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Journals / Koşuyolu Heart Journal / 2018 / Cilt: 21 - Sayı: 1

Evaluation of Saphenous Vein with or Without Valve and Radial Artery Patency Via Tomography in Patients Who Underwent Coronary Artery Bypass Grafting

Koroner Arter Baypas Operasyonu Olan Olgularda Kapaklı Kapaksız Safen Ven ve Radiyal Arter Açıklığının Tomografi ile Araştırılması

Mehmet ÖZÜLKÜ
Fatih AYGÜN
Bilal Egemen ÇİFTÇİ
Pages
1–8
Publication Date
2018-04-01
DOI
—
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Conclusion: The rate of remaining patency was not statistically significant among the RA, saphenous vein without valve, and saphenous vein with valve conduits (p> 0.05; RA vs. vein without valve, p= 0.737; RA vs. saphenous vein with valve, p= 0.321; and saphenous vein without valve vs. saphenous vein with valve, p= 0.465).

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: This prospective study investigated the effect of the valves of saphenous veins, which were used as conduits, on patency and the 2-year rate of remaining patency of saphenous vein with valve, saphenous vein without valve, and radial art ery (RA) via multislice computerized tomography (MSCT) angiography.
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Key Findings & Data:Patients and Methods: Between 2014 and 2015, the patients that underwent coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) and cross-clamp (on-pump with cross-clamp) in our clinic were grouped into three groups depending on the graft type.
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Conclusion & Impact:Conclusion: The rate of remaining patency was not statistically significant among the RA, saphenous vein without valve, and saphenous vein with valve conduits (p> 0.05; RA vs. vein without valve, p= 0.737; RA vs. saphenous vein with valve, p= 0.321; and saphenous vein without valve vs. saphenous vein with valve, p= 0.465).
🔬Design:Research Article
📍Scope:2014 Verileri
⚙️Variables:KABGO · safen ven · radiyal arter

Abstract

Introduction: This prospective study investigated the effect of the valves of saphenous veins, which were used as conduits, on patency and the 2-year rate of remaining patency of saphenous vein with valve, saphenous vein without valve, and radial art ery (RA) via multislice computerized tomography (MSCT) angiography. Patients and Methods: Between 2014 and 2015, the patients that underwent coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) and cross-clamp (on-pump with cross-clamp) in our clinic were grouped into three groups depending on the graft type. The first group (Group 1) was RA group, the second group (Group 2) was great saphenous vein with valve group, and the third group (Group 3) was great saphenous vein without valve group. Results: The 2-year rates of the remaining patency of these grafts in the decreasing order was as following: RA (87.5%), great saphenous vein without valve (82.4%), and great saphenous vein with valve (78.8%). Conclusion: The rate of remaining patency was not statistically significant among the RA, saphenous vein without valve, and saphenous vein with valve conduits (p> 0.05; RA vs. vein without valve, p= 0.737; RA vs. saphenous vein with valve, p= 0.321; and saphenous vein without valve vs. saphenous vein with valve, p= 0.465).

Özet

Giriş: Çalışmamız prospektif bir çalışma olup yalnızca konduit olarak kullanılmış safen venlerin kapakçıklarının açık kalma üzerine etkisi değil, aynı zamanda kapaklı safen venin, kapaksız safen venin, radyal arterin iki yıllık açık kalma oranı çok kesitli bilgisayarlı tomografi (ÇKBT) anjiyografi kullanılarak araştırılmıştır. Hastalar ve Yöntem: Kliniğimizde 2014-2015 yılları arasında koroner arter baypas greft operasyonu (KABGO) yapılmış hastalar üç farklı grefte göre gruplandı. Gruplar kalp akciğer makinası ve X-klemp (On-Pump X-klempli) kullanılarak KABGO yapılan hastalarda kullanılan greftlere göre oluşturuldu. Birinci grup (Grup 1); radiyal arter grubu, ikinci grup (Grup 2); valvli safen ven grubu, üçüncü grup (Grup 3); valv içermeyen safen ven grubu olarak belirlendi. Bulgular: Greftlerde iki yıllık açık kalma oranı, radiyal arter için %87.5, kapaksız safen ven için %82.4 ve kapaklı safen ven için %78.8 bulunmuştur. Sonuç: Radiyal arter, kapaksız safen ven, kapaklı safen ven arasında iki yıllık açık kalma oranları, istatistiksel olarak anlamlı değildir (p> 0.05; radiyal arter vs. valvsiz ven için p= 0.737; radiyal arter vs. valvli ven için p= 0.321; valvsiz ven vs. vavli ven için p= 0.465).

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Cite This Article

ÖZÜLKÜ, M., AYGÜN, F., ÇİFTÇİ, B. E. (2018). Evaluation of Saphenous Vein with or Without Valve and Radial Artery Patency Via Tomography in Patients Who Underwent Coronary Artery Bypass Grafting. Koşuyolu Heart Journal, Cilt: 21 - Sayı: 1, 1–8. https://ajindex.com/articles/63892

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References (13)

  1. Goldman S, Zadina K, Moritz T, Ovitt T, Sethi G, Copeland J, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol 2004;44:2149-56
  2. Reiner Z, Catapano AL, Backer GD, Graham I, Taskinen MR, Wiklund O, et al. The Task for the management of dyslipidaemias of th European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J 2011;32:1769-818
  3. Lim MJ, White CJ. Coronary angiography is the gold standard for patients with significant left ventricular dysfunction. Prog Cardiovasc Dis 2013;55:504-8
  4. Chiurlia E, Menozzi M, Ratti C, Romagnoli R, Modena MG. Follow-up of coronary artery bypass graft patency by multislice computed tomography. Am J Cardiol 2005;95:1094-7
  5. Athanasiou T, Saso S, Rao C, Vecht J, Grapsa J, Dunning J, et al. Radial artery versus saphenous vein conduits fo r coronary artery bypass surgery:forty years of competition-which conduit offers betterpatency? A systematic review and meta-analysis. European Journal of Cardio-thoracic Surgery 2011;40:208-20
  6. Breyer RH, Spray TL, Kastl DG, Roberts WC. Histological changes in saphenous vein aorta coronary bypass grafts. J Thorac Cardiovasc Surg 1976;72:916-24
  7. Lawrie GM, Morris GC Jr, Chapman DW. Patterns of patency of 596 vein grafts up to seven years after aorta-coronary bypass. J Thorac Cardiovasc Surgery 1977;73:443-8
  8. Beebe HG, Clark WF, DeWeese JA. Atherosclerotic change occurring in an autogenous venous arterial graft. Arch Surg 1970;101:85-8
  9. Khot UN, Friedman DT, Petterson G, Smedira NG, Li J, Ellis SG. Radial artery bypass grafts have an increased occurrence of angiographically severe stenosis and occlusion compared with left internal mammary arteries and saphenous vein grafts. Circulation 2004;109:2086-91
  10. Whitney DG, Kahn EM, Estes JW. Valvular occlusion of the arterialized saphenous vein. Ann Surg 1976;42:879-87
  11. Chaux A, Ruan XM, Fishbein MC, Sandhu M, Matloff JM. Influence of vein valves in the development of arteriosclerosis in venoarterial grafts in the rabbit. J Thorac Cardiovasc Surg 1995;110:1389-90
  12. Lajos TZ, Robicsek F Thubrikar M, Urschel H. Improving patency of coronary conduits “valveless” veins and/or arterial grafts. J Card Surg 2007;22:170-7
  13. Cohen G, Tamariz MG Sever JY, Liaghati N, Guru V, Christakis GT, et al. The radial artery versus the saphenous vein