JTCS Sign the Guestbook
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Hisayoshi Suma
Tadashi Isomura
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Suma, H.
Right arrow Articles by Sato, T.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Suma, H.
Right arrow Articles by Sato, T.

J Thorac Cardiovasc Surg 2000;120:496-498
© 2000 The American Association for Thoracic Surgery

Surgery for Acquired Cardiovascular Disease

Late angiographic result of using the right gastroepiploic artery as a graft

Hisayoshi Suma, MD, Tadashi Isomura, MD, Taiko Horii, MD, Toru Sato, MD

From the Department of Cardiovascular Surgery, Shonan Kamakura General Hospital, Yamazaki, Kamakura, Kanagawa, Japan.

Address for reprints: Hisayoshi Suma, MD, Hayama Heart Center, 1898 Shimoyamaguchi, Hayama, Kanagawa, 240-0116 Japan (E-mail: HisaSuma{at}NetLaputa.ne.jp ).

Objective: The angiographic patency of the right gastroepiploic artery graft used for coronary artery bypass grafting was studied during the late (5-10 years) postoperative period.
Methods: Among 936 patients undergoing a gastroepiploic artery graft for coronary artery bypass grafting between 1986 and 1999, postoperative angiographic restudy was conducted on 685 patients within 1 year (mean, 2.2 months), on 102 patients between 1 and 5 years (mean, 2.3 years), and on 52 patients between 5 and 10 years (mean, 7.8 years).
Results: The patency rate of the gastroepiploic artery graft was 94%, 88%, and 83% in each restudy group. The cumulative patency rate estimated by the Kaplan-Meier method was 96.6% at 1 month, 91.4% at 1 year, 80.5% at 5 years, and 62.5% at 10 years. Causes of late occlusion were primary anastomotic stenosis and anastomosis to a less critically stenosed coronary artery. Once the gastroepiploic artery was perfectly anastomosed to the coronary artery, which has tight stenosis and good runoff, late patency was good, and new stenosis in both the gastroepiploic artery trunk and the anastomotic site was uncommon.
Conclusion: The gastroepiploic artery graft can be used effectively for coronary artery bypass for the long term with proper target selection.




This article has been cited by other articles:


Home page
 ICVTSHome page
G. Watanabe, S. Yamaguchi, S. Tomiya, and H. Ohtake
Awake subxyphoid minimally invasive direct coronary artery bypass grafting yielded minimum invasive cardiac surgery for high risk patients
Interactive CardioVascular and Thoracic Surgery, October 1, 2008; 7(5): 910 - 912.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
D. Glineur, C. Hanet, A. Poncelet, W. D'hoore, J.-C. Funken, J. Rubay, P. Astarci, V. Lacroix, R. Verhelst, P. Y. Etienne, et al.
Comparison of saphenous vein graft versus right gastroepiploic artery to revascularize the right coronary artery: a prospective randomized clinical, functional, and angiographic midterm evaluation.
J. Thorac. Cardiovasc. Surg., August 1, 2008; 136(2): 482 - 488.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Eda, A. Matsuura, K. Miyahara, H. Takemura, S. Sawaki, T. Yoshioka, and N. Yoshida
Transplantation of the Free Gastroepiploic Artery Graft for Myocardial Revascularization: Long-Term Clinical and Angiographic Results
Ann. Thorac. Surg., March 1, 2008; 85(3): 880 - 884.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. J.G.M. Veeger, G. F. Panday, A. A. Voors, J. G. Grandjean, J. van der Meer, and P. W. Boonstra
Excellent Long-Term Clinical Outcome After Coronary Artery Bypass Surgery Using Three Pedicled Arterial Grafts in Patients With Three-Vessel Disease
Ann. Thorac. Surg., February 1, 2008; 85(2): 508 - 512.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
D. Glineur, W. D'hoore, G. El Khoury, S. Sondji, G. Kalscheuer, J.-C. Funken, J. Rubay, A. Poncelet, P. Astarci, R. Verhelst, et al.
Angiographic Predictors of 6-Month Patency of Bypass Grafts Implanted to the Right Coronary Artery: A Prospective Randomized Comparison of Gastroepiploic Artery and Saphenous Vein Grafts
J. Am. Coll. Cardiol., January 15, 2008; 51(2): 120 - 125.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
J. F. Sabik III and E. H. Blackstone
Coronary Artery Bypass Graft Patency and Competitive Flow
J. Am. Coll. Cardiol., January 15, 2008; 51(2): 126 - 128.
[Full Text] [PDF]

Home page
 Card Surg AdultHome page
E. Gongora and T. M. Sundt III
Myocardial Revascularization with Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632.
[Full Text]

Home page
 CirculationHome page
H. Suma, H. Tanabe, A. Takahashi, T. Horii, T. Isomura, H. Hirose, and A. Amano
Twenty Years Experience With the Gastroepiploic Artery Graft for CABG
Circulation, September 11, 2007; 116(11_suppl): I-188 - I-191.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
P. G. Malvindi, S. Jacob, A. Kallikourdis, and N. Vitale
What is the patency of the gastroepiploic artery when used for coronary artery bypass grafting?
Interactive CardioVascular and Thoracic Surgery, June 1, 2007; 6(3): 397 - 402.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Esaki, T. Koshiji, M. Okamoto, M. Tsukashita, T. Ikuno, and R. Sakata
Gastroepiploic Artery Grafting Does Not Improve the Late Outcome in Patients With Bilateral Internal Thoracic Artery Grafting
Ann. Thorac. Surg., March 1, 2007; 83(3): 1024 - 1029.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
Y. Soga, S. Takai, H. Okabayashi, A. Nagasawa, T. Yokota, K. Nishimura, M. Miyazaki, and M. Komeda
Human gastroepiploic artery has greater chymase activity than the internal thoracic artery
Eur. J. Cardiothorac. Surg., December 1, 2006; 30(6): 877 - 880.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. B. Barner
Status of percutaneous coronary intervention and coronary artery bypass.
Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 419 - 424.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Minakawa, I. Fukuda, M. Wada, J. Kaiqiang, K. Daitoku, K. Itoh, and K. Fukui
Preoperative evaluation of the right gastroepiploic artery using abdominal ultrasonography.
Ann. Thorac. Surg., September 1, 2006; 82(3): 1131 - 1133.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H.-G. Ryu, J.-H. Bahk, and K.-B. Kim
Sympathetic stimulation increases the blood flow through the in situ right gastroepiploic artery graft after off-pump coronary artery bypass graft surgery.
Eur. J. Cardiothorac. Surg., June 1, 2006; 29(6): 948 - 951.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
K.-B. Kim, K. R. Cho, J.-S. Choi, and H.-J. Lee
Right Gastroepiploic Artery for Revascularization of the Right Coronary Territory in Off-Pump Total Arterial Revascularization: Strategies to Improve Patency
Ann. Thorac. Surg., June 1, 2006; 81(6): 2135 - 2141.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
H. Kitamura, H. Okabayashi, M. Hanyu, Y. Soga, T. Nomoto, H. Johno, J. Nakano, T. Matsuo, M. Kai, and E. Umehara
Early and midterm patency of the proximal anastomoses of saphenous vein grafts made with a Symmetry Aortic Connector System
J. Thorac. Cardiovasc. Surg., October 1, 2005; 130(4): 1028 - 1031.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Fukui, S. Takanashi, Y. Hosoda, and S. Suehiro
Total Arterial Myocardial Revascularization Using Composite and Sequential Grafting With the Off-Pump Technique
Ann. Thorac. Surg., August 1, 2005; 80(2): 579 - 585.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S.-W. Ryu, B.-H. Ahn, S.-J. Choo, K.-J. Na, Y.-K. Ahn, M.-H. Jeong, and S.-H. Kim
Skeletonized Gastroepiploic Artery as a Composite Graft for Total Arterial Revascularization
Ann. Thorac. Surg., July 1, 2005; 80(1): 118 - 123.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Shimizu, H. Suesada, M. Cho, S. Ito, K. Ikeda, and S. Ishimaru
Flow Capacity of Gastroepiploic Artery Versus Vein Grafts for Intermediate Coronary Artery Stenosis
Ann. Thorac. Surg., July 1, 2005; 80(1): 124 - 130.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Glineur, P. Noirhomme, A. Poncelet, C. Hanet, P. Astarci, R. Verhelst, P. Y. Etienne, and G. El Khoury
Gastroepiploic Artery Minimally Invasive Grafting in Reoperative Patients With Patent Mammaries
Ann. Thorac. Surg., May 1, 2005; 79(5): 1606 - 1609.
[Abstract] [Full Text] [PDF]

Home page
 MMCTSHome page
H. Suma and T. Isomura
The right gastroepiploic artery graft
MMCTS, April 25, 2005; 2005(0425): 802.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. Pevni, G. Uretzky, P. Yosef, B. Gal Yanay, I. Shapira, N. Nesher, R. Braunshtein, and R. Mohr
Revascularization of the Right Coronary Artery in Bilateral Internal Thoracic Artery Grafting
Ann. Thorac. Surg., February 1, 2005; 79(2): 564 - 569.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M.-H. Song, T. Ito, T. Watanabe, and H. Nakamura
Multidetector Computed Tomography Versus Coronary Angiogram in Evaluation of Coronary Artery Bypass Grafts
Ann. Thorac. Surg., February 1, 2005; 79(2): 585 - 588.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
F. Formica, O. Ferro, P. Greco, A. Martino, D. Gastaldi, and G. Paolini
Long-term follow-up of total arterial myocardial revascularization using exclusively pedicle bilateral internal thoracic artery and right gastroepiploic artery
Eur. J. Cardiothorac. Surg., December 1, 2004; 26(6): 1141 - 1148.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Kamiya, G. Watanabe, H. Takemura, S. Tomita, H. Nagamine, and T. Kanamori
Skeletonization of gastroepiploic artery graft in off-pump coronary artery bypass grafting: early clinical and angiographic assessment
Ann. Thorac. Surg., June 1, 2004; 77(6): 2046 - 2050.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
T. Shimizu, S. Ito, Y. Kikuchi, M. Misaka, T. Hirayama, S. Ishimaru, and A. Yamashina
Arterial conduit shear stress following bypass grafting for intermediate coronary artery stenosis: a comparative study with saphenous vein grafts
Eur. J. Cardiothorac. Surg., April 1, 2004; 25(4): 578 - 584.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. Tavilla, A. P. Kappetein, J. Braun, J. Gopie, A. T. J. Tjien, and R. A. E. Dion
Long-term follow-up of coronary artery bypass grafting in three-vessel disease using exclusively pedicled bilateral internal thoracic and right gastroepiploic arteries
Ann. Thorac. Surg., March 1, 2004; 77(3): 794 - 799.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. Tatoulis, B. F. Buxton, and J. A. Fuller
Patencies of 2,127 arterial to coronary conduits over 15 years
Ann. Thorac. Surg., January 1, 2004; 77(1): 93 - 101.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. Lev-Ran, R. Mohr, G. Uretzky, D. Pevni, C. Locker, Y. Paz, and I. Shapira
Graft of choice to right coronary system in left-sided bilateral internal thoracic artery grafting
Ann. Thorac. Surg., January 1, 2003; 75(1): 88 - 92.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Asai and S. Tabata
Skeletonization of the right gastroepiploic artery using an ultrasonic scalpel
Ann. Thorac. Surg., November 1, 2002; 74(5): 1715 - 1717.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Suma
Arterial conduits for coronary artery bypass grafting: a bridge over troubled water
Ann. Thorac. Surg., May 1, 2002; 73(5): 1366 - 1367.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. Hirose, A. Amano, S. Takanashi, and A. Takahashi
Coronary artery bypass grafting using the gastroepiploic artery in 1,000 patients
Ann. Thorac. Surg., May 1, 2002; 73(5): 1371 - 1379.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
J. B. Christensen, J. T. Lund, E. Kassis, and H. Kelbaek
Complete arterial coronary revascularisation using radial artery conduit for double thoracic artery inlet flow: arterial sling operation
Eur. J. Cardiothorac. Surg., March 1, 2002; 21(3): 391 - 394.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
O. Chavanon, M. Durand, R. Hacini, H. Bouvaist, M. Noirclerc, T. Ayad, and D. Blin
Coronary artery bypass grafting with left internal mammary artery and right gastroepiploic artery, with and without bypass
Ann. Thorac. Surg., February 1, 2002; 73(2): 499 - 504.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
H. S. Lee, Y. T. Kwak, Y. N. Youn, H. D. Park, and B. C. Chang
Flow Competition of Right Gastroepiploic Artery Graft
Asian Cardiovasc Thorac Ann, December 1, 2001; 9(4): 264 - 268.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. B. Barner
Invited commentary
Ann. Thorac. Surg., April 1, 2001; 71(4): 1209 - 1209.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2000 by The American Association for Thoracic Surgery.