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Arterial conduits in coronary artery bypass grafting: an inconvenient truth PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Arterial conduits in coronary artery bypass grafting: an inconvenient truth" by M Gaudino.

This medical PowerPoint presentation talks about Arterial conduits in coronary artery bypass grafting.

Arterial conduits are blood vessels used in coronary artery bypass grafting (CABG) to bypass blocked or narrowed coronary arteries. There are two main types of arterial conduits used in CABG: the internal thoracic artery (ITA) and the radial artery.

The ITA, also known as the internal mammary artery, is the most commonly used arterial conduit in CABG surgery. It is located in the chest wall and is easily accessible during surgery. Studies have shown that the ITA is more durable and has a better long-term patency rate than vein grafts. Using the ITA as a bypass graft has been associated with better long-term survival rates and reduced risk of cardiac events compared to vein grafts.

The radial artery is another arterial conduit used in CABG surgery. It is located in the arm and is also easily accessible during surgery. Studies have shown that the radial artery can also be a good alternative to vein grafts, with similar patency rates and long-term outcomes.

In general, arterial conduits have been found to be superior to vein grafts in CABG surgery. Arterial conduits have better long-term patency rates and are less likely to become blocked or narrow over time. However, the decision to use arterial conduits in CABG surgery depends on individual patient factors and the surgeons preference and experience.

Tags : Arterial conduits, coronary artery bypass grafting, CABG, coronary arteries, internal thoracic artery, radial artery, Cardiothoracic Surgery, cardiology, cardiology PowerPoint presentation

Published on : Mar 19, 2023 | Views : 1323 | Downloads : 2

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Arterial conduits in coronary artery bypass grafting: an inconvenient truth M Gaudino
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Loop FD et al NEJM 1986
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Arterial conduits used for coronary artery bypass grafting Internal Thoracic Artery Radial Artery Right Gastroepiploic Artery Inferior Epigastric Artery Others
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Ann Cardiothorac Surg 2013
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Effects of bilateral internal mammary artery grafting on long-term survival. Gijong Yi et al. Circulation. 2014;130:539-545 Copyright © American Heart Association, Inc. All rights reserved.
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Zhang H. Herz 2013 Comparison of radial artery versus saphenous vein for clinical outcomes
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© 2013 by Lippincott Williams & Wilkins. Published by Lippincott Williams & Wilkins, Inc. 2 Saphenous Vein Graft Failure After Coronary Artery Bypass Surgery: Pathophysiology, Management, and Future Directions. Annals of Surgery. 257(5):824-833, May 2013.
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12 Hess et al. Predictors of VGF After CABG. Circulation. 2014;130:1445-1451
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Comparative patencies of different in situ and free arterial conduits at 5 years. Hayward PA, Buxton BF. Contemporary Coronary Graft Patency: 5-Year Observational Data From a Randomized Trial of Conduits. Ann Thorac Surg 2007;84:795-9.
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Actuarial graft patency on protocol-directed angiography at 1 month to 10 years. Hayward PA, Buxton BF. Contemporary Coronary Graft Patency: 5-Year Observational Data From a Randomized Trial of Conduits. Ann Thorac Surg 2007;84:795-9. SV isART fART
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Cao et al J Thorac Cardiovasc Surg 2013 RA vs GSV: graft occlusion
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Cao et al J Thorac Cardiovasc Surg 2013 RA vs GSV: overall graft failure
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Cao et al J Thorac Cardiovasc Surg 2013 RA vs GSV: graft patency
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European Journal of Cardio-Thoracic Surgery (2014) 1–7
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The real world
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The challenge for the second arterial conduit: RA vs. RITA
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RAPCO Trial: Assessment, enrolment and randomization - group 1 Hayward et al.The Radial Artery Patency and Clinical Outcomes (RAPCO) Trial: Design, Intermediate Term Results and Future Direction Heart, Lung and Circulation 2011
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Hayward PA and BuxtonBF Ann Cardiothorac Surg 2013;2(4):458-466 Kaplan-Meier estimates of survival by intention to treat of RA vs. RITA patients, Group 1
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Hayward PA and BuxtonBF Ann Cardiothorac Surg 2013;2(4):458-466 Kaplan-Meier estimates of Event free survival of RA vs. RITA patients, Group 1
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Hayward PA et al J Thorac Cardiovasc Surg 2010;139:60-7 Kaplan-Meier estimates of graft patency in group 1 by intention to treat
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Scheme for the choice of the second arterial conduit Gaudino et al ATS 2015
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Gaudino et al JACC 2015
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Kamiya et al Ann Thorac Surg 2003
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Kamiya et al Ann Thorac Surg 2003
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Kamiya et al Ann Thorac Surg 2003
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