Total arterial myocardial revascularization in octogenarians

Anna Kędziora; Janusz Konstanty-Kalandyk; Radosław Litwinowicz; Piotr Mazur; Bartłomiej Guzik; Krzysztof Bryniarski; Jacek Piątek

doi:10.5114/aic.2020.99270

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

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Total arterial myocardial revascularization in octogenarians

Anna Kędziora

¹

,

Janusz Konstanty-Kalandyk

^{1, 2}

,

Radosław Litwinowicz

¹

,

Piotr Mazur

^{1, 2}

,

Bartłomiej Guzik

^{2, 3}

,

Krzysztof Bryniarski

^{2, 3}

,

Jacek Piątek

¹

Department of Cardiovascular Surgery and Transplantology, Institute of Cardiology, John Paul II Hospital, Krakow, Poland
Institute of Cardiology, Jagiellonian University Medical College, Krakow, Poland
Department of Interventional Cardiology, Institute of Cardiology, John Paul II Hospital, Krakow, Poland

Adv Interv Cardiol 2020; 16, 3 (61): 336–339

DOI: https://doi.org/10.5114/aic.2020.99270

Online publish date: 2020/10/02

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According to the current ESC/EACTS Myocardial Revascularization Guidelines, the left internal mammary artery (LIMA) should always be implanted to graft the left anterior descending (LAD) artery, but an additional arterial graft should be considered in appropriate patients undergoing coronary artery bypass grafting (CABG) [1]. In spite of inconclusive 10-year results from the Arterial Revascularization Trial (ART) [2], observational studies underline the superior patency of arterial grafts [3]. Nevertheless, based on the data published by the Society of Thoracic Surgeons (STS), bilateral internal mammary grafts are implanted in as few as 5% of CABG cases, and the use of the radial artery (RA) has declined by approximately 33% within the last decade [4].

Total arterial myocardial revascularization in octogenarians

Anna Kędziora 1 , Janusz Konstanty-Kalandyk 1, 2 , Radosław Litwinowicz 1 , Piotr Mazur 1, 2 , Bartłomiej Guzik 2, 3 , Krzysztof Bryniarski 2, 3 , Jacek Piątek 1

Anna Kędziora

¹

,

Janusz Konstanty-Kalandyk

^{1, 2}

,

Radosław Litwinowicz

¹

,

Piotr Mazur

^{1, 2}

,

Bartłomiej Guzik

^{2, 3}

,

Krzysztof Bryniarski

^{2, 3}

,

Jacek Piątek

¹