COMPOSITE CORONARY ARTERY BYPASS GRAFTING
https://doi.org/10.17802/2306-1278-2019-8-2-107-115
Abstract
The article presents the historical insights into composite coronary artery bypass grafting, current concepts and its different variants. A smaller number of manipulations on the aorta during the procedure has been proved to reduce significantly the risk of ischemic stroke. However, it requires off-pump technology, which is still controversial despite all its advantages. No doubt, composite or compound bypass grafting allows performing myocardial revascularization even if there is a lack of conduits. A particular concern has been paid to the connection between the arterial and venous conduits, therefore emphasizing the relevance of composite coronary artery bypass grafting.
About the Authors
A. V. Frolov
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
6, Sosnoviy Blvd., Kemerovo, 650002
Russian Federation
6, Sosnoviy Blvd., Kemerovo, 650002
K. A. Kozirin
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
6, Sosnoviy Blvd., Kemerovo, 650002
Russian Federation
6, Sosnoviy Blvd., Kemerovo, 650002
References
1. Takagi H., Hari Y., Mitta S., Kawai N., Ando T.; ALICE (All-Literature Investigation of Cardiovascular Evidence) Group. A meta-analysis of ≥5-year mortality in randomized controlled trials of off-pump versus on-pump coronary artery bypass grafting. J Card Surg. 2018 Nov;33(11):716-724. doi: 10.1111/jocs.13828.
2. Prapas S., Calafiore A.M., Katsavrias K.P., Panagiotopoulos I.A., Linardakis I.N., Tancredi F., Foschi M., Di Mauro M. Anaortic coronary surgery using the Π-circuit is associated with a low incidence of perioperative neurological complications. Eur J Cardiothorac Surg. 2018 Nov 1;54(5):884-888. doi: 10.1093/ejcts/ezy224.
3. Albert A., Ennker J., Hegazy Y., Ullrich S., Petrov G., Akhyari P., Bauer S., Ürer E., Ennker I.C., Lichtenberg A., Priss H., Assmann A. Implementation of the aortic no-touch technique to reduce stroke after off-pump coronary surgery. J Thorac Cardiovasc Surg. 2018 Aug;156(2):544-554.e4. doi: 10.1016/j.jtcvs.2018.02.111.
4. Guo–Wei He. Arterial grafting for coronary artery bypass surgery. Second edition. Springer-Verlag Berlin Heidelberg 2006. 356 p.
5. Coskun I., Colkesen Y., Demirturk O.S., Tunel H.A., Turkoz R., Gulcan O. Evaluation of coronary artery-saphenous vein composite grafts: the aortic no-touch technique. Tex Heart Inst J. 2014 Feb;41(1):26-32. doi: 10.14503/THIJ-13-3154.
6. Yuan S.M., Shinfeld A., Raanani E. Configurations and classifications of composite arterial grafts in coronary bypass surgery. J Cardiovasc Med (Hagerstown). 2008 Jan;9(1):3-14. doi: 10.2459/JCM.0b013e3280110628.
7. Walker J.A., Friedberg H.D., Flemma R.J., Johnson W.D. Determinants of angiographic patency of aortocoronary vein bypass grafts. Circulation. 1972 May;45(1 Suppl):I86-90.
8. Yeh T.J., Heidary D., Shelton L. Y-grafts and sequential grafts in coronary bypass surgery: a critical evaluation of patency rates. Ann Thorac Surg. 1979 May;27(5):409-12.
9. Sauvage L.R., Wu H.D., Kowalsky T.E., Davis C.C., Smith J.C., Rittenhouse E.A., Hall D.G., Mansfield P.B., Mathisen S.R., Usui Y. et al. Healing basis and surgical techniques for complete revascularization of the left ventricle using only the internal mammary arteries. Ann Thorac Surg. 1986 Oct;42(4):449-65.
10. Calafiore A.M., Di Giammarco G., Luciani N., Maddestra N., Di Nardo E., Angelini R. Composite arterial conduits for a wider arterial myocardial revascularization. Ann Thorac Surg. 1994 Jul;58(1):185-90.
11. Tector A.J., Kress D.C., Shmahl T.M., Amundsen S. T-gaft: a new method of coronary revascularization. J Cardiovasc Surg (Torino). 1994 35(6 Suppl. 1):19-23.
12. Frolov A.V. Total arterial myocardial revascularization. Complex Issues of Cardiovascular Diseases. 2018;7(4S):108-117. (In Russ.) https://doi.org/10.17802/2306-1278-2018-7-4S-108-117 (In Russian)
13. Mills N.L., Everson C.T. Atherosclerosis of the ascending aorta and coronary artery bypass. Pathology, clinical correlates, and operative management. J Thorac Cardiovasc Surg. 1991 Oct;102(4):546-53.
14. Hwang H.Y., Koo B.K., Yeom S.Y., Kim T.K., Kim K.B. Endothelial Shear Stress of the Saphenous Vein Composite Graft Based on the Internal Thoracic Artery. Ann Thorac Surg. 2018 Feb;105(2):564-571. doi: 10.1016/j.athoracsur.2017.08.025.
15. Kim Y.H., Oh H.C., Choi J.W., Hwang H.Y., Kim K.B. No-Touch Saphenous Vein Harvesting May Improve Further the Patency of Saphenous Vein Composite Grafts: Early Outcomes and 1-Year Angiographic Results. Ann Thorac Surg. 2017 May;103(5):1489-1497. doi: 10.1016/j.athoracsur.2016.09.024.
16. Lysenko A.V., Stonogin A.V.1 Chernousov A.F. Comparison of multiple internal toracic artery bypass grafting off-pump vs on-pump. Russian Journal of Thoracic and Cardiovascular Surgery. 2012; 1: 11-16. (In Russian)
17. Vecherskij YU.YU., Andreev S.L., Zatolokin V.V. Taktika ispol'zovaniya pravoj vnutrennej grudnoj arterii «in situ» pri koronarnom shuntirovanii. Angiologiya i sosudistaya hirurgiya. 2015; 21 (1): 148-154. (In Russian)
18. Rossejkin Е.V., Bazylev V.V., Nemchenko Е.V., Mikeulyak A.I. Rezul'taty autoarterial'nogo i autovenoznogo koronaro-koronarnogo shuntirovaniya. Byulleten' NCSSKH im. A.N. Bakuleva RAMN. Serdechno-sosudistye zabolevaniya. 2018; 19 (S6): 64. (In Russian)
19. Drouin A., Noiseux N., Chartrand-Lefebvre C., Soulez G., Mansour S., Tremblay J.A., Basile F., Prieto I., Stevens L.M. Composite versus conventional coronary artery bypass grafting strategy for the anterolateral territory: study protocol for a randomized controlled trial. Trials. 2013 Aug 26;14:270. doi: 10.1186/1745-6215-14-270.
20. Paterson H.S., Bannon P.G. Composite Y Grafts From the Left Internal Mammary Artery: Current Considerations. Heart Lung Circ. 2018 Feb;27(2):133-137. doi: 10.1016/j. hlc.2017.10.010. Epub 2017 Oct 28.
21. Yuan S.M., Shinfeld A., Raanani E. Configurations and classifications of composite arterial grafts in coronary bypass surgery. J Cardiovasc Med (Hagerstown). 2008 Jan; 9(1): 3–14.
22. Cohn W.E., Suen H.C., Weintraub R.M.. Johnson RG. The "H" graft: an alternative approach for performing minimally invasive direct coronary artery bypass. J Thorac Cardiovasc Surg. 1998 Jan;115(1):148-51.
23. Gupta A. High thoracic epidural analgesia for OPCAB via mid sternotomy in spontaneously breathing patients. Ann Card Anaesth. 2003 Jul;6(2):173; author reply 173-4.
24. Aguero O.R., Navia J.L., Navia J.A., Mirtzouian E. A new method of myocardial revascularization with the radial artery. Ann Thorac Surg. 1999 Jun;67(6):1817-8.
25. Kobayashi J., Tagusari O., Bando K., Niwaya K., Nakajima H., Ishida M., Fukushima S., Kitamura S. Total arterial off-pump coronary revascularization with only internal thoracic artery and composite radial artery grafts. Heart Surg Forum. 2002;6(1):30-7.
