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Radial-artery vs saphenous-vein grafts for sequential coronary bypass grafting as a second conduit for the left coronary territory
http://hdl.handle.net/10271/00004341
http://hdl.handle.net/10271/00004341226cd2a7-0576-48e8-8929-4429ea76e55c
| 名前 / ファイル | ライセンス | アクション |
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GTCS-70-862.pdf (854.1 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||
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| 公開日 | 2023-04-10 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | Radial-artery vs saphenous-vein grafts for sequential coronary bypass grafting as a second conduit for the left coronary territory | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | sequential bypass | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | coronary artery bypass grafting | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | radial artery | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | saphenous vein | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 主題 | left coronary territory | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| 著者 |
Kando, Yumi
× Kando, Yumi
× Shiiya, Norihiko
× Tsuda, Kazumasa
× Washiyama, Naoki
× Takahashi, Daisuke
× Yamashita, Katsushi
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| 書誌情報 |
General Thoracic and Cardiovascular Surgery 巻 70, 号 10, p. 862-870, 発行日 2022-10 |
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| 出版者 | ||||||||||||||||||
| 出版者 | Springer Nature | |||||||||||||||||
| 出版者 | ||||||||||||||||||
| 出版者 | 日本胸部外科学会 = The Japanese Association for Thoracic Surgery | |||||||||||||||||
| 権利 | ||||||||||||||||||
| 権利情報 | This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s11748-022-01823-5 | |||||||||||||||||
| 抄録 | ||||||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||||||
| 内容記述 | Objective Although the radial artery graft has an adaptive property to flow demand, its flow characteristics in aorto-coronary sequential bypass grafting are not well elucidated. We evaluated the differences between the vein and radial artery grafts in the patency and the transit time flow meter-derived parameters (flow and pulsatile index), according to the stenosis rate of terminal target vessels and the number of anastomoses, in sequential bypass grafting to the left coronary territories as a second conduit. Methods We analyzed 222 patients who underwent isolated on pump beating coronary artery bypass grafting with an aorto-coronary bypass to the left coronary territory. The patients were divided into radial artery group (n=154) and vein graft group (n=68). Sequential bypass was performed 1n 171 patients (127 radial arteries, 44 veins). Results Flow of the radial artery grafts was lower than that of the vein grafts (40.9±22.3 vs 47.5±23.8mL/min, p=0.044), while it became higher as the number of anastomoses per graft increased (1: 28.9±16.3 vs 2: 40.9±19.9 vs 3: 55.8±27.5, p<0.001). The patency of radial artery grafts was better than that of vein grafts (98.0% vs 92.6%, p=0.010; p<0.001 after propensity score weighting). Conclusions Although intraoperative flow rate of the radial artery graft is lower, it has sufficient flow reserve for sequential bypass grafting, and its early patency is high enough. Radial artery is suitable for sequential bypass grafting to the left coronary territories as a second arterial conduit. |
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| 注記 | ||||||||||||||||||
| 内容記述 | 雑誌掲載タイトル：Radial artery vs saphenous vein grafts for sequential coronary bypass grafting as a second conduit for the left coronary territory | |||||||||||||||||
| ISSN | ||||||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||||||
| 収録物識別子 | 1863-6705 | |||||||||||||||||
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| 収録物識別子タイプ | ISSN | |||||||||||||||||
| 収録物識別子 | 1863-6713 | |||||||||||||||||
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| 収録物識別子タイプ | NCID | |||||||||||||||||
| 収録物識別子 | AA12201344 | |||||||||||||||||
| PubMed番号 | ||||||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||||||
| 識別子タイプ | PMID | |||||||||||||||||
| 関連識別子 | 35469364 | |||||||||||||||||
| 出版社DOI | ||||||||||||||||||
| 関連タイプ | isVersionOf | |||||||||||||||||
| 識別子タイプ | DOI | |||||||||||||||||
| 関連識別子 | 10.1007/s11748-022-01823-5 | |||||||||||||||||
| 著者版フラグ | ||||||||||||||||||
| 出版タイプ | AM | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||||||||||||||
