Related Experiment Video

Updated: Aug 24, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Angioplasty of the internal thoracic artery bypass-graft an alternative to reoperation

Roger Marx1, Rolf-Michael Klein, Marc Horlitz

  • 1Heart Center Wuppertal, Department of Cardiology, University of Witten-Herdecke, Gotenstrasse 1, 42653 Solingen, Germany. RogerMarx@t-online.de

International Journal of Cardiology
|April 20, 2004
PubMed

Insights

Percutaneous transluminal coronary angioplasty (PTCA) of the internal thoracic artery graft is a safe option for revascularization. This procedure shows a high success rate and low complication rate, offering a viable alternative before potential reoperation.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Reviews interventional revascularization of the internal thoracic artery (ITA) graft.
  • Focuses on procedures after initial coronary artery bypass grafting (CABG).

Purpose of the Study:

  • To provide an overview of ITA graft revascularization procedures.
  • To assess the safety and feasibility of percutaneous transluminal coronary angioplasty (PTCA) in or via ITA grafts.

Main Methods:

  • Literature search of MEDLINE database (1968-2000).
  • Identified articles on ITA-graft angioplasty and reoperation after ITA bypass grafting.

Main Results:

  • Surgical revascularization/reoperation in 785 patients had 4.2% mortality; patent ITA graft was not a risk factor.
  • PTCA of ITA or native LAD via ITA graft in 327 patients: 87% primary success, 30% restenosis, ~1% complications.

Conclusions:

  • PTCA of ITA grafts is a safe and feasible option.
  • This interventional approach should be considered before potential reoperation.
Abstract

More Related Videos

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

Novel and Innovative Hybrid Technique for Type A Aortic Dissection

Published on: March 28, 2025

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...