26. Prapas S.N., Anagnostopoulos C.E., Kotsis V.N., Stavropoulos G.P., Sidiropoulos A.V., Ananiadou O.G., Palatianos G.M. A new pattern for using both thoracic arteries to revascularize the entire heart: the pi-graft. Ann Thorac Surg. 2002 Jun;73(6):1990-2.
27. Rieβ F.-C., Heller S., Cramer E., Awwad N., Amin W., Hansen L., Lehmann C., Schofer J., Stripling J., Winkel S., Kremer P. On-Pump versus Off-Pump Complete Arterial Revascularization Using Bilateral Internal Mammary Arteries and the T-Graft Technique: Clinical and Angiographic Results for 3,445 Patients in 13 Years of Follow-Up. Cardiology 2017;136:170–179 DOI: 10.1159/000448428.
28. Glineura D., Etiennea P.-Y., Kuschner C.E., Shaw R.E., Ferrari G., Rioux N., Papadatos S., Brizzio M., Mindich B., Zapolanski A., Grau J.B. Bilateral internal mammary artery Y construct with multiple sequential grafting improves survival compared to bilateral internal mammary artery with additional vein grafts: 10-year experience at 2 different institutions. Eur J Cardiothorac Surg. 2017 Feb 1;51(2):368-375. doi: 10.1093/ejcts/ezw282.
29. Bonatti J., Göbölös L., Ramahi J., Bartel T. Robotic totally endoscopic coronary artery bypass grafting (TECAB) of the left anterior descending and right coronary artery system using an arterial Y-graft technique. Ann Cardiothorac Surg 2018;7(5):700-703. doi: 10.21037/acs.2018.06.10.
30. Massimo L, Innorta A, Pettinari M., Mangini A., Gelpi G., Piccaluga M., Danna P., Antona C. Flow dynamics and wall shear stress in the left internal thoracic artery: composite arterial graft versus single graft. European Journal of Cardio-thoracic Surgery 29 (2006) 473-478. doi:10.1016/j.ejcts.2006.01.035.
31. Martínez-González B., Reyes-Hernández C.G., Quiroga-Garza A., Rodríguez-Rodríguez V.E., Esparza-Hernández C.N., ElizondoOmaña R.E., Guzmán-López S. Conduits Used in Coronary Artery Bypass Grafting: A Review of Morphological Studies. Ann Thorac Cardiovasc Surg 2017; 23: 55–65. doi: 10.5761/atcs.ra.16-00178.
32. Fonseca D.A., Antunes P.E., Cotrim M.D. Ultrastructural and histomorphologic properties of the internal thoracic artery: implications for coronary revascularizationCotrim. Coron Artery Dis. 2017 Sep;28(6):518-527. doi: 10.1097/MCA.0000000000000527
33. Glineur D., Papadatos S., Grau J.B., Shaw R.E., Kuschner C.E., Aphram G., Mairy Y., Vanbelighen C., Etienne P.Y.. Complete myocardial revascularization using only bilateral internal thoracic arteries provides a low-risk and durable 10-year clinical outcome. Eur J Cardiothorac Surg 2016;50:735-41. doi: 10.1093/ejcts/ezw120.
34. Robinson B.M., Paterson H.S., Naidoo R., Dhurandhar V., Denniss A.R. Bilateral Internal Thoracic Artery Composite Y Grafts: Analysis of 464 Angiograms in 296 Patients. Ann Thorac Surg 2016;101:974-80. doi: 10.1016/j.athoracsur.2015.09.008.
35. Kawajiri H., Grau J.B., Fortier J.H. Bilateral internal thoracic artery grafting: in situ or composite? Ann Cardiothorac Surg 2018;7(5):673-680. doi: 10.21037/acs.2018.05.16.
36. Miwa S., Desai N., Koyama T., Chan E., Cohen E.A., Fremes S.E.; Radial Artery Patency Study Investigators. Radial artery angiographic string sign: clinical consequences and the role of pharmacologic therapy. Ann Thorac Surg. 2006 Jan;81(1):1128; discussion 119. doi: 10.1016/j.athoracsur.2005.06.076.
37. Watson R.A., Hamza M., Tsakok T.M. Radial artery for coronary artery bypass grafting: does proximal anastomosis to the aorta or left internal mammary artery achieve better patency? Interact Cardiovasc Thorac Surg. 2013 Dec; 17(6): 1020–1024.
38. Shimahara Y., Fujita T., Kobayashi J., Asaumi Y., Kanzaki S., Nishimura K., Nakai M., Nakajima H. Optimal target vessel selection for composite and sequential radial artery grafting with an in situ internal thoracic artery. J Card Surg. 2017 Oct;32(10):613-620. doi: 10.1111/jocs.13210.
39. Royse A.G., Brennan A.P., Ou-Young J. 21-Year Survival of Left Internal Mammary Artery–Radial Artery–Y Graft. J Am Coll Cardiol. 2018 Sep 18;72(12):1332-1340. doi: 10.1016/j.jacc.2018.06.064.
40. Santos G.G., Stolf N.A., Moreira L.F., Haddad V.L., Simões R.M., Carvalho S.R., Salgado A.A., Avelar S.F. Randomized comparative study of radial artery and right gastroepiploic artery in composite arterial graft for CABG. Eur J Cardiothorac Surg. 2002 Jun;21(6):1009-14.
41. Hwang H.Y., Cho K.R., Kim K.B. Equivalency of right internal thoracic artery and right gastroepiploic artery composite grafts: five-year outcomes. Ann Thorac Surg. 2013 Dec;96(6):2061-8. doi: 10.1016/j.athoracsur.2013.07.003.
42. Huh J.H., Lee K.H., Cho K.R., Hwang H.Y., Kim K.B. Spasm and Reopening of the Right Gastroepiploic Artery Conduit After Coronary Artery Bypass Grafting. Ann Thorac Surg. 2017 Jul;104(1):138-144. doi: 10.1016/j.athoracsur.2016.09.104.
43. Puig L.B., Ciongoli W., Cividanes G.V., Teófilo Júnior S., Dontof A.C., Fiorelli A.I., Kopel L., Galiano N., Salvadori Júnior D., Joaquim E.H. Lower epigastric artery as a free graft. A new alternative in direct myocardial revascularization. Arq Bras Cardiol. 1988 Apr;50(4):259-61.
44. Ayabe T., Fukushima Y., Yoshioka M., Onizuka T. Clinical outcome of the coronary arterial bypass graft with inferior epigastric artery as a composite graft. Kyobu Geka. 2003 Aug;56(9):731-7; discussion 737-41.
45. Sani G., Mariani M.A., Benetti F., Lisi G., Totaro P., Giomarelli P.P., Toscano M. Total arterial myocardial revascularization without cardiopulmonary bypass. Cardiovasc Surg. 1996 Dec;4(6):825-9.
46. Calafiore A.M., Teodori G., Di Giammarco G., Vitolla G., Contini M., Maddestra N., Paloscia L., Iacò A., Gallina S. Left internal mammary elongation with inferior epigastric artery in minimally invasive coronary surgery. Eur J Cardiothorac Surg. 1997 Sep;12(3):393-6; discussion 397-8.
47. Kim K.B., Hwang H.Y., Hahn S., Kim J.S., Oh S.J. A randomized comparison of the Saphenous Vein Versus Right Internal Thoracic Artery as a Y-Composite Graft (SAVE RITA) trial: One-year angiographic results and mid-term clinical outcomes. J Thorac Cardiovasc Surg. 2014 Sep;148(3):901-7; discussion 907-8. doi: 10.1016/j.jtcvs.2014.03.057.
48. Hwang H.Y., Koo B.K., Oh S.J., Kim K.B. Morphologic changes of the saphenous vein Y-composite graft based on the left internal thoracic artery: 1-year intravascular ultrasound study. J Thorac Cardiovasc Surg. 2015 Feb;149(2):487-93. doi: 10.1016/j.jtcvs.2014.08.056.
49. Hwang H.Y., Kim K.B. Saphenous vein as a composite graft from the internal thoracic artery. Ann Cardiothorac Surg. 2018 Sep;7(5):686-689. doi: 10.21037/acs.2018.06.08.
Review
For citations:
Frolov A.V., Kozirin K.A. COMPOSITE CORONARY ARTERY BYPASS GRAFTING. Complex Issues of Cardiovascular Diseases. 2019;8(2):107-115. (In Russ.) https://doi.org/10.17802/2306-1278-2019-8-2-107-115
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