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Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock
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[Total and partial arterial revascularization]

Arūnas Valaika1, Giedrius Uzdavinys, Gediminas Norkūnas

  • 1Heart Surgery Center of Vilnius University, Santariskiu 2, 2021 Vilnius, Lithuania. avalaika@yahoo.com

Medicina (Kaunas, Lithuania)
|February 1, 2003
PubMed

Insights

Internal thoracic arteries and radial artery grafts show superior patency rates compared to saphenous vein grafts in coronary revascularization patients. Arterial grafts are a better choice than venous grafts in the midterm period.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Grafting
  • Coronary Artery Bypass Grafting

Background:

  • Long-term studies indicate superior patency rates for internal thoracic arteries compared to saphenous vein grafts.
  • Coronary revascularization frequently utilizes arterial and venous grafts.
  • Graft choice impacts long-term patient outcomes.

Purpose of the Study:

  • To evaluate the late (1-4 years) results of arterial (internal thoracic arteries, radial artery) and venous (saphenous veins) grafts.
  • To compare the patency rates of different graft types in patients undergoing coronary revascularization.
  • To assess the efficacy of arterial versus venous grafts in midterm follow-up.

Main Methods:

  • Prospective study involving 405 patients undergoing coronary revascularization from April 1997 to June 2002.
  • Follow-up control of 122 patients at 3-36 months post-operation.
  • Angiographic investigation of 27 symptomatic patients at an average of 17.6 months.

Main Results:

  • Internal thoracic arteries demonstrated a 93% patency rate.
  • Radial artery grafts showed a 79% patency rate.
  • Saphenous vein grafts exhibited a 62% patency rate.

Conclusions:

  • Arterial grafts (internal thoracic arteries and radial artery) are superior to venous grafts (saphenous veins) in the midterm period.
  • The findings support the use of arterial grafts for enhanced long-term patency in coronary revascularization.
  • Graft selection significantly influences patient outcomes after coronary bypass surgery.
Abstract

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