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Left internal mammary artery

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https://www.readbyqxmd.com/read/28038726/comparison-of-outcomes-of-coronary-artery-bypass-grafting-using-internal-mammary-graft-versus-percutaneous-coronary-intervention-for-isolated-proximal-left-anterior-descending-narrowing
#1
M Bilal Iqbal, Charles Ilsley, Fabio De Robertis, Rebecca Lane, Tito Kabir, Toufan Bahrami, Andre Simon, Aron Popov, Mohamed Amrani, Miles C Dalby, Mark Mason, Richard Grocott-Mason, Robert D Smith, Shahzad G Raja
There are limited contemporary studies comparing coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) for isolated proximal left anterior descending (LAD) disease. Increasing stent length and decreasing stent diameters are associated with increased risk of restenosis and adverse outcomes after PCI. Whether these parameters influence outcomes when comparing CABG and PCI is unclear. We compared CABG and PCI in 3,473 patients who underwent revascularization for isolated proximal LAD disease from 2004 to 2015 at Harefield Hospital, UK; 3,078 patients (89%) had PCI and 384 patients had CABG (11%)...
December 2, 2016: American Journal of Cardiology
https://www.readbyqxmd.com/read/28031649/non-st-elevation-myocardial-infarction-triggered-by-subclavian-steal-syndrome
#2
Bulent Uzunlar, Ahmet Karabulut, Zeki Dogan
Coronary-subclavian artery (SCA) steal syndrome is an uncommon phenomenon in which coronary flow is diverted into the SCA through the patent left internal mammary artery (LIMA) conduit due to critical subclavian stenosis. The prevalence of significant left SCA (LSCA) stenosis in patients, referred for coronary bypass surgery, has been reported to be 0.2 to 6.8%. Most patients usually present with angina pectoris, and secondary myocardial infarction is rarely reported. Herein, we present a case of coronary bypass graft in which a left anterior descending artery-LIMA graft was applied to supply the left arm due to complete LSCA occlusion...
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/28007269/totally-endoscopic-coronary-artery-bypass-for-anomalous-origin-of-right-coronary-artery
#3
Chia-Cheng Kuo, Chung-Hsi Hsing, Bor-Chih Cheng
Anomalous origin of the right coronary artery (ARCA) from the left Valsalva sinus is a rare but known cause of sudden cardiac death. Surgical revascularization techniques include coronary artery bypass grafting, unroofing, and reimplantation. We report 4 patients who underwent robot-assisted totally endoscopic coronary artery bypass (TECAB) for ARCA as an alternative surgical option. In 3 patients, a single aortocoronary saphenous vein bypass was performed, and in 1 patient the right internal mammary artery was used...
January 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27942494/robotic-totally-endoscopic-coronary-artery-bypass-grafting-tecab-placement-of-bilateral-internal-mammary-arteries-to-the-left-ventricle
#4
REVIEW
Johannes Bonatti, Antti Vento, Nikolaos Bonaros, Mahmoud Traina, Eric Lehr
No abstract text is available yet for this article.
November 2016: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27878548/contemporary-use-of-arterial-and-venous-conduits-in-coronary-artery-bypass-grafting-anatomical-functional-and-clinical-aspects
#5
REVIEW
G Cuminetti, S Gelsomino, S Curello, R Lorusso, J G Maessen, J C A Hoorntje
Although the benefits of using the left internal mammary artery to bypass the left anterior descending artery (LAD) have been extensively ascertained, freedom from major cardiovascular events and survival after coronary artery bypass grafting (CABG) also correlate with the completeness of revascularisation. Hence, careful selection of the second-best graft conduit is crucial for CABG success. The more widespread use of saphenous vein grafts contrasts with the well-known long-term efficacy of multiple arterial grafting, which struggles to emerge as the procedure of choice due to concerns over increased technical difficulties and higher risk of postoperative complications...
January 2017: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27842711/-radiation-related-heart-toxicity-update-in-women
#6
S Marlière, E Vautrin, C Saunier, A Chaikh, I Gabelle-Flandin
Breast cancer is a common diagnosis in women and thus women are at risk of radiation-induced heart disease, in particular during radiotherapy for left breast cancer and when the internal mammary chain is included. Rates of major cardiac events increase with younger age at the time of irradiation, diagnosis before 1990s, higher radiation doses, coexisting cardiovascular risk factors and adjuvant cardiotoxic chemotherapy. Radiation-induced heart disease comprises a spectrum of cardiac pathologies, including pericardial disease, cardiomyopathy, coronary artery disease and valvular disease...
December 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27824958/the-value-of-exercise-spet-for-the-detection-of-coronary-artery-steal-syndrome-secondary-to-unligated-major-side-branch-of-left-internal-mammary-artery
#7
Osman Beton, Hakki Kaya, Ozan Kandemir, Buket Alibazoglu, Haluk Alibazoglu, Ercan Karabey, Okan Onur Turgut, Mehmet Birhan Yilmaz
OBJECTIVE: The clinical significance of unligated major left internal mammary artery (LIMA)-side branches (SB) remains controversial in patients with previous coronary artery bypass graft (CABG) surgery. The aim of this study was to investigate the clinical significance of unligated major LIMA-SB by using exercise myocardial perfusion imaging (MPI) with single-photon emission tomography. SUBJECTS AND METHODS: We conducted a retrospective analysis of 2819 consecutive patients who underwent diagnostic angiography...
September 2016: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/27806560/topical-vasodilator-response-is-significantly-higher-in-skeletonized-internal-mammary-artery
#8
Nida Butt, Sarah Hamid, Mujtaba Hussain, Ali Alam, Hala Soomro, Tahreem Ahmad, Madiha Ahmed, Ekta Golani, Janta Devi Ukrani, Faisal Iftikhar, Rehmat Tufail, Maha Begg, Samar Saleem, Ayyaz Alam Sultan, Rohail Jameel, Waqas Shahnawaz, Zohaib Farrukh, Asadullah Khan
AIM: Coronary artery bypass graft surgery is the gold standard for the treatment of multi-vessel and left main coronary artery disease. However, there is considerable debate that whether left internal mammary artery (IMA) should be taken as pedicled or skeletonized. This study was conducted to assess the difference in blood flow after application of topical vasodilator in skeletonized and pedicled IMA. METHODS: In this study, each patient underwent either skeletonized (n=25) or pedicled IMA harvesting (n=25)...
September 28, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27760987/left-internal-mammary-artery-graft-stenosis-and-post-angioplasty-restenosis-follow-up-through-multi-slice-cardiac-computed-tomography-angiography
#9
George Kassimis, Nikant Sabharwal, Niket Patel, Adrian P Banning
No abstract text is available yet for this article.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27751508/subepicardial-hematoma-after-percutaneous-coronary-intervention
#10
Raúl Alberto Borracci, Natalia Ayala, Paola Renes, Norberto Gustavo Allende
BACKGROUND: Coronary artery perforation associated to cardiac tamponade is an uncommon life-threatening complication of percutaneous coronary intervention, and the occurrence of subepicardial or intramyocardial hematoma without hemopericardium is even rarer. CLINICAL CASE: We describe the case of a 72 year-old woman with a subepicardial hematoma after percutaneous coronary intervention, who required urgent left internal mammary artery graft to anterior descending artery surgery...
October 14, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27751328/anaortic-off-pump-bilateral-internal-mammary-grafting-in-severe-left-ventricular-dysfunction-case-report
#11
Kamales Kumar Saha, Saurab Goel, Ajay Kumar, Kakalee K Saha
A 64 years old male diabetic patient with ejection fraction of 16% and renal dysfunction underwent off-pump CABG using both in situ internal mammary artery grafts. Left internal mammary artery was used to bypass left anterior descending artery and right internal mammary artery was used as composite graft. Patient had uneventful recovery and left ventricular ejection fraction improved to 34% within 8 months after surgery. In presence of left ventricular dysfunction, both internal thoracic artery grafting should be preferred for better patency rate and flow reserve...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27751326/rare-case-of-proximal-coronary-plaque-regression-after-distal-arterial-grafting
#12
George Jose Valooran, Shiv Kumar Nair, Krishnan Chandrasekharan
The metabolically active endothelium of arterial grafts is reported to slow the atherosclerotic process in the distal coronary territories to which they are grafted with improved patency. The literature on arterial grafting causing proximal plaque regression is scant. We report here a case of proximal left anterior descending artery (LAD) plaque regression following distal arterial grafting with a left internal mammary arterial (LIMA) graft to LAD. This rarely documented regression resulted in "stringing" of the arterial graft, while there was a significant progression of atherosclerotic disease in the right coronary with patent venous graft and de novo lesion in circumflex territory necessitating percutaneous coronary intervention, in spite of aggressive medical therapy...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27727088/cardiac-surgery-or-interventional-cardiology-why-not-both-let-s-go-hybrid
#13
REVIEW
Nikolaos A Papakonstantinou, Nikolaos G Baikoussis, Panagiotis Dedeilias, Michalis Argiriou, Christos Charitos
A hybrid strategy, firstly performed in the 1990s, is a combination of tools available only in the catheterization laboratory with those available only in the operating room in order to minimize surgical morbidity and face with any cardiovascular lesion. The continuous evolution of stent technology along with the adoption of minimally invasive surgical approaches, make hybrid approaches an attractive alternative to standard surgical or transcatheter techniques for any given set of cardiovascular lesions. Examples include hybrid coronary revascularization, when an open surgical anastomosis of the left internal mammary artery to the left anterior descending coronary artery is performed along with stent implantation in non-left anterior descending coronary vessels, open heart valve surgery combined with percutaneous coronary interventions to coronary lesions, hybrid aortic arch debranching combined with endovascular grafting for thoracic aortic aneurysms, hybrid endocardial and epicardial atrial fibrillation procedures, and carotid artery stenting along with coronary artery bypass grafting...
January 2017: Journal of Cardiology
https://www.readbyqxmd.com/read/27721213/graft-failure-prior-to-discharge-after-coronary-artery-bypass-surgery-a-prospective-single-centre-study-using-dual-64-slice-computed-tomography
#14
Chourmouzios A Arampatzis, Danai Chourmouzi, Glykeria Boulogianni, Pedro Lemos, Dimitrios Pentousis, Stamatia Potsi, Anestis Moumtzouoglou, Elissavet Papadopoulou, Athanasios Grammenos, Christos Voucharas, Apostolos Mpismpos, Eugene P McFadden, Antonios Drevelengas
AIMS: The purpose of this study was to assess the incidence and predictors of graft failure prior to discharge. Multi-slice computed tomography has the ability to evaluate graft patency in a non-invasive way. METHODS AND RESULTS: Of 145 consecutive patients who were screened, 73 were included in the study (78% male, mean age 65 years). A total of 206 grafts were analysed (2.8±0.9 grafts/patient). Of the 206 grafts, 126 were venous, 72 were left internal mammary, five were right internal mammary and three were radial grafts...
October 10, 2016: EuroIntervention
https://www.readbyqxmd.com/read/27716382/gender-differences-in-outcomes-following-isolated-coronary-artery-bypass-grafting-long-term-results
#15
Francesco Nicolini, Antonella Vezzani, Daniela Fortuna, Giovanni Andrea Contini, Davide Pacini, Davide Gabbieri, Claudio Zussa, Rossana De Palma, Tiziano Gherli
BACKGROUND: The main purpose of this study was to evaluate the impact of gender on outcomes after isolated coronary artery bypass grafting, in terms of 5-year rates of overall death, cardiac-related death, myocardial infarction, re-hospitalization, repeat percutaneous or surgical revascularization, stroke, new pacemaker implantation, postoperative renal failure, heart failure and need for long-term care. METHODS: Two propensity-score matched cohorts, each of 1331 patients, undergoing isolated surgical coronary revascularization at the regional public and private centers of Emilia-Romagna region (Italy) from January 1st 2003 to December 31th 2013, were used to compare long-term outcomes of male (5976 patients) versus female gender (1332 patients)...
September 30, 2016: Journal of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/27677872/successful-coronary-surgical-stenting-a-new-hybrid-approach
#16
Javier G Poveda, Gustavo L Silva, Pedro C Silva, Ângelo Nobre
Our goal is to introduce a new hybrid coronary revascularization concept-coronary surgical stenting. The procedure was performed on a 78-year old woman with severe, long and calcified involvement of the proximal left anterior descending artery, chronic total occlusion of the mid-left anterior descending artery and severe disease in the distal left anterior descending artery. An off-pump minimally invasive procedure was performed through the fifth intercostal space, including concurrent surgical placement of a drug-eluting stent in the distal left anterior descending artery, through the left anterior descending artery graft incision, associated with the left internal mammary artery to the mid-left anterior descending artery graft...
September 27, 2016: Interactive Cardiovascular and Thoracic Surgery
https://www.readbyqxmd.com/read/27674776/estimation-of-left-anterior-descending-coronary-artery-exposure-following-left-sided-breast-radiation-therapy-that-includes-the-internal-mammary-lymph-nodes
#17
A S Barry, K Rock, M Rahman, M Pintilie, T W Fyles, C A Koch
No abstract text is available yet for this article.
October 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27671175/skeletonization-of-left-internal-mammary-artery-in-coronary-artery-bypass-grafting
#18
Muhammad Sohail Chaudhri, Muhammad Usman Ali Shah, Muhammad Imran Asghar, Rashad Siddiqi, Asif Mahmood Janjua, Afsheen Iqbal
OBJECTIVE: To compare mean per-operative flow capacity between skeletonized and pedicled left internal mammary artery (LIMA) in patients undergoing coronary artery bypass grafting (CABG) surgery. STUDY DESIGN: Randomized control trial. PLACE AND DURATION OF STUDY: Department of Cardiac Surgery, Armed Forces Institute of Cardiology and National Institute of Heart Diseases (AFIC-NIHD), Rawalpindi, Pakistan from February to August, 2013. METHODOLOGY: Patients undergoing CABG for coronary artery disease, under 80 years, excluded by the exclusion criteria; and fulfilling the inclusion criteria were randomly assigned to two groups of 70 each...
September 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27668342/left-internal-mammary-artery-graft-stenosis-and-post-angioplasty-restenosis-follow-up-through-multi-slice-cardiac-computed-tomography-angiography
#19
George Kassimis, Nikant Sabharwal, Niket Patel, Adrian P Banning
No abstract text is available yet for this article.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27664803/left-internal-mammary-artery-versus-coronary-stents-impact-on-downstream-coronary-stenoses-and-conduit-patency
#20
Ming Zhang, Raviteja R Guddeti, Yasushi Matsuzawa, Jaskanwal D S Sara, Taek-Geun Kwon, Zhi Liu, Tao Sun, Seung-Jin Lee, Ryan J Lennon, Malcolm R Bell, Hartzell V Schaff, Richard C Daly, Lilach O Lerman, Amir Lerman, Chaim Locker
BACKGROUND: The study compared downstream coronary and conduit disease progression in the left anterior descending coronary artery treated with coronary artery bypass grafting using the left internal mammary artery (LIMA) versus percutaneous coronary intervention with bare metal stent (BMS) or drug eluting stent (DES). METHODS AND RESULTS: A total of 12 301 consecutive patients underwent isolated primary coronary revascularization, of which 2386 met our inclusion criteria (Percutaneous coronary intervention, n=1450; coronary artery bypass grafting, n=936)...
2016: Journal of the American Heart Association
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