Journal of Shandong University (Health Sciences) ›› 2024, Vol. 62 ›› Issue (3): 39-46.doi: 10.6040/j.issn.1671-7554.0.2023.0666

• Clinical Medicine • Previous Articles     Next Articles

Early clinical efficacy of left internal thoracic artery plus radial artery in total arterialized coronary artery bypass grafting

ZHANG Xiwei1, REN Linwei2, ZHANG Hui3, ZHANG Xinjie3, LIU Weiguo4, WANG Dong1,3   

  1. 1. Department of Cardiovascular Surgery, Shandong Provincial Qianfoshan Hospital, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China;
    2. Clinical Medical College Weifang Medical University, Weifang 261053, Shandong, China;
    3. Department of Cardiovascular Surgery, The First Affiliated Hospital of Shandong First Medical University &
    Shandong Provincial Qianfoshan Hospital, Shandong Engineering Research Center for Health Transplant and Material, Jinan 250014, Shandong, China;
    4. Department of Clinical Pharmacy, The First Affiliated Hospital of Shandong First Medical University &
    Shandong Provincial Qianfoshan Hospital, Shandong Engineering and Technology Research Center for Pediatric Drug Development, Shandong Medicine and Health Key Laboratory of Clinical Pharmacy, Jinan 250014, Shandong, China
  • Published:2024-05-06

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Abstract: Objective To investigate the early clinical efficacy of left internal thoracic artery(LITA)plus radial artery(RA)in total arterialized coronary artery bypass grafting(TA-CABG). Methods The clinical data of 105 patients who underwent total TA-CABG during Jan. 2020 and Jun. 2022 in the Department of Cardiovascular Surgery of Shandong Provincial Qianfoshan Hospital were retrospectively analyzed, including 59 who underwent off-pump coronary artery bypass grafting(OPCAB)and 46 who underwent on-pump coronary artery bypass grafting(ONCAB). Preoperative data, intraoperative graft acquisition and anastomosis methods, postoperative complications and management measures were included. Computed tomography angiography(CTA)was conducted in all patients 12 months after surgery to evaluate the graft patency rate and incidence of adverse cardiovascular events. Results The operation time of ONCAB group was longer than that of OPCAB group, while the postoperative hospital stay was shorter, with statistically significant difference(P=0.006). However, there were no statistically significant differences in the number of anastomosis, flow in grafts, postoperative mechanical ventilation time, 24 h postoperative drainage, arrhythmia, perioperative myocardial infarction, incision infection and forearm complications(P>0.05). No death or postoperative cerebrovascular events occurred in either groups. Conclusion LITA plus RA yields satisfactory early clinical outcomes in TA-CABG. ONCAB group needs shorter hospital stay than OPCAB group. Protection of radial nerve branch is important when RA is obtained. Intraoperative and postoperative antispasmodic therapy is essential.

Key words: Coronary artery bypass grafting, Total arterialization, Radial artery, Patency rate, Early phase

CLC Number: 

  • R654.2
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