Evaluation of Saphenous Vein with or Without Valve and Radial Artery Patency Via Tomography in Patients Who Underwent Coronary Artery Bypass Grafting

Yıl 2018, Cilt: 21 Sayı: 1, 1 - 8, 01.04.2018

Mehmet Özülkü Fatih Aygün Bilal Egemen Çiftçi

Öz

Introduction:
This
prospective study investigated the effect of the valves of saphenous veins,
which were used as conduits, on patency and the 2-year rate of remaining
patency of saphenous vein with valve, saphenous vein without valve, and radial
art ery (RA) via multislice computerized tomography (MSCT) angiography.

Patients
and Methods: Between 2014 and 2015, the patients that underwent
coronary artery bypass grafting (CABG) using cardiopulmonary bypass (CPB) and
cross-clamp (on-pump with cross-clamp) in our clinic were grouped into three
groups depending on the graft type. The first group (Group 1) was RA group, the
second group (Group 2) was great saphenous vein with valve group, and the third
group (Group 3) was great saphenous vein without valve group. 

Results: The 2-year
rates of the remaining patency of these grafts in the decreasing order was as
following: RA (87.5%), great saphenous vein without valve (82.4%), and great
saphenous vein with valve (78.8%).

Conclusion: The rate of remaining
patency was not statistically significant among the RA, saphenous vein without
valve, and saphenous vein with valve conduits (p> 0.05; RA vs. vein without
valve, p= 0.737; RA vs. saphenous vein with valve, p= 0.321; and saphenous vein
without valve vs. saphenous vein with valve, p= 0.465).

Anahtar Kelimeler

CABG, saphenous vein, radial artery, computerized tomography

Koroner Arter Baypas Operasyonu Olan Olgularda Kapaklı Kapaksız Safen Ven ve Radiyal Arter Açıklığının Tomografi ile Araştırılması

Öz

Giriş: Çalışmamız prospektif bir çalışma olup yalnızca konduit olarak kullanılmış
safen venlerin kapakçıklarının açık kalma üzerine etkisi değil, aynı zamanda
kapaklı safen venin, kapaksız safen venin, radyal arterin iki yıllık açık kalma
oranı çok kesitli bilgisayarlı tomografi (ÇKBT) anjiyografi kullanılarak
araştırılmıştır.

Hastalar ve
Yöntem: Kliniğimizde 2014-2015 yılları arasında koroner arter
baypas greft operasyonu (KABGO) yapılmış hastalar üç farklı grefte göre
gruplandı. Gruplar kalp akciğer makinası ve X-klemp (On-Pump X-klempli)
kullanılarak KABGO yapılan hastalarda kullanılan greftlere göre oluşturuldu.
Birinci grup (Grup 1); radiyal arter grubu, ikinci grup (Grup 2); valvli safen
ven grubu, üçüncü grup (Grup 3); valv içermeyen safen ven grubu olarak
belirlendi.

Bulgular: Greftlerde iki yıllık açık kalma oranı, radiyal arter için %87.5,  kapaksız safen ven  için %82.4 ve kapaklı safen ven için
%78.8  bulunmuştur.

Sonuç: Radiyal arter, kapaksız
safen ven, kapaklı safen ven arasında iki yıllık açık kalma oranları,
istatistiksel olarak anlamlı değildir (p> 0.05; radiyal arter vs. valvsiz
ven için p= 0.737; radiyal arter vs. valvli ven için p= 0.321; valvsiz ven vs.
vavli ven için p= 0.465).

Anahtar Kelimeler

KABGO, safen ven, radiyal arter, bilgisayarlı tomografi

Kaynakça

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