Functioning of aortocoronary bypass grafts depending on the lesion and on the anatomical characteristics of coronary arteries

Cover Page


Cite item

Full Text

Abstract

Aortocoronary bypass grafting is a reliable and effective method of treatment for ischemic heart disease. Despite a well-defined spectrum of the used grafts, many tactic issues of aortocoronary bypass grafting remain unsolved. There is a lack of a unified classification of lesions in the native coronary vasculature; this prevents from establishing objective indications to direct myocardial revascularization and excludes any further improvement of surgical results. The strategy to bypass the maximal number of occluded coronary arteries irrespective on the patient’s age and the degree of coronary pathology could not be considered the most optimal in the absence of objective methods of post-operative diagnosis.

About the authors

A. L. Rodionov

Moscow Regional Research and Clinical Institute (MONIKI)

Author for correspondence.
Email: chirurgoid1@yandex.ru

MD, Junior Research Fellow, Department of Cardiac Surgery

61/2 Shchepkina ul., Moscow, 129110, Russian Federation. Tel.: +7 (495) 681 22 33

Russian Federation

Y. R. Rafaeli

Scientific and Practical Center of Interventional
Cardiology

Email: fake@neicon.ru

MD, PhD, Leading Research Fellow, Department of Innovative Cardiac Surgery

5 Sverchkov pereulok, Moscow, 101000, Russian Federation

Russian Federation

V. E. Babokin

Moscow Regional Research and Clinical Institute (MONIKI)

Email: fake@neicon.ru

MD, PhD, Head of Department of Cardiac Surgery

61/2 Shchepkina ul., Moscow, 129110, Russian Federation

Russian Federation

References

  1. Matsuura K, Kobayashi J, Tagusari O, Bando K, Niwaya K, Nakajima H, Yagihara T, Kitamura S. Rationale for off-pump coronary revascularization to small branches – angiographic study of 1,283 anastomoses in 408 patients. Ann Thorac Surg. 2004;77(5): 1530–4. doi: 10.1016/j.athoracsur.2003.10.043.
  2. Vural KM, Sener E, Taşdemir O. Long-term patency of sequential and individual saphenous vein coronary bypass grafts. Eur J Cardiothorac Surg. 2001;19(2): 140–4. doi: https://doi.org/10.1016/S1010-7940(00)00629-1.
  3. Ngaage DL, Hashmi I, Griffin S, Cowen ME, Cale AR, Guvendik L. To graft or not to graft? Do coronary artery characteristics influence early outcomes of coronary artery bypass surgery? Analysis of coronary anastomoses of 5171 patients. J Thorac Cardiovasc Surg. 2010;140(1): 66–72, 72.e1. doi: 10.1016/j.jtcvs.2009.09.029.
  4. Ramström J, Lund O, Cadavid E, Thuren J, Oxelbark S, Henze A. Multiarterial coronary artery bypass grafting with special reference to small vessel disease and results in women. Eur Heart J. 1993;14(5): 634–9. doi: https://doi.org/10.1093/eurheartj/14.5.634.
  5. Goldman S, Zadina K, Moritz T, Ovitt T, Sethi G, Copeland JG, Thottapurathu L, Krasnicka B, Ellis N, Anderson RJ, Henderson W; VA Cooperative Study Group #207/297/364. 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(11): 2149–56. doi: 10.1016/j.jacc.2004.08.064.
  6. Calafiore AM, Di Mauro M, D'Alessandro S, Teodori G, Vitolla G, Contini M, Iacò AL, Spira G. Revascularization of the lateral wall: long-term angiographic and clinical results of radial artery versus right internal thoracic artery grafting. J Thorac Cardiovasc Surg. 2002;123(2): 225–31. doi: https://doi.org/10.1067/mtc.2002.119704.
  7. O'Connor NJ, Morton JR, Birkmeyer JD, Olmstead EM, O'Connor GT. Effect of coronary artery diameter in patients undergoing coronary bypass surgery. Northern New England Cardiovascular Disease Study Group. Circulation. 1996;93(4): 652–5. doi: https://doi.org/10.1161/01.CIR.93.4.652.
  8. Bassiri H, Nematollahi A, Noohi F, Hashemi J, Motevali M, Givtaj N, Raissi K, Haghjoo M. Coronary graft patency after perioperative myocardial infarction: a study with multislice computed tomography. Interact CardioVasc Thorac Surg. 2011;12(4): 596–9. doi: 10.1510/icvts.2010.261834.
  9. Jalal A. An objective method for grading of distal disease in the grafted coronary arteries. Interact Cardiovasc Thorac Surg. 2007;6(4):451–5. doi: 10.1510/icvts.2007.156273.
  10. Graham MM, Chambers RJ, Davies RF. Angiographic quantification of diffuse coronary artery disease: reliability and prognostic value for bypass operations. J Thorac Cardiovasc Surg. 1999;118(4): 618–27. doi: 10.1016/S0022-5223(99)70006-1.
  11. Detrano R, Guerci AD, Carr JJ, Bild DE, Burke G, Folsom AR, Liu K, Shea S, Szklo M, Bluemke DA, O'Leary DH, Tracy R, Watson K, Wong ND, Kronmal RA. Coronary calcium as a predictor of coronary events in four racial or ethnic groups. N Engl J Med. 2008;358(13): 1336–45. doi: 10.1056/NEJMoa072100.
  12. McNeil M, Buth K, Brydie A, MacLaren A, Baskett R. The impact of diffuseness of coronary artery disease on the outcomes of patients undergoing primary and reoperative coronary artery bypass grafting. Eur J Cardiothorac Surg. 2007;31(5): 827–33. doi: 10.1016/j.ejcts.2006.12.033.
  13. Rocha AS, Dassa NP, Pittella FJ, Barbosa ON, Brito JO, Tura B, Silva PR. High mortality associated with precluded coronary artery bypass surgery caused by severe distal coronary artery disease. Circulation. 2005;112(9 Suppl):I328–31. doi: 10.1161/CIRCULATIONAHA.104.525717.
  14. Sarwar A, Shaw LJ, Shapiro MD, Blankstein R, Hoffmann U, Cury RC, Abbara S, Brady TJ, Budoff MJ, Blumenthal RS, Nasir K. Diagnostic and prognostic value of absence of coronary artery calcification. JACC Cardiovasc Imaging. 2009;2(6): 675–88. doi: 10.1016/j.jcmg.2008.12.031.
  15. Ахмедов ШД, Бабокин ВЕ, Рябов ВВ, Суслова ТЕ, Чернов ВИ, Сазонова СИ, Роговская ЮВ, Коркин ЮГ, Мотрева АП, Шипулин ВМ, Карпов РС. Клинический опыт применения аутологичных мононуклеарных клеток костного мозга в лечении пациентов с ишемической болезнью сердца и дилатационной кардиомиопатией. Кардиология. 2006;46(7): 10–4.
  16. Карпов РС, ред. Коронарная и сердечная недостаточность. Коллективная монография, посвященная 25-летию НИИ кардиологии Томского научного центра Сибирского отделения РАМН и 20-летию Филиала ГУ НИИ кардиологии ТНЦ СО РАМН «Тюменский кардиологический центр». Томск: Чародей; 2005. 716 с.
  17. Шипулин ВМ, Андреев СЛ, Суходоло ИВ, Гордов ЕП, Бабокин ВЕ. Разработка трансмиокардиальной лазерной реваскуляризации миокарда у пациентов с ишемической болезнью сердца. Альманах клинической медицины. 2015;38:81–9. doi: 10.18786/2072-0505-2015-38-81-89.
  18. Babokin VE, Batalov R. Reply to the editor. J Thorac Cardiovasc Surg. 2013;145(3): 892– 3. doi: 10.1016/j.jtcvs.2012.12.036.
  19. Botas J, Stadius ML, Bourassa MG, Rosen AD, Schaff HV, Sopko G, Williams DO, McMilliam A, Alderman EL. Angiographic correlates of lesion relevance and suitability for percutaneous transluminal coronary angioplasty and coronary artery bypass grafting in the Bypass Angioplasty Revascularization Investigation study (BARI). Am J Cardiol. 1996;77(10): 805–14. doi: https://doi.org/10.1016/S0002-9149(97)89173-4.
  20. Kleisli T, Cheng W, Jacobs MJ, Mirocha J, Derobertis MA, Kass RM, Blanche C, Fontana GP, Raissi SS, Magliato KE, Trento A. In the current era, complete revascularization improves survival after coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2005;129(6): 1283–91. doi: 10.1016/j.jtcvs.2004.12.034.
  21. Osswald BR, Tochtermann U, Schweiger P, Thomas G, Vahl CF, Hagl S. Does the completeness of revascularization contribute to an improved early survival in patients up to 70 years of age? Thorac Cardiovasc Surg. 2001;49(6): 373–7. doi: 10.1055/s-2001-19017.
  22. Mohr FW, Rastan AJ, Serruys PW, Kappetein AP, Holmes DR, Pomar JL, Westaby S, Leadley K, Dawkins KD, Mack MJ. Complex coronary anatomy in coronary artery bypass graft surgery: impact of complex coronary anatomy in modern bypass surgery? Lessons learned from the SYNTAX trial after two years. J Thorac Cardiovasc Surg. 2011;141(1): 130– 40. doi: 10.1016/j.jtcvs.2010.07.094.
  23. Zimarino M, Calafiore AM, De Caterina R. Complete myocardial revascularization: between myth and reality. Eur Heart J. 2005;26(18): 1824–30. doi: 10.1093/eurheartj/ehi249.
  24. Rastan AJ, Walther T, Falk V, Kempfert J, Merk D, Lehmann S, Holzhey D, Mohr FW. Does reasonable incomplete surgical revascularization affect early or long-term survival in patients with multivessel coronary artery disease receiving left internal mammary artery bypass to left anterior descending artery? Circulation. 2009;120(11 Suppl):S70–7. doi: 10.1161/CIRCULATIONAHA.108.842005.
  25. Лукьяненок ПИ, Архангельский ВА, Бабокин ВЕ, Федоренко ЕВ, Гольцов СГ, Бобрикова ЕЭ, Усов ВЮ. Возможность визуализации проксимальных отделов коронарного русла при контрастировании на низкопольных томографах при ЭКГ- синхронизированном исследовании. Терапевт. 2014;(2): 61–7.
  26. Buxton BF, Durairaj M, Hare DL, Gordon I, Moten S, Orford V, Seevanayagam S. Do angiographic results from symptom-directed studies reflect true graft patency? Ann Thorac Surg. 2005;80(3): 896–900. doi: 10.1016/j.athoracsur.2005.03.097.
  27. Girerd N, Magne J, Rabilloud M, Charbonneau E, Mohamadi S, Pibarot P, Voisine P, Baillot R, Doyle D, Dumont E, Dagenais F, Mathieu P. The impact of complete revascularization on longterm survival is strongly dependent on age. Ann Thorac Surg. 2012;94(4): 1166–72. doi: 10.1016/j.athoracsur.2012.05.023.
  28. Chow BJ, Ahmed O, Small G, Alghamdi AA, Yam Y, Chen L, Wells GA. Prognostic value of CT angiography in coronary bypass patients. JACC Cardiovasc Imaging. 2011;4(5): 496–502. doi: 10.1016/j.jcmg.2011.01.015.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2017 Rodionov A.L., Rafaeli Y.R., Babokin V.E.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies