Use of the Harmonic Scalpel for harvesting arterial conduits in coronary artery bypass

Coronary Artery Bypass Grafting with Arterial Conduits in the Elderly.

Although improved long-term outcomes obtained with the use of arterial grafts for coronary revascularization in comparison with the traditional association of a single arterial and saphenous vein grafts have been demonstrated in the overall population, the efficacy of this newer technique in the elderly is difficult to prove because their shorter life expectancy due to advanced heart disease, a...

Arterial or venous conduits for redo coronary artery bypass grafting?

Off - pump coronary artery bypass with multiple arterial conduits

Objective: to analyze intra-hospital results in patients undergoing elective off-pump total arterial revascularization and identify morbidity and mortality predictors using this surgical strategy. Methods: From May 1999 to February 2004, 203 myocardial revascularization procedures with total arterial revascularization without cardiopulmonary bypass (off-pump) were carried out in patients with m...

Conduits for Coronary Bypass: Internal Thoracic Artery

This second report in the series on coronary artery bypass presents the authors experience and personal views on the internal thoracic artery (ITA) which date to 1966. There has been a very gradual evolution in the acceptance of this conduit which was initially compared with the saphenous vein and viewed as an improbable alternative to it. As is common with concepts and techniques which are 'ou...

Radial artery conduits for coronary artery bypass grafting: current perspective.

250 The Journal of Thoracic and Cardio T otal arterial revascularization offers the potential to avoid the problems associated with vein graft failure. Bilateral internal thoracic arteries (ITAs) are the conduits of first choice because of excellent shortand long-term patency and the possibility of improved survival. The radial artery (RA) is easily harvested, versatile, has excellent handling ...