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Published on: January 15, 2017
Coronary-coronary bypass grafting: artery or vein?
Vladlen Bazylev1, Evgeny Rosseikin1, Dmitriy Tungusov1
1Center for Cardiovascular Surgery, Penza, Russia.
Insights
Coronary-coronary bypass grafting offers a viable option for complete myocardial revascularization. Long-term results show arterial grafts have better patency rates than venous grafts in this procedure.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Coronary-coronary bypass grafting (CCBG) is an underutilized technique with limited long-term outcome data.
- This study analyzes the long-term results of CCBG performed as an adjunct to standard coronary artery bypass grafting.
Purpose of the Study:
- To evaluate the long-term efficacy and patency of coronary-coronary bypass grafts.
- To assess the outcomes of CCBG in patients requiring complete myocardial revascularization.
Main Methods:
- Retrospective single-center study of 95 patients undergoing CCBG.
- Long-term follow-up up to 123 months with serial angiographic assessment of 109 CCBG grafts.
Main Results:
- Overall graft occlusion rates were 7.6% for arterial and 19.3% for venous conduits.
- During the observation period, 10.3% of arterial and 31.3% of venous CCBG grafts occluded.
Conclusions:
- Arterial CCBG is a safe and effective alternative for achieving complete myocardial revascularization.
- Arterial conduits demonstrate superior long-term patency compared to venous conduits in CCBG procedures.
Background:
The method of coronary-coronary bypass grafting was described in 1987 but has not been widely used, and there are only a few studies that report good short-term and mid-term results as well as some individual cases of long-term follow-up. In our medical institution, we carried out an analysis of the long-term results of coronary-coronary bypass grafting, which are presented in this study.
Methods:
This was a retrospective single-center study on 95 patients who underwent coronary-coronary bypass grafting as a supplement to the standard coronary bypass grafting procedure. All patients underwent angiographic assessment of the coronary bypass grafts during the long-term follow-up period. The observation period was up to 123 months. Angiographic assessment of 109 coronary-coronary grafts was carried out.
Results:
Twelve (7.6%) arterial and 11 (19.3%) venous conduits were found to be occluded, and 8 (10.3%) arterial and 10 (31.3%) venous coronary-coronary grafts were occluded during the observation period.
Conclusion:
Arterial coronary-coronary artery bypass grafting represents an alternative technique that allows complete myocardial revascularization.
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