Conduits for myocardial revascularization grafts: the importance of morphology and imaging

The therapeutic options for patients with multivessel coronary artery disease, consist of pharmacological treatment, percutaneous coronary intervention and coronary artery bypass graft surgery. The ultimate goal of this surgery is to achieve complete revascularization with conduits that remain perme...

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Detalles Bibliográficos
Autores principales: Hinojosa Amaya, José Miguel, Villarreal Silva, Eliud Enrique, Elizondo Omaña, Rodrigo Enrique, Gutiérrez de la O, Jorge, Dávila Canales, Roberto, González Cantú, Ángel, Fernández Zambrano, Estefan Mauricio, Guzmán López, Santos
Formato: Artículo
Lenguaje:inglés
Publicado: UANL Facultad de Medicina 2010
Acceso en línea:http://eprints.uanl.mx/8311/1/Conduits%20for%20myocardial%20revascularization.pdf
Descripción
Sumario:The therapeutic options for patients with multivessel coronary artery disease, consist of pharmacological treatment, percutaneous coronary intervention and coronary artery bypass graft surgery. The ultimate goal of this surgery is to achieve complete revascularization with conduits that remain permeable for the remainder of the life of the patient. Some of the conduits used in this type of surgery, are the great saphenous vein, the internal thoracic artery, the radial artery and the ulnar artery. For a vascular conduit to be selected as a coronary revascularization graft, it must exhibit the following characteristics: sufficient length, lumen diameter and thickness of the vessel wall. It must also have minimal in situ ischemic consequences and an acceptable permeability over time of the conduit. Recent literatures of these conduits, as well as the importance of morphological and imaging studies are reviewed in this article.