blakeman, J. Pickleman, G. W. He 215
25.1 Case Report 215
25.2 Technique 215
25.3 Use of the Splenic Artery Under Other
Situations 216
25.4 Discussion 217
25.5 Conclusion 217
References 217
26 Use of the Subscapular Thoracodorsal Artery
for Coronary Artery Bypass Grafting
G. W. He, N.L. Mills 218
26.1 Anatomical Notes 218
26.2 Historic Notes 218
26.3 Harvest of the Subscapular Artery 219
26.4 Cannulation 220
26.5 Clinical Notes 220
26.6 Comment 221
References 222
27 Inferior Mesenteric Artery Grafting
P. Shatapathy, B.K. Aggarwal 223
27.1 Introduction and Anatomic Considerations .. 223
27.2 Physiopathologic Considerations 224
27.3 Harvesting of Inferior Mesenteric Artery ... 225
27.4 Clinical Experience 226
27.5 Closing Comments 226
References 226
28 Ulnar Artery as a Coronary Artery Bypass
Graft: Five Year Experience
A. Newcomb, E. Oqueli, B.F. Buxton 227
28.1 Introduction 227
28.2 Anatomy 227
28.3 Patterns of Arterial Supply to the Forearm
and Hand 228
28.4 Surgical Technique 228
28.5 Results 230
28.6 Discussion 231
References 232
29 Descending Branch of Lateral Circumflex
Femoral Artery Grafting
T.O. Tatsumi, S. Minohara, K. Kondoh .. 233
29.1 Introduction 233
29.2 Anatomy 233
29.3 Surgical Procedure 234
29.4 Results 234
29.5 Comment 235
References 237
30 The Intercostal Artery: An Ideal Arterial
Graft Awaiting Clinical Application
L.C.H. John 238
30.1 History 238
30.2 Potential Advantages of Intercostal Arteries 238
30.3 Feasibility Studies 239
30.4 The Future 239
References 240
XI Arterial Grafting Using Complex Grafts
31 Complex Arterial Grafts: Operative Techniques
A.M. Calafiore, M. Di Mauro 243
31.1 Internal Mammary Artery 243
31.2 Right Gastroepiploic Artery 245
31.3 Inferior Epigastric Artery and Radial Artery 245
31.4 Inferior Epigastric Artery 245
31.5 Radial Artery 246
References 246
32 Complex Arterial Grafts: Clinical Results
A.M. Calafiore, M. Di Mauro 248
32.1 End to Side 248
32.2 End to End 248
32.3 End to Side/End to End 248
32.4 BIMA Y Graft 249
32.5 Radial Artery 250
32.6 Inferior Epigastric Artery 252
32.7 Conclusion 252
33 Internal Thoracic Artery T Grafting:
Operative Technique and Long Term Results
A.J. Tector 253
33.1 Introduction 253
33.2 Developments Leading to T Graft Technique 253
33.3 Advantages of ITA Grafts 253
33.4 Operative Technique 254
33.5 Failure of ITA Grafts 256
33.6 Demographics of T Graft Patients 257
33.7 Results 257
33.8 Comparison of Results 259
33.9 Comment 259
References 260
34 Internal Thoracic Artery and Radial Artery
T Grafting: Operative Technique and Long
Term Results
H.B. Barner 261
34.1 Radial Artery 261
34.2 Technique 261
34.3 Harvest Complications 263
34.4 Hypoperfusion 263
34.5 Results 264
34.6 Conduit Patency 264
34.7 Conclusions 264
References 265
XII Arterial Grafting in Reoperative Coronary
Artery Bypass Surgery
35 Role of Internal Thoracic Artery Grafts in
Reoperative Coronary Artery Bypass Surgery
J.F. Sabik III, B.W. Lytle 269
35.1 Introduction 269
35.2 Perioperative Risk of Internal Thoracic Artery
Grafting at Reoperation 269
35.3 Impact of Patent Internal Thoracic Artery
Grafts on Perioperative Risk 271
35.4 Internal Thoracic Artery Grafts and Survival
after Coronary Reoperation 273
35.5 Conclusions 274
References 274
XIII Quality Control of Arterial Grafting:
Early Detection of Graft Patency and Flow
36 Flow Capacity of Arterial Grafts: Internal
Thoracic Artery, Gastroepiploic Artery
and Other Grafts
M. Ochi 279
36.1 Internal Thoracic Arteries 279
36.2 Studies of Flow Reserve of the ITA 279
36.3 Effect of Competitive Flow on the ITA and
Remodeling 280
36.4 Capability of ITA to Respond to Flow
Demand 280
36.5 Effect of Skeletonization on the Flow Capacity
of the ITA 281
36.6 Right Gastroepiploic Artery 281
36.7 Pressure Characteristics of GEA 281
36.8 Adequate Size of the GEA as a Graft 281
36.9 Effect of Skeletonization on the Flow Capacity
of the GEA 283
References 283
37 Intraoperative Graft Evaluation in Coronary
Artery Bypass Grafting Using a 15 MHz
High Frequency Linear Transducer:
Maintaining the Comprehensive Quality
of Coronary Surgery
H. Nakajima, M. Komeda 285
37.1 Routine Evaluation of Graft, Artery
and Anastomosis 285
37.2 Troubleshooting with Anastomosis
in OPCAB 286
37.3 Revascularization of Intramuscular Coronary
Artery in OPCAB 286
References 288
Contents !
XIV Role of Venous Grafts in Arterial Grafting
38 Role of Venous Grafts in Combination
with Arterial Grafting
G. W. He 291
38.1 Introduction 291
38.2 Recent Reports on the Long Term Patency
of SVG 291
38.3 Methods to Improve SVG Patency 292
38.4 Use of SVG in Combination with Arterial
Grafts 293
38.5 Use of SVG in Minimally Invasive CABG ... 293
38.6 Surgical Strategy and Technique for the Use
of SVG 293
References 296
39 Minimally Invasive Saphenous Vein Harvest¬
ing for Coronary Artery Bypass Grafting
M.S. Slater 298
39.1 Introduction 298
39.2 Minimally Invasive Techniques for Saphenous
Vein Harvest 298
39.3 Limitations of Endoscopic Vein Harvest.... 299
39.4 Evolution and Technique of Endoscopic
Technique at Our Institution 301
39.5 Conclusion 301
References 302
40 Novel Strategies for the Prevention
of Vein Graft Failure
S. Wan, A.P.C. Yim, G.D. Angelini,
J.Y. Jeremy 303
40.1 Introduction 303
40.2 Mechanisms Underlying Neointima Forma¬
tion, Graft Thickening and Atherogenesis .. 303
40.3 External Dacron Stents and Biodegradable
Sheaths 305
40.4 Endothelin 1A Antagonists 306
40.5 Nitroaspirin 308
40.6 Antioxidant Therapy 308
40.7 Concluding Remarks 309
References 309
41 Gene Therapy for Vein Graft Disease
D.G. Cable, H.V. Schaff 311
41.1 Gene Therapy 311
41.2 Saphenous Vein Graft Disease 312
41.3 Vein Graft Gene Therapy 313
41.4 Candidate Genes 315
41.5 Future Directions 318
41.6 Conclusion 318
References 318
XVI Contents
XV Minimally Invasive Techniques in Arterial
Grafting
42 Minimally Invasive Coronary Artery Bypass
Surgery and the Role of Arterial Conduits
M.J. Mack 323
42.1 MIDCAB Procedure 323
42.2 Minimally Invasive CAB (Port Access) 324
42.3 Off Pump Coronary Artery Bypass Grafting
(OPCAB) 324
42.4 Multivessel Off Pump Limited Access
Surgery 327
42.5 Hybrid Procedure 327
42.6 Facilitating Technology for Minimally
Invasive Arterial Grafting 327
References 329
43 Off Pump Coronary Artery Bypass Grafting
Using Arterial Grafts
E. Buffolo, L.R. Gerola 331
43.1 Extracorporeal Circulation 331
43.2 When Can Myocardial Revascularization
Without Extracorporeal Circulation Be
Performed? 332
43.3 Arterial Grafts and Off Pump Myocardial
Revascularization 332
43.4 Operative Technique 333
43.5 Clinical Experience 334
References 335
44 Comparison of the Effect of On Pump and
Off Pump Coronary Artery Bypass Grafting
on Neurological Events
Y. Abu Omar, D.P. Taggart 337
44.1 Introduction 337
44.2 Stroke 337
44.3 Delirium 338
44.4 Cognitive Impairment 338
44.5 Conclusions 339
References 340
45 Closed Chest Cardiopulmonary Bypass and
Cardioplegia for Coronary Artery Bypass
Surgery: History and Development
J.I. Fann, T.A. Burdon 342
45.1 Introduction 342
45.2 History and Development 342
45.3 Closed Chest Cardiac Surgery and Robotics 345
45.4 Conclusions 348
References 348
Subject Index 351
|
| adam_txt |
Contents
Foreword by Denton A. Cooley VII
Preface IX
I Biological Characteristics of Arterial Grafts
1 Histology and Comparison of Arterial Grafts
Used for Coronary Surgery
J.A.M. van Son, F.M.M. Smedts, C. Q. Yang,
G. W. He 3
1.1 Internal Mammary Artery 3
1.2 Right Gastroepiploic Artery 7
1.3 Inferior Epigastric Artery 8
1.4 Radial Artery 9
1.5 Intercostal Artery 10
1.6 Comment 11
References 14
2 Endothelial Function and Interaction
Between the Endothelium and Smooth Muscle
in Arterial Grafts
G. W. He 17
2.1 Endothelium Derived Relaxing Factors 17
2.2 Endothelium Derived Contracting Factors . 17
