Recycling of internal thoracic arteries in reoperative coronary surgery: In-hospital and midterm results

Bachar El Oumeiri, David Glineur, Joel Price, Munir Boodhwani, Pierre Yves Etienne, Alain Poncelet, Laurent De Kerchove, Spiridon Papadatos, Philippe Noirhomme, Gebrine El Khoury

Research output: Contribution to journalArticle

Abstract

Background: Selected patients, presenting for reoperative coronary surgery with patent internal thoracic arteries (ITAs), may benefit from techniques to salvage and reuse these ITA grafts. We have termed this practice the recycling of ITAs. The purpose of this study is to report our short-term and midterm results using various recycling techniques. Methods: Between April 1996 and February 2009, 60 patients underwent ITA recycling at our institution. Information regarding survival and cardiac events was obtained from a prospectively maintained, institutional database. Survival and freedom from major adverse cardiac events were calculated using Kaplan-Meier analysis. Mean follow-up duration was 60 ± 36 months. Results: Mean age was 64 ± 9 years and the mean time to reoperation was 117 ± 68 months. The patent ITA served as an inflow for a composite Y graft in 39 patients and was distally reimplanted on the same coronary vessel in 9 patients. A combination of these two techniques was used in 8 patients. Other techniques were used in the remaining 4 patients. Freedom from cardiac death was 93% ± 7% and 85% ± 9% at 1 and 5 years and freedom from major adverse cardiac events was 93% ± 7% and 81% ± 11% at 1 and 5 years, respectively. Conclusions: Recycling of ITA grafts during reoperative coronary artery bypass grafting is safe and feasible in selected patients. These techniques can be useful in selected young patients to avoid saphenous vein graft or in patients with a lack of graft conduits.

Original languageEnglish (US)
Pages (from-to)1165-1168
Number of pages4
JournalAnnals of Thoracic Surgery
Volume91
Issue number4
DOIs
StatePublished - Apr 2011
Externally publishedYes

Fingerprint

Mammary Arteries
Transplants
Survival
Saphenous Vein
Kaplan-Meier Estimate
Recycling
Reoperation
Coronary Artery Bypass
Coronary Vessels
Databases

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

El Oumeiri, B., Glineur, D., Price, J., Boodhwani, M., Yves Etienne, P., Poncelet, A., ... El Khoury, G. (2011). Recycling of internal thoracic arteries in reoperative coronary surgery: In-hospital and midterm results. Annals of Thoracic Surgery, 91(4), 1165-1168. https://doi.org/10.1016/j.athoracsur.2010.11.073

Recycling of internal thoracic arteries in reoperative coronary surgery : In-hospital and midterm results. / El Oumeiri, Bachar; Glineur, David; Price, Joel; Boodhwani, Munir; Yves Etienne, Pierre; Poncelet, Alain; De Kerchove, Laurent; Papadatos, Spiridon; Noirhomme, Philippe; El Khoury, Gebrine.

In: Annals of Thoracic Surgery, Vol. 91, No. 4, 04.2011, p. 1165-1168.

Research output: Contribution to journalArticle

El Oumeiri, B, Glineur, D, Price, J, Boodhwani, M, Yves Etienne, P, Poncelet, A, De Kerchove, L, Papadatos, S, Noirhomme, P & El Khoury, G 2011, 'Recycling of internal thoracic arteries in reoperative coronary surgery: In-hospital and midterm results', Annals of Thoracic Surgery, vol. 91, no. 4, pp. 1165-1168. https://doi.org/10.1016/j.athoracsur.2010.11.073
El Oumeiri, Bachar ; Glineur, David ; Price, Joel ; Boodhwani, Munir ; Yves Etienne, Pierre ; Poncelet, Alain ; De Kerchove, Laurent ; Papadatos, Spiridon ; Noirhomme, Philippe ; El Khoury, Gebrine. / Recycling of internal thoracic arteries in reoperative coronary surgery : In-hospital and midterm results. In: Annals of Thoracic Surgery. 2011 ; Vol. 91, No. 4. pp. 1165-1168.
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AU - Yves Etienne, Pierre

AU - Poncelet, Alain

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