Long-Term Patency Rate for Radial Artery vs. Saphenous Vein Grafts Using Same-Patient Materials
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概要
- 論文の詳細を見る
Background: The aim of the present study was to assess the long-term graft patency rate of the radial artery (RA), in comparison to the saphenous vein (SV) in patients harvested for both vessels. Methods and Results: RA and SV were concomitantly used for coronary artery bypass grafting in 318 patients in an 8-year period from January 2002 to March 2010. During follow-up, graft patency was assessed on angiography or multi-slice computed tomography in 192 of these patients. Cumulative graft patency rates were compared between RA and SV. Independent predictors for graft failure were examined for both vessels. Cumulative graft patency rates at 8 years were 74.3% in RA and 64.7% in SV, respectively. There was no significant difference between these types of grafts. Independent predictors of late RA graft failure were native coronary stenosis <75% and peripheral vascular disease (PVD). Independent predictors of late SV graft failure were use of only one anti-platelet agent and low-density lipoprotein cholesterol/high-density lipoprotein cholesterol ratio >2.5. Cardiovascular event-free and actuarial survival rates at 8 years in this series were 81.2% and 89.7%, respectively. Conclusions: Cumulative graft patency rates between RA and SV were similar at 8 years. RA performed more poorly in patients with target vessel stenosis <75% and in those complicated by PVD. Aggressive anti-platelet therapy and strict lipid control may be important in maintaining long-term patency of SV. Circ J 2011; 75: 1373-1377)
- 2011-05-25
著者
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Hta Hiroaki
Second Department Of Surgery Nihon University School Of Medicine
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HATA Hiroaki
Department of Cardiovascular Surgery, Okaya Enrei Hospital
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SHIONO Motomi
Department of Cardiovascular Surgery, Nihon University School of medicine
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Wakui Sinji
From Department Of Thoracic And Cardiovascular Surgery Nihon University Hospital
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Kimura Haruka
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Hata Mitsumasa
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Hata Mitsumasa
The Department Of Cardiac Surgery Austin & Repatriation Medical Centre University Of Melbourne
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YOSHITAKE ISAMU
Department of Cardiovascular Surgery, Nihon University School of Medicine
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Yoshitake Isamu
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Shiono Motomi
Division Of Cardiovascular Surgery Department Of Surgery Nihon University Scool Of Medicine
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Unosawa Satoshi
Department Of Cardiovascular Surgery Nihon University Nerimahikarigaoka Hospital
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Hata Mitsumasa
Department Of Cardiac Surgery Austin & Repatriation Medical Centre University Of Melbourne
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Wakui Shinji
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Shiono Motomi
Department Of Cardiovascular Surgery Nihon University School Of Medicine
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Shiono Motomi
The 2nd. Department Of Surgery Nihon University
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Hata Hiroaki
Department of Applied Chemistry, Faculty of Science and Technology, Chuo University, Bunkyo, Tokyo 112-8551, Japan
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