2.3 Vasoconstrictors and Vasospasm in Arterial
Grafts 17
2.4 Vasoconstrictor Stimulated EDRF Release
in Arterial Grafts 19
2.5 Endothelium Dependent Relaxation
and Hyperpolarization in Arterial Grafts 20
2.6 The Balance Between EDRFs and EDCFs 21
References 22
3 Clinical Physiology and Related Biological
Characteristics
G. W. He 24
3.1 Differences in Biological Characteristics
Between Venous and Arterial Grafts 24
3.2 Are There Any Differences Among Arterial
Grafts? 24
3.3 Biological Characteristics 25
References 29
4 Clinical Classification of Arterial Grafts
G. W. He, C. Q. Yang 31
4.1 Introduction 31
4.2 Clinical Classification 31
References 34
II Use of Vasodilators for Arterial Grafts
in Coronary Bypass Surgery
5 Pharmacological Studies and Guidelines
for the Use of Vasodilators for Arterial Grafts
G. W. He, C. Q. Yang 39
5.1 Pharmacological Studies 39
5.2 Factors Determining the Effects of Vasodilator
Substances 42
5.3 Guidelines for the Use of Vasodilators
for Arterial Grafts in CABG 44
References 44
III Myocardial Protection During Coronary
Bypass Surgery Using Arterial Grafts
6 Myocardial Management in Arterial
Revascularization
B.S. Allen, G.D. Buckberg 51
6.1 Cardioplegic Prerequisites 51
6.2 Cardioplegic Composition 52
6.3 Blood Cardioplegia 52
6.4 Operative Strategy 53
6.5 Cardioplegia Pressure 57
6.6 Retrograde Cardioplegia 57
6.7 Specific Issues with all Arterial Conduits . 59
6.8 Reperfusion 59
6.9 Topical Hypothermia 60
6.10 Conclusions 61
References 61
7 Cardiac Protection from the Viewpoint
of Coronary Endothelial Function
Q. Yang, G. W. He 63
7.1 Possible Mechanisms Underlying the Damage
of Cardioplegia and Organ Preservation
on Endothelial Function 64
XII Contents
7.2 Influence of Cardioplegic and Organ
Preservation Solutions on Individual EDRFs 65
7.3 Influence of Different Components in
Cardioplegic and Organ Preservation
Solutions on Endothelial Function 65
7.4 Effect of Different Additives to Cardioplegic
or Organ Preservation Solutions on Endo¬
thelial Function 66
References 68
IV Percutaneous Coronary Interventions Versus
Coronary Artery Bypass Surgery
8 Needle or Knife? A Comparison Between
Percutaneous Coronary Interventions (Includ¬
ing Plain Balloon Angioplasty and Coronary
Stenting) and Coronary Artery Bypass Surgery
D.J. Drenth, P.W. Boonstra 73
8.1 Introduction 73
8.2 Percutaneous Coronary Interventions 73
8.3 Coronary Artery Bypass Grafting 73
8.4 PCI Versus CABG 74
8.5 Drug Eluting Stents 75
8.6 Revascularization Strategy 76
References 76
V Clinical Choice of Arterial Grafts
9 Considerations in the Choice of Arterial
Grafts
G. W. He 81
9.1 General Condition of the Patient 82
9.2 Biological Characteristics 82
9.3 Anatomy of the Coronary Artery 84
9.4 Vessel Match Between the Graft and the
Coronary Artery 84
9.5 Technical Considerations 84
9.6 Conclusion 84
References 84
VI Internal Thoracic Artery Grafting
10 History of Internal Thoracic Artery Grafting
and Alternative Arterial Grafts
M. Durairaj, B. Buxton 89
10.1 Early Direct Arterial Revascularization
Techniques 90
10.2 Coronary Arteriography 91
10.3 Saphenous Vein Coronary Artery Bypass 92
10.4 Internal Thoracic Artery Grafting 92
10.5 Expanded Use of the ITA Graft 92
10.6 Alternative Arterial Grafts 93
10.7 ITA Grafts and Minimally Invasive Coronary
Artery Bypass Grafting 93
10.8 The Future 93
References 94
11 Surgical Techniques for Internal Thoracic
Artery Grafting
S. Seevanayagam, B. Buxton 97
11.1 Introduction 97
11.2 Anatomy 97
11.3 Harvesting 97
11.4 Histology 100
11.5 Goals of Arterial Grafting 100
11.6 Grafting Strategy 101
11.7 Grafting Techniques 101
11.8 Beating Heart Bypass Surgery 103
11.9 Less Invasive Surgical Techniques 103
11.10 Conclusions 104
References 104
12 Long Term Results of Internal Thoracic
Artery Grafting
J.F. Sabik III, ED. Loop 105
12.1 Introduction 105
12.2 History 105
12.3 Patency 105
12.4 Survival 107
12.5 Freedom from Recurrent Ischemic Events 109
12.6 Conclusions 110
References 110
13 Bilateral Versus Unilateral Internal Thoracic
Artery in Coronary Bypass Grafting
E. Berreklouw, G. W. He 113
13.1 Introduction 113
13.2 History 113
13.3 Indications for Use of Bilateral ITAs 113
13.4 Relative Contraindications 114
13.5 Early Mortality 114
13.6 Myocardial Infarction 115
13.7 Late Results 119
13.8 Postoperative Flow Measurements 123
13.9 Late ECG Stress Testing 123
13.10 Late Blood Flow Studies 123
13.11 Late Patency Rates 124
13.12 Conclusions 125
References 125
14 Left Sided Myocardial Revascularization
with Bilateral Skeletonized Internal
Thoracic Artery
R. Mohr, A. Kramer 130
14.1 Introduction 130
14.2 Harvesting and Preparation of the
Skeletonized ITA 131
14.3 Strategies of Left Sided Arterial
Revascularization 132
14.4 Clinical Results 137
14.5 Comments 137
References 138
15 Free Compared with Pedided Right Internal
Thoracic Arteries for Coronary Artery Bypass
Grafting
J. Tatoulis, B.F. Buxton, J.A. Fuller 140
15.1 Introduction 140
15.2 Materials and Methods 140
15.3 Indications 141
15.4 Surgical Technique 141
15.5 Follow up 143
15.6 Results 143
15.7 Discussion 144
15.8 Conclusion 146
References 146
VII Radial Artery Grafting
16 History and Operative Technique
C. Acar 151
16.1 History 151
16.2 Preoperative Assessment 151
16.3 Operative Technique 153
References 155
17 Radial Artery Grafting: Clinical Antispastic
Protocols
G. W. He 156
17.1 GWH Protocol (Previously University of
Hong Kong Protocol) 157
17.2 Discussion 160
References 162
18 Radial Artery: Clinical Results
C. Acar 165
18.1 Early Results 165
18.2 Late Results 166
18.3 Conclusion 169
References 169
19 Angiographic Studies of the Radial
Artery Graft
C.A. Dietl 171
19.1 Introduction 171
19.2 Patients and Methods 171
19.3 Surgical Technique 171
19.4 Results 172
19.5 Angiographic Studies 172
19.6 Discussion 174
References 176
VIII Gastroepiploic Artery Grafting
20 Right Gastroepiploic Artery Grafting:
History and Operative Techniques
J. Pym 181
20.1 Introduction 181
20.2 Anatomy 181
Contents X
20.3 History 181
20.4 Harvesting Technique 184
20.5 Preparation of the Artery 187
20.6 Routing the Pedicle 187
20.7 Anastomotic Technique 188
20.8 Perioperative Management 191
20.9 Conclusion 191
References 191
21 The Right Gastroepiploic Artery Graft
H. Suma 193
21.1 Introduction 193
21.2 Clinical Results 193
References 195
22 Technique and Results for Skeletonized GEA
Using the Harmonic Scalpel in Combination
with Other Arterial Grafts in Off Pump
Coronary Bypass Surgery
T. Asai 196
22.1 History of GEA Skeletonization 196
22.2 A Technique for Skeletonizing GEA Using
the Harmonic Scalpel 197
22.3 Results of Skeletonized GEA in Combination
with Skeletonized IMA in OPCAB 199
22.4 Comments 200
References 200
IX Inferior Epigastric Artery Grafting
23 Inferior Epigastric Artery Grafting: History,
Anatomy and Surgical Techniques
L. Boro Puig, S. Almeida de Oliveira . 203
23.1 Historical Note 203
23.2 Inferior Epigastric Artery 203
23.3 Anatomy of the Epigastric Artery 203
23.4 Surgical Technique 204
23.5 Postoperative Angiography 206
23.6 Remodeling of the IEA 206
23.7 Clinical Experience 207
References 207
24 Inferior Epigastric Artery Grafting:
Clinical Results
F. Dagenais, L.P. Perreault, M. Carrier 208
24.1 Introduction 208
24.2 Indications, Perioperative Mortality and
Myocardial Infarction Rate 208
24.3 Morbidity Related to IEA Harvesting 208
24.4 Patency Rates 209
24.5 Composite Grafts Using the IEA 210
24.6 Conclusion 210
References 211
XIV Contents
X Rarely or Possibly Used Arterial Grafting
25 Splenic Artery Grafting
B. Blakeman, J. Pickleman, G. W. He 215
25.1 Case Report 215
25.2 Technique 215
25.3 Use of the Splenic Artery Under Other
Situations 216
25.4 Discussion 217
25.5 Conclusion 217
References 217
26 Use of the Subscapular Thoracodorsal Artery
for Coronary Artery Bypass Grafting
G. W. He, N.L. Mills 218
26.1 Anatomical Notes 218
26.2 Historic Notes 218
26.3 Harvest of the Subscapular Artery 219
26.4 Cannulation 220
26.5 Clinical Notes 220
26.6 Comment 221
References 222
27 Inferior Mesenteric Artery Grafting
P. Shatapathy, B.K. Aggarwal 223
27.1 Introduction and Anatomic Considerations . 223
27.2 Physiopathologic Considerations 224
27.3 Harvesting of Inferior Mesenteric Artery . 225
27.4 Clinical Experience 226
27.5 Closing Comments 226
References 226
28 Ulnar Artery as a Coronary Artery Bypass
Graft: Five Year Experience
A. Newcomb, E. Oqueli, B.F. Buxton 227
28.1 Introduction 227
28.2 Anatomy 227
28.3 Patterns of Arterial Supply to the Forearm
and Hand 228
28.4 Surgical Technique 228
28.5 Results 230
28.6 Discussion 231
References 232
29 Descending Branch of Lateral Circumflex
Femoral Artery Grafting
T.O. Tatsumi, S. Minohara, K. Kondoh . 233
29.1 Introduction 233
29.2 Anatomy 233
29.3 Surgical Procedure 234
29.4 Results 234
29.5 Comment 235
References 237
30 The Intercostal Artery: An "Ideal" Arterial
Graft Awaiting Clinical Application
L.C.H. John 238
30.1 History 238
30.2 Potential Advantages of Intercostal Arteries 238
30.3 Feasibility Studies 239
30.4 The Future 239
References 240
XI Arterial Grafting Using Complex Grafts
31 Complex Arterial Grafts: Operative Techniques
A.M. Calafiore, M. Di Mauro 243
31.1 Internal Mammary Artery 243
31.2 Right Gastroepiploic Artery 245
31.3 Inferior Epigastric Artery and Radial Artery 245
31.4 Inferior Epigastric Artery 245
31.5 Radial Artery 246
References 246
32 Complex Arterial Grafts: Clinical Results
A.M. Calafiore, M. Di Mauro 248
32.1 End to Side 248
32.2 End to End 248
32.3 End to Side/End to End 248
32.4 BIMA Y Graft 249
32.5 Radial Artery 250
32.6 Inferior Epigastric Artery 252
32.7 Conclusion 252
33 Internal Thoracic Artery T Grafting:
Operative Technique and Long Term Results
A.J. Tector 253
33.1 Introduction 253
33.2 Developments Leading to T Graft Technique 253
33.3 Advantages of ITA Grafts 253
33.4 Operative Technique 254
33.5 Failure of ITA Grafts 256
33.6 Demographics of T Graft Patients 257
33.7 Results 257
33.8 Comparison of Results 259
33.9 Comment 259
References 260
34 Internal Thoracic Artery and Radial Artery
T Grafting: Operative Technique and Long
Term Results
H.B. Barner 261
34.1 Radial Artery 261
34.2 Technique 261
34.3 Harvest Complications 263
34.4 Hypoperfusion 263
34.5 Results 264
34.6 Conduit Patency 264
34.7 Conclusions 264
References 265
XII Arterial Grafting in Reoperative Coronary
Artery Bypass Surgery
35 Role of Internal Thoracic Artery Grafts in
Reoperative Coronary Artery Bypass Surgery
J.F. Sabik III, B.W. Lytle 269
35.1 Introduction 269
35.2 Perioperative Risk of Internal Thoracic Artery
Grafting at Reoperation 269
35.3 Impact of Patent Internal Thoracic Artery
Grafts on Perioperative Risk 271
35.4 Internal Thoracic Artery Grafts and Survival
after Coronary Reoperation 273
35.5 Conclusions 274
References 274
XIII Quality Control of Arterial Grafting:
Early Detection of Graft Patency and Flow
36 Flow Capacity of Arterial Grafts: Internal
Thoracic Artery, Gastroepiploic Artery
and Other Grafts
M. Ochi 279
36.1 Internal Thoracic Arteries 279
36.2 Studies of Flow Reserve of the ITA 279
36.3 Effect of Competitive Flow on the ITA and
Remodeling 280
36.4 Capability of ITA to Respond to Flow
Demand 280
36.5 Effect of Skeletonization on the Flow Capacity
of the ITA 281
36.6 Right Gastroepiploic Artery 281
36.7 Pressure Characteristics of GEA 281
36.8 Adequate Size of the GEA as a Graft 281
36.9 Effect of Skeletonization on the Flow Capacity
of the GEA 283
References 283
37 Intraoperative Graft Evaluation in Coronary
Artery Bypass Grafting Using a 15 MHz
High Frequency Linear Transducer:
Maintaining the Comprehensive Quality
of Coronary Surgery
H. Nakajima, M. Komeda 285
37.1 Routine Evaluation of Graft, Artery
and Anastomosis 285
37.2 Troubleshooting with Anastomosis
in OPCAB 286
37.3 Revascularization of Intramuscular Coronary
Artery in OPCAB 286
References 288
Contents !
XIV Role of Venous Grafts in Arterial Grafting
38 Role of Venous Grafts in Combination
with Arterial Grafting
G. W. He 291
38.1 Introduction 291
38.2 Recent Reports on the Long Term Patency
of SVG 291
38.3 Methods to Improve SVG Patency 292
38.4 Use of SVG in Combination with Arterial
Grafts 293
38.5 Use of SVG in Minimally Invasive CABG . 293
38.6 Surgical Strategy and Technique for the Use
of SVG 293
References 296
39 Minimally Invasive Saphenous Vein Harvest¬
ing for Coronary Artery Bypass Grafting
M.S. Slater 298
39.1 Introduction 298
39.2 Minimally Invasive Techniques for Saphenous
Vein Harvest 298
39.3 Limitations of Endoscopic Vein Harvest. 299
39.4 Evolution and Technique of Endoscopic
Technique at Our Institution 301
39.5 Conclusion 301
References 302
40 Novel Strategies for the Prevention
of Vein Graft Failure
S. Wan, A.P.C. Yim, G.D. Angelini,
J.Y. Jeremy 303
40.1 Introduction 303
40.2 Mechanisms Underlying Neointima Forma¬
tion, Graft Thickening and Atherogenesis . 303
40.3 External Dacron Stents and Biodegradable
Sheaths 305
40.4 Endothelin 1A Antagonists 306
40.5 Nitroaspirin 308
40.6 Antioxidant Therapy 308
40.7 Concluding Remarks 309
References 309
41 Gene Therapy for Vein Graft Disease
D.G. Cable, H.V. Schaff 311
41.1 Gene Therapy 311
41.2 Saphenous Vein Graft Disease 312
41.3 Vein Graft Gene Therapy 313
41.4 Candidate Genes 315
41.5 Future Directions 318
41.6 Conclusion 318
References 318
XVI Contents
XV Minimally Invasive Techniques in Arterial
Grafting
42 Minimally Invasive Coronary Artery Bypass
Surgery and the Role of Arterial Conduits
M.J. Mack 323
42.1 MIDCAB Procedure 323
42.2 Minimally Invasive CAB (Port Access) 324
42.3 Off Pump Coronary Artery Bypass Grafting
(OPCAB) 324
42.4 Multivessel Off Pump Limited Access
Surgery 327
42.5 Hybrid Procedure 327
42.6 Facilitating Technology for Minimally
Invasive Arterial Grafting 327
References 329
43 Off Pump Coronary Artery Bypass Grafting
Using Arterial Grafts
E. Buffolo, L.R. Gerola 331
43.1 Extracorporeal Circulation 331
43.2 When Can Myocardial Revascularization
Without Extracorporeal Circulation Be
Performed? 332
43.3 Arterial Grafts and Off Pump Myocardial
Revascularization 332
43.4 Operative Technique 333
43.5 Clinical Experience 334
References 335
44 Comparison of the Effect of On Pump and
Off Pump Coronary Artery Bypass Grafting
on Neurological Events
Y. Abu Omar, D.P. Taggart 337
44.1 Introduction 337
44.2 Stroke 337
44.3 Delirium 338
44.4 Cognitive Impairment 338
44.5 Conclusions 339
References 340
45 Closed Chest Cardiopulmonary Bypass and
Cardioplegia for Coronary Artery Bypass
Surgery: History and Development
J.I. Fann, T.A. Burdon 342
45.1 Introduction 342
45.2 History and Development 342
45.3 Closed Chest Cardiac Surgery and Robotics 345
45.4 Conclusions 348
References 348
Subject Index 351 |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author2 | He, Guo-Wei |
| author2_role | edt |
| author2_variant | g w h gwh |
| author_facet | He, Guo-Wei |
| building | Verbundindex |
| bvnumber | BV022298341 |
| classification_rvk | YI 8000 |
| classification_tum | MED 000 |
| collection | ZDB-2-SME ZDB-1-SMI |
| ctrlnum | (OCoLC)850798020 (DE-599)BVBBV022298341 |
| discipline | Medizin |
| discipline_str_mv | Medizin |
| doi_str_mv | 10.1007/3-540-30084-8 |
| edition | 2. ed. |
| format | Electronic eBook |
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| index_date | 2024-07-02T16:54:12Z |
| indexdate | 2025-02-20T07:03:24Z |
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| isbn | 9783540300847 |
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| spellingShingle | Arterial grafting for coronary artery bypass surgery Arterienersatz (DE-588)4233667-3 gnd Aortokoronarer Bypass (DE-588)4199054-7 gnd Koronare Herzkrankheit (DE-588)4073731-7 gnd |
| subject_GND | (DE-588)4233667-3 (DE-588)4199054-7 (DE-588)4073731-7 (DE-588)4143413-4 |
| title | Arterial grafting for coronary artery bypass surgery |
| title_auth | Arterial grafting for coronary artery bypass surgery |
| title_exact_search | Arterial grafting for coronary artery bypass surgery |
| title_exact_search_txtP | Arterial grafting for coronary artery bypass surgery |
| title_full | Arterial grafting for coronary artery bypass surgery Guo-Wei He (ed.). With contributions by Floyd D. Loop ... |
| title_fullStr | Arterial grafting for coronary artery bypass surgery Guo-Wei He (ed.). With contributions by Floyd D. Loop ... |
| title_full_unstemmed | Arterial grafting for coronary artery bypass surgery Guo-Wei He (ed.). With contributions by Floyd D. Loop ... |
| title_short | Arterial grafting for coronary artery bypass surgery |
| title_sort | arterial grafting for coronary artery bypass surgery |
| topic | Arterienersatz (DE-588)4233667-3 gnd Aortokoronarer Bypass (DE-588)4199054-7 gnd Koronare Herzkrankheit (DE-588)4073731-7 gnd |
| topic_facet | Arterienersatz Aortokoronarer Bypass Koronare Herzkrankheit Aufsatzsammlung |
| url | https://doi.org/10.1007/3-540-30084-8 http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=015508380&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT heguowei arterialgraftingforcoronaryarterybypasssurgery AT loopfloydd arterialgraftingforcoronaryarterybypasssurgery |