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Published on: March 27, 2018
The use of gastroepiploic artery for coronary artery bypass surgery
Sujit Banyatpiyaphod1, Kitipan Visudharom, Vibul Jotisakulratana
1Bangkok Heart Institute, Bangkok Hospital, Bangkok 10320, Thailand.
Insights
The right gastroepiploic artery (GEA) offers a promising alternative arterial conduit for coronary artery bypass surgery, demonstrating better long-term patency compared to traditional vein grafts. This review highlights its growing popularity and effectiveness in all-arterial bypass procedures.
Area of Science:
- Cardiovascular Surgery
- Vascular Biology
- Surgical Innovation
Background:
- Coronary heart disease necessitates bypass surgery, often using grafts.
- Saphenous vein grafts have a high occlusion rate (over 50% at 10 years).
- Arterial conduits like internal mammary and radial arteries are established alternatives.
Purpose of the Study:
- To review current literature on the right gastroepiploic artery (GEA) as a coronary bypass conduit.
- To present institutional experience with GEA utilization.
- To evaluate GEA's potential for improved long-term graft patency.
Main Methods:
- Literature review of recent reports on GEA in coronary bypass.
- Analysis of institutional surgical case data involving GEA.
- Comparison of GEA outcomes with other arterial and venous conduits.
Main Results:
- The right gastroepiploic artery (GEA) is increasingly favored by cardiac surgeons.
- GEA can be combined with other arterial grafts for 'all-arterial' bypass.
- GEA shows potential for superior long-term patency rates.
Conclusions:
- The right gastroepiploic artery (GEA) is a viable and effective arterial conduit for coronary artery bypass grafting.
- All-arterial bypass surgery utilizing GEA may offer enhanced long-term graft patency.
- GEA represents a valuable option in the surgical treatment of coronary heart disease.
Abstract:
The use of arterial conduits in surgical treatment of coronary heart disease has been widely used. As we all know that saphenous vein graft occluded more than 50 per cent after 10 years. Most arterial conduits come from internal mammary artery, radial artery than been used for decades. Another arterial conduit, the right gastroepiploic artery (GEA), is now more popular among cardiac surgeons. This artery can be used along with other arterial conduit for "all arterial coronary bypass surgery" with better long-term patency. We reviewed the recent reports on GEA and to add on our experience on this subject.
