Related Experiment Video

Updated: Jun 27, 2026

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
04:56

Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm

Published on: August 1, 2025

Total arterial revascularization in triple-vessel disease with off-pump and aortic no-touch technique

Wook Sung Kim1, Jaejin Lee, Young Tak Lee

  • 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea.

The Annals of Thoracic Surgery
|November 22, 2008
PubMed

Insights

Total arterial revascularization with bilateral internal thoracic arteries (BITA) and off-pump, no-touch techniques is safe and effective for triple-vessel disease. Adding the right gastroepiploic artery (RGEA) may improve cardiac event-free survival.

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Outcomes
  • Minimally Invasive Cardiac Surgery

Background:

  • Evaluating total arterial revascularization (TAR) outcomes using bilateral internal thoracic arteries (BITA) with off-pump and aorta no-touch technique.
  • Assessing the safety and efficacy of this approach in patients with triple-vessel disease.

Purpose of the Study:

  • To assess the outcomes of total arterial revascularization (TAR) using bilateral internal thoracic arteries (BITA) with off-pump and aorta no-touch technique.
  • To compare outcomes between BITA-only grafting and BITA plus right gastroepiploic artery (RGEA) grafting.

Main Methods:

  • Retrospective analysis of 512 consecutive patients with triple-vessel disease from March 2001 to September 2007.
  • Patients underwent off-pump coronary artery bypass grafting using BITA (n=353) or BITA plus RGEA (n=159).
  • Mean follow-up of 37.9 months, up to 6 years.

Main Results:

  • Low 30-day mortality (1 death) and low perioperative stroke rate (0.8%).
  • 1-year and 5-year freedom from cardiac death: 98.3% and 96.7%.
  • 1-year and 5-year freedom from cardiac events: 97.1% and 89.3%; RGEA use was a significant predictor of cardiac event-free survival (p=0.046).

Conclusions:

  • Total arterial revascularization with off-pump, no-touch technique using BITA grafts is safe and effective for triple-vessel disease.
  • In-situ RGEA grafting for right coronary arteries may lead to fewer cardiac events compared to BITA-only grafting.
Abstract

More Related Videos

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

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock06:30

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Published on: May 19, 2022

Related Concept Videos

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...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...