The Journal of Thoracic and Cardiovascular Surgery
Volume 135, Issue 3 , Pages 533-539 , March 2008

The effects of on-pump and off-pump coronary artery bypass grafting on intraoperative graft flow in arterial and venous conduits defined by a flow/pressure ratio

  • Lognathen Balacumaraswami, MBBS, FRCSEd, FRCS (CTh)

      Affiliations

    • Department of Cardiothoracic Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom
    • ,
  • Yasir Abu-Omar, MRCS

      Affiliations

    • Department of Cardiothoracic Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom
    • ,
  • Joseph Selvanayagam, MD, FRACP

      Affiliations

    • University Department of Cardiovascular Medicine, John Radcliffe Hospital, Headington, Oxford, United Kingdom
    • ,
  • David Pigott, FRCA

      Affiliations

    • Department of Cardiothoracic Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom
    • ,
  • David P. Taggart, MD, PhD, FRCS

      Affiliations

    • Department of Cardiothoracic Surgery, John Radcliffe Hospital, Headington, Oxford, United Kingdom
    • Corresponding Author InformationAddress for reprints: Professor D. P. Taggart, Professor of Cardiovascular Surgery, University of Oxford, Consultant Cardiothoracic Surgeon, John Radcliffe Hospital, Headley Way, Headington, Oxford, OX3 9DU, United Kingdom.

Received 14 February 2007 ,Revised 3 August 2007 ,Accepted 5 October 2007.

References 

  1. D'Ancona G, Karamanoukian HL, Ricci M, Schmid S, Bergsland J, Salerno TA. Graft revision after transit time flow measurement in off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg. 2000;17:287–293
  2. Hol PK, Fosse E, Lundblad R, Nitter-Hauge S, Due-Tonnessen P, Vatne K, et al. The importance of intraoperative angiographic findings for predicting long-term patency in coronary artery bypass operations. Ann Thorac Surg. 2002;73:813–818
  3. Falk V, Walther T, Philippi A, Autschbach R, Krieger H, Dalichau H, et al. Thermal coronary angiography for intraoperative patency control of arterial and saphenous vein coronary artery bypass grafts: results in 370 patients. J Card Surg. 1995;10:147–160
  4. Mack MJ, Magovern JA, Acuff TA, Landreneau RJ, Tennison DM, Tinnerman EJ, et al. Results of graft patency by immediate angiography in minimally invasive coronary artery surgery. Ann Thorac Surg. 1999;68:383–389discussion 389-90
  5. Taggart DP, Choudhary B, Anastasiadis K, Abu-Omar Y, Balacumaraswami L, Pigott DW. Preliminary experience with a novel intraoperative fluorescence imaging technique to evaluate the patency of bypass grafts in total arterial revascularization. Ann Thorac Surg. 2003;75:870–873
  6. Balacumaraswami L, Abu-Omar Y, Anastasiadis K, Choudhary B, Pigott D, Yeong SK, et al. Does off-pump total arterial grafting increase the incidence of intraoperative graft failure?. J Thorac Cardiovasc Surg. 2004;128:238–244
  7. Taggart DP, D'Amico R, Altman DG. Effect of arterial revascularisation on survival: a systematic review of studies comparing bilateral and single internal mammary arteries. Lancet. 2001;358:870–875
  8. Endo M, Tomizawa Y, Nishida H. Bilateral versus unilateral internal mammary revascularization in patients with diabetes. Circulation. 2003;108:1343–1349
  9. Abu-Omar Y, Taggart DP. Off-pump coronary artery bypass grafting. Lancet. 2002;360:327–330
  10. Nathoe HM, van Dijk D, Jansen EW, Suyker WJ, Diephuis JC, van Boven WJ, et al. A comparison of on-pump and off-pump coronary bypass surgery in low-risk patients. N Engl J Med. 2003;348:394–402
  11. Widimsky P, Straka Z, Stros P, Jirasek K, Dvorak J, Votava J, et al. One-year coronary bypass graft patency: a randomized comparison between off-pump and on-pump surgery angiographic results of the PRAGUE-4 trial. Circulation. 2004;110:3418–3423
  12. Khan NE, De Souza A, Mister R, Flather M, Clague J, Davies S, et al. A randomized comparison of off-pump and on-pump multivessel coronary-artery bypass surgery. N Engl J Med. 2004;350:21–28
  13. Puskas JD, Williams WH, Mahoney EM, Huber PR, Block PC, Duke PG, et al. Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost, and quality-of-life outcomes: a randomized trial. JAMA. 2004;291:1841–1849
  14. Kobayashi J, Tashiro T, Ochi M, Yaku H, Watanabe G, Satoh T, et al. Early outcome of a randomized comparison of off-pump and on-pump multiple arterial coronary revascularization. Circulation. 2005;112(9 Suppl):I338–I343
  15. Al-Ruzzeh S, George S, Bustami M, Wray J, Ilsley C, Athanasiou T, et al. Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial. BMJ. 2006;332:1365
  16. Lingaas PS, Hol PK, Lundblad R, Rein KA, Mathisen L, Smith HJ, et al. Clinical and radiologic outcome of off-pump coronary surgery at 12 months follow-up: a prospective randomized trial. Ann Thorac Surg. 2006;81:2089–2095
  17. Schmitz C, Ashraf O, Schiller W, Preusse CJ, Esmailzadeh B, Likungu JA, et al. Transit time flow measurement in on-pump and off-pump coronary artery surgery. J Thorac Cardiovasc Surg. 2003;126:645–650
  18. Kjaergard HK, Irmukhamedov A, Christensen JB, Schmidt TA. Flow in coronary bypass conduits on-pump and off-pump. Ann Thorac Surg. 2004;78:2054–2056
  19. Hassanein W, Albert AA, Arnrich B, Walter J, Ennker IC, Rosendahl U, et al. Intraoperative transit time flow measurement: off-pump versus on-pump coronary artery bypass. Ann Thorac Surg. 2005;80:2155–2161
  20. Balacumaraswami L, Abu-Omar Y, Choudhary B, Pigott D, Taggart DP. A comparison of transit-time flowmetry and intraoperative fluorescence imaging for assessing coronary artery bypass graft patency. J Thorac Cardiovasc Surg. 2005;130:315–320
  21. Taggart DP, Dipp M, Mussa S, Nye PC. Phenoxybenzamine prevents spasm in radial artery conduits for coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2000;120:815–817
  22. Fransen EJ, Maessen JG, Hermens WT, Glatz JF, Buurman WA. Peri-operative myocardial tissue injury and the release of inflammatory mediators in coronary artery bypass graft patients. Cardiovasc Res. 2000;45:853–859
  23. Taggart DP, Sundaram S, McCartney C, Bowman A, McIntyre H, Courtney JM, et al. Endotoxemia, complement, and white blood cell activation in cardiac surgery: a randomized trial of laxatives and pulsatile perfusion. Ann Thorac Surg. 1994;57:376–382
  24. Jin XY, Gibson DG, Pepper JR. The effects of cardioplegia on coronary pressure-flow velocity relationships during aortic valve replacement. Eur J Cardiothorac Surg. 1999;16:324–330
  25. Loop FD, Lytle BW, Cosgrove DM, Stewart RW, Goormastic M, Williams GW, et al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med. 1986;314:1–6
  26. El-Hamamsy I, Cartier R, Demers P, Bouchard D, Pellerin M. Long-term results after systematic off-pump coronary artery bypass graft surgery in 1000 consecutive patients. Circulation. 2006;114(1 Suppl):I486–I491

 Lognathen Balacumaraswami was supported in part by the Oxford University Medical Research Fund.

PII: S0022-5223(07)01740-0

doi: 10.1016/j.jtcvs.2007.10.027

The Journal of Thoracic and Cardiovascular Surgery
Volume 135, Issue 3 , Pages 533-539 , March 2008

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