Twenty Years Experience With the Gastroepiploic Artery Graft for CABG

• DOI: 10.1161/circulationaha.106.678813
• Publication Date: 2007-09-10T20:58:24Z
• Authors: Hisayoshi Suma; Hiroaki Tanabe; Akihito Takahashi; Taiko Horii; Tadashi Isomura; Hitoshi Hirose; Atsushi Amano
• Keywords: Gastroepiploic Artery; Right gastroepiploic artery; Circumflex; Internal thoracic artery

Background— To improve the longterm outcome after CABG, several strategies have been used using arterial conduits. Our 20 years experience with right gastroepiploic artery (GEA) graft was evaluated. Methods and Results— In 1352 patients having CABG GEA graft, (1092 men, mean 63 years, 99% multivessel disease, EF 0.51), internal thoracic artery, saphenous vein, radial grafts were concomitantly in 1312 (97%), 783 (58%), 128 (8%) patients, respectively. The number of distal anastomoses 3.1, 2.4 coronary arteries bypassed grafts. sites for grafting 70 anterior descending, 268 circumflex, 1089 arteries. operative mortality 1.26%. 1118 follow-up (82.6%), 5, 10, 15 survival rates 91.7%, 81.4%, 71.3%, cardiac death-free 95.8%, 88.6%, cumulative patency rate 97.1% at 1 month, 92.3% year, 85.5% 5 66.5% 10 172 skeletonized 233 anastomoses, immediate, 1, 4 surgery 97.6%, 92.9%, 86.4%, 124 late (5 to 17 years) restudy, 96% (114/119) left 87% (108/124) GEA, 68% (67/98) vein New stenosis uncommon GEA. Conclusion— is a safe effective conduit CABG.