Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery
Aim. To assess whether the internal thoracic artery (ITA) is able to protect coronary artery (CA) after coronary artery bypass graft (CABG) surgery.Material and Methods. Having performed coronary angiography in the long term after CABG surgery, we evaluated 102 angiograms by visual analysis and usin...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Kemerovo State Medical University
2023-04-01
|
| Series: | Фундаментальная и клиническая медицина |
| Subjects: | |
| Online Access: | https://fcm.kemsmu.ru/jour/article/view/679 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849249086212931584 |
|---|---|
| author | A. V. Frolov N. I. Zagorodnikov R. S. Tarasov E. V. Grigoriev S. V. Ivanov L. S. Barbarash |
| author_facet | A. V. Frolov N. I. Zagorodnikov R. S. Tarasov E. V. Grigoriev S. V. Ivanov L. S. Barbarash |
| author_sort | A. V. Frolov |
| collection | DOAJ |
| description | Aim. To assess whether the internal thoracic artery (ITA) is able to protect coronary artery (CA) after coronary artery bypass graft (CABG) surgery.Material and Methods. Having performed coronary angiography in the long term after CABG surgery, we evaluated 102 angiograms by visual analysis and using Gensini score and SYNTAX score. Using these parameters, we investigated the association of internal thoracic artery and saphenous vein grafts with anatomy and pathology of the coronary artery.Results. Calculation of Gensini score revealed that use of ITA grafts was associated with mild coronary atherosclerosis [4 (0; 17)] as compared with SV grafts [32 (2 ; 32)]. Relative increase of atherosclerotic burden in the coronary artery was 21.05% for the ITA grafts and 102.87% for the SV grafts. Lesion growth rate was significantly higher after using SV grafts than in case with ITA grafts (p = 0.0002)Conclusion. ITA grafts reduce progression of atherosclerosis in bypassed coronary arteries in comparison with SV grafts. |
| format | Article |
| id | doaj-art-824f9b9ca96241718bb606aec5a09c70 |
| institution | Kabale University |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2023-04-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-824f9b9ca96241718bb606aec5a09c702025-08-20T03:57:40ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412023-04-0181809210.23946/2500-0764-2023-8-1-80-92356Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgeryA. V. Frolov0N. I. Zagorodnikov1R. S. Tarasov2E. V. Grigoriev3S. V. Ivanov4L. S. Barbarash5Research Institute for Complex Issues of Cardiovascular DiseasesKuzbass Clinical Cardiological DispensaryResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesResearch Institute for Complex Issues of Cardiovascular DiseasesAim. To assess whether the internal thoracic artery (ITA) is able to protect coronary artery (CA) after coronary artery bypass graft (CABG) surgery.Material and Methods. Having performed coronary angiography in the long term after CABG surgery, we evaluated 102 angiograms by visual analysis and using Gensini score and SYNTAX score. Using these parameters, we investigated the association of internal thoracic artery and saphenous vein grafts with anatomy and pathology of the coronary artery.Results. Calculation of Gensini score revealed that use of ITA grafts was associated with mild coronary atherosclerosis [4 (0; 17)] as compared with SV grafts [32 (2 ; 32)]. Relative increase of atherosclerotic burden in the coronary artery was 21.05% for the ITA grafts and 102.87% for the SV grafts. Lesion growth rate was significantly higher after using SV grafts than in case with ITA grafts (p = 0.0002)Conclusion. ITA grafts reduce progression of atherosclerosis in bypassed coronary arteries in comparison with SV grafts.https://fcm.kemsmu.ru/jour/article/view/679internal thoracic arterysaphenous veinprotective effectatherosclerosiscoronary artery bypass graft surgery |
| spellingShingle | A. V. Frolov N. I. Zagorodnikov R. S. Tarasov E. V. Grigoriev S. V. Ivanov L. S. Barbarash Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery Фундаментальная и клиническая медицина internal thoracic artery saphenous vein protective effect atherosclerosis coronary artery bypass graft surgery |
| title | Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery |
| title_full | Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery |
| title_fullStr | Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery |
| title_full_unstemmed | Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery |
| title_short | Use of internal thoracic artery as a conduit protects coronary artery in the long-term period after coronary artery bypass graft surgery |
| title_sort | use of internal thoracic artery as a conduit protects coronary artery in the long term period after coronary artery bypass graft surgery |
| topic | internal thoracic artery saphenous vein protective effect atherosclerosis coronary artery bypass graft surgery |
| url | https://fcm.kemsmu.ru/jour/article/view/679 |
| work_keys_str_mv | AT avfrolov useofinternalthoracicarteryasaconduitprotectscoronaryarteryinthelongtermperiodaftercoronaryarterybypassgraftsurgery AT nizagorodnikov useofinternalthoracicarteryasaconduitprotectscoronaryarteryinthelongtermperiodaftercoronaryarterybypassgraftsurgery AT rstarasov useofinternalthoracicarteryasaconduitprotectscoronaryarteryinthelongtermperiodaftercoronaryarterybypassgraftsurgery AT evgrigoriev useofinternalthoracicarteryasaconduitprotectscoronaryarteryinthelongtermperiodaftercoronaryarterybypassgraftsurgery AT svivanov useofinternalthoracicarteryasaconduitprotectscoronaryarteryinthelongtermperiodaftercoronaryarterybypassgraftsurgery AT lsbarbarash useofinternalthoracicarteryasaconduitprotectscoronaryarteryinthelongtermperiodaftercoronaryarterybypassgraftsurgery |