Coronary-coronary bypass grafting: artery or vein?

Authors :: Bazylev V
Rosseikin E
Tungusov D
Mikulyak A
Source :: Asian cardiovascular & thoracic annals [Asian Cardiovasc Thorac Ann] 2020 Jul; Vol. 28 (6), pp. 316-321. Date of Electronic Publication: 2020 Jul 02.
Publication Year :: 2020
Abstract: Background: The method of coronary-coronary bypass grafting was described in 1987 but has not been widely used, and there are only a few studies that report good short-term and mid-term results as well as some individual cases of long-term follow-up. In our medical institution, we carried out an analysis of the long-term results of coronary-coronary bypass grafting, which are presented in this study.<br />Methods: This was a retrospective single-center study on 95 patients who underwent coronary-coronary bypass grafting as a supplement to the standard coronary bypass grafting procedure. All patients underwent angiographic assessment of the coronary bypass grafts during the long-term follow-up period. The observation period was up to 123 months. Angiographic assessment of 109 coronary-coronary grafts was carried out.<br />Results: Twelve (7.6%) arterial and 11 (19.3%) venous conduits were found to be occluded, and 8 (10.3%) arterial and 10 (31.3%) venous coronary-coronary grafts were occluded during the observation period.<br />Conclusion: Arterial coronary-coronary artery bypass grafting represents an alternative technique that allows complete myocardial revascularization.