eComment. Evidence-based selection of conduits in coronary artery bypass grafting

Basit Öğe Kaydı
dc.authorid0000-0001-7478-6235
dc.authorid0000-0002-0799-4875
dc.contributor.authorÖzyüksel, Arda
dc.contributor.authorErsoy, Cihangir
dc.contributor.authorKayan, Ekin
dc.contributor.authorAkçevin, Atıf
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:56:28Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:56:28Z
dc.date.issued2015
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.descriptionWOS: 000350199500027
dc.descriptionPubMed ID: 25605825
dc.description.abstractWe read with great interest the article by Gaudino et al. [1]. They have performed coronary artery bypass grafting (CABG) with both internal thoracic arteries (ITA) in a 68-year old patient with a surgical history of aortic coarctation repair. However, there Figure 2: Postoperative angiographic control showing normal functioning left (A) and right (B) ITA grafts. CASE REPORT M. Gaudino et al. / Interactive CardioVascular and Thoracic Surgery 279 Downloaded from https://academic.oup.com/icvts/article-abstract/20/2/279/734665 by guest on 09 April 2020 are some issues we would like to discuss regarding the surgical strategy of the graft selection in this patient. The patient was reported to be hypertensive, both at admission and during the postoperative period. The authors performed a histopathological evaluation of the discarded ITA segments and markedly thickened endothelium was encountered. We wondered how they had decided that the discarded distal segment of the ITA with markedly thickened endothelium guaranteed an intact proximal arterial wall. The atherosclerotic involvement of the ITA may be segmental, hence distal ITA sampling may not accurately predict the degree of atherosclerosis at the proximal part of the graft [2]. Moreover, the same authors had published a review on the use of ITAs in patients with aortic coarctation recently [3]. In that paper, they reviewed 13 reports related to this topic and only one of them included an angiographic control at the long-term follow-up. The authors concluded that, ’a careful evaluation of the conduit is obviously paramount in the context that preoperative transthoracic Doppler ultrasound and selective LITA and RITA catheterization at the time of cardiac catheterization will provide with optimal preoperative planning’.
dc.identifier.citationÖzyüksel, A., Ersoy, C., Kayan, E. ve Akçevin, A. (2015). eComment. Evidence-based selection of conduits in coronary artery bypass grafting. Interactive Cardiovascular and Thoracic Surgery, 20(2), 279-280. https://dx.doi.org/10.1093/icvts/ivu420
dc.identifier.doi10.1093/icvts/ivu420
dc.identifier.endpage280
dc.identifier.issn1569-9293
dc.identifier.issn1569-9285
dc.identifier.issue2
dc.identifier.scopusqualityQ2
dc.identifier.startpage279
dc.identifier.urihttps://dx.doi.org/10.1093/icvts/ivu420
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2717
dc.identifier.volume20
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherOxford University Press
dc.relation.ispartofInteractive Cardiovascular and Thoracic Surgeryen_US
dc.relation.publicationcategoryDiğer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjecteComment
dc.subjectCoronary Artery
dc.subjectBypass Grafting
dc.titleeComment. Evidence-based selection of conduits in coronary artery bypass grafting
dc.typeLetter

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