Comparative analysis of the efficiency of the use of various types of conduits during coronary artery bypass grafting

Abstract

The OBJECTIVE was to compare efficiency of the use of various types of conduits during coronary artery bypass grafting (CABG).METHODS AND MATERIALS. The retrospective study included 282 patients, who underwent CABG, performed with different types of conduits. The average age of the patients was 63.2±8.5 years; the majority of 231 patients (81.9%) were male. Patients were separated in 3groups depending on the use of conduits: the first one included patients after bimammary coronary artery bypass grafting (n=77); the second one involved coronary artery bypass grafting using radial artery(n=87); the third one included patients with venous conduits (n=77). The main endpoint of the study was the development of conduit dysfunctions in the long-term period according to diagnostic coronary artery bypass grafting.RESULTS. The average follow-up time in the long-term period was 44.9±39 months. During this period, 198 patients underwent diagnostic coronary artery bypass grafting. According to the results of the analysis, the greatest effectiveness was observed in groups using arterial conduits – the left internal thoracic artery and radial artery. For example, the incidence of dysfunction of the left internal thoracic artery in the anterior artery basin was 8.2%; the incidence of dysfunction of radial artery in the right artery basin was 12.5 %, and in the obtuse marginal branch basin – 11.5 %; while the incidence of venous conduits’ dysfunction varied, reaching its maximum of 42.8 %.CONCLUSIONS. Thus, the greatest efficiency was observed when using the left and the right internal thoracic arteries, thereafter by the radial artery. The results of using venous conduits were lower.

Keywords

• myocardial revascularization
• coronary artery bypass grafting
• conduits in coronary surgery
• coronary artery disease