Swipe om te navigeren naar een ander artikel
Although the benefits of using the left internal mammary artery to bypass the left anterior descending artery (LAD) have been extensively ascertained, freedom from major cardiovascular events and survival after coronary artery bypass grafting (CABG) also correlate with the completeness of revascularisation. Hence, careful selection of the second-best graft conduit is crucial for CABG success. The more widespread use of saphenous vein grafts contrasts with the well-known long-term efficacy of multiple arterial grafting, which struggles to emerge as the procedure of choice due to concerns over increased technical difficulties and higher risk of postoperative complications. Conduit choice is at the discretion of the operator instead of being discussed by the heart team, where cardiologists are not usually engaged in such decisions due to a hypothetical lack of technical knowledge. Furthermore, according to the ESC/EACTS guidelines, traditional CABG remains the gold standard for multi-vessel coronary artery disease with complex LAD stenosis, but hybrid procedures using percutaneous coronary intervention for non-LAD targets could combine the best of two worlds. With the aim of raising the cardiologist’s awareness of the surgical treatment options, we provide a comprehensive overview of the anatomical, functional and clinical aspects guiding the decision-making process in CABG strategy.
Fanari Z, Weiss SA, Zhang W, et al. Comparison of percutaneous coronary intervention with drug eluting stents versus coronary artery bypass grafting in patients with multivessel coronary artery disease: Meta-analysis of six randomized controlled trials. Cardiovasc Revasc Med. 2015;16:70–7. CrossRefPubMedPubMedCentral
Morice MC, Serruys PW, Kappetein AP, et al. Outcomes in patients with de novo left main disease treated with either percutaneous coronary intervention using paclitaxel-eluting stents or coronary artery bypass graft treatment in the Synergy Between Percutaneous Coronary Intervention with TAXUS and Cardiac Surgery (SYNTAX) trial. Circulation. 2010;121:2645–53. CrossRefPubMed
Authors/Task Force members, Windecker S, Kolh P, et al. ESC/EACTS Guidelines on myocardial revascularisation: The Task Force on Myocardial Revascularisation of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS), developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). Eur Heart J. 2014;35:2541–619.
Cosgrove DM, Loop FD, Lytle BW, et al. Predictors of reoperation after myocardial revascularisation. J Thorac Cardiovasc Surg. 1986;92:811–21. PubMed
Ruengsakulrach P, Sinclair R, Komeda M, et al. Comparative histopathology of radial artery versus internal thoracic artery and risk factors for development of intimal hyperplasia and atherosclerosis. Circulation. 1999;100(Suppl):II139–II144. PubMed
Manabe S, Tabuchi N, Tanaka H, et al. Hand circulation after radial artery harvest for coronary artery bypass grafting. J Med Dent Sci. 2005;52:101–7. PubMed
Suma H, Tanabe H, Takahashi A, et al. Twenty years’ experience with the gastroepiploic artery graft for CABG. Circulation. 2007;116(11 Suppl):I188–I191. PubMed
Head SJ, Parasca CA, Mack MJ, et al. Differences in baseline characteristics, practice patterns and clinical outcomes in contemporary coronary artery bypass grafting in the United States and Europe: insights from the SYNTAX randomized trial and registry. Eur J Cardiothorac Surg. 2015;47:685–95. CrossRefPubMed
de Canniere D, Jansens JL, Goldschmidt-Clermont P, et al. Combination of minimally invasive coronary bypass and percutaneous transluminal coronary angioplasty in the treatment of double-vessel coronary disease: Two-year follow-up of a new hybrid procedure compared with ‘on-pump’ double bypass grafting. Am Heart J. 2001;142:563–70. CrossRefPubMed
Grandjean JG, Boonstra PW, den Heyer P, et al. Arterial revascularisation with the right gastroepiploic artery and internal mammary arteries in 300 patients. J Thorac Cardiovasc Surg. 1994;107:1309–15, discussion 15–6. PubMed
- Contemporary use of arterial and venous conduits in coronary artery bypass grafting: anatomical, functional and clinical aspects
J. G. Maessen
J. C. A. Hoorntje
- Bohn Stafleu van Loghum