mammary artery grafting

mammary artery grafting

A method of bypass for coronary narrowing used to overcome the strong tendency of vein grafts to become arterialized and eventually blocked by atherosclerosis and thrombosis. It has been found that grafts using one or both of the internal mammary arteries instead of a length of leg vein remain open longer and are far more resistant than veins to these dangerous disease changes.
References in periodicals archive ?
Respiratory complications after coronary artery bypass surgery with unilateral or bilateral internal mammary artery grafting.
Skeletonized bilateral internal mammary artery grafting for patients with diabetes.
Propensity matched analysis of bilateral internal mammary artery versus single left internal mammary artery grafting at 17-year follow-up: validation of a contemporary surgical experience.
Many interventional cardiologists have dismissed the results of BARI and other smaller studies favoring CABG as irrelevant in-the contemporary era of much-improved PCI techniques and drug-eluting stents, even though the current joint AHA/American College of Cardiology/Society for Coronary Angiography and Interventions guidelines state as a class IIa recommendation that "it is reasonable" to choose CABG with left internal mammary artery grafting over PCI in diabetic patients with multivessel disease.
Many interventional cardiologists have dismissed the results of BARI and other smaller studies favoring CABG as irrelevant in the contemporary era of much-improved PCI techniques and drug-eluting stents, even though the current joint AHA/American College of Cardiology/Society for Coronary Angiography and Interventions guidelines state as a class ha recommendation that "it is reasonable" to choose CABG with left internal mammary artery grafting over PCI in patients with diabetes and multivessel disease.
Pleural and pulmonary complications after bilateral internal mammary artery grafting.
Primary risk factors for sternal complications include: high body mass index, chronic obstructive pulmonary disease, bilateral internal mammary artery grafting, diabetes mellitus, rethoracotomy, increased blood loss, higher disability classification, smoking, prolonged cardiopulmonary bypass and or surgical time, peripheral vascular disease, and female gender with large breast size.
Comparison between saphenous vein and internal mammary artery grafting.
Respiratory complications after coronary bypass surgery with unilateral or bilateral internal mammary artery grafting.
Methods: A retrospective cross sectional study was conducted in July 2010 in which all 48 patients undergoing bilateral internal mammary artery grafting for coronary bypass surgery at the Aga Khan University Hospital from 1996 to 2010 were reviewed and evaluated.
Risk Factors for Sternal Complications Following Median Sternotomy * Obesity * Chronic obstructive pulmonary disease * Bilateral internal mammary artery grafting * Diabetes * Re-thoracotomy * Canadian Cardiovascular Society Anginal Class * Number of transfused units * Smoking * Larger breast size in women * Prolonged cardiopulmonary bypass time * Prolonged mechanical ventilation time * Longer intensive care unit length of stay Table 2.