Usefulness of Radial Artery as a Carotid Artery Patch in Simultaneous Carotid Endarterectomy and Coronary Artery Bypass Graft Operation with Complete Arterial Revascularization
DOI:
https://doi.org/10.1532/hsf.3231Keywords:
Carotid endarterectomy, Coronary artery