Long-term results of the radial artery used for myocardial revascularization

Mario Fulvio Luigi Gaudino, Carlo Trani, Franco Glieca, Nicola Luciani, Francesco Prati, Francesco Alessandrini, Giovanni Schiavoni

Risultato della ricerca: Contributo in rivistaArticolo in rivista

178 Citazioni (Scopus)

Abstract

Background - No information is available on the long-term results of radial artery (RA) grafts used as coronary artery bypass conduits. Methods and Results - In this report, we describe the long-term (105±9 months) angiographic results of a series of 90 consecutive patients in whom the RA was used as a coronary artery bypass conduit directly anastomosed to the ascending aorta. The long-term patency and perfect patency rates of the RA were 91.6% and 88%, respectively, versus 97.5% and 96.3% for internal thoracic artery grafts. The severity of stenosis of the target vessel clearly influenced long-term RA patency, whereas location of the target vessel and long-term use of calcium channel blockers did not influence angiographic results. Preserved endothelial function and absence of flow-limiting, fibrous, intimal hyperplasia were also documented. Conclusions - Ten years after surgery, RA grafts have excellent patency and perfect patency rates. Appropriate surgical technique and correct indication are the key factors for long-term RA patency.
Lingua originaleEnglish
pagine (da-a)1350-1354
Numero di pagine5
RivistaCirculation
Volume108
DOI
Stato di pubblicazionePubblicato - 2003

Keywords

  • Artery
  • Bypass
  • Calcium Channel Blockers
  • Coronary Angiography
  • Coronary Artery Bypass
  • Coronary Disease
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Radial Artery
  • Revascularization
  • Surgery
  • Treatment Outcome
  • Ultrasonography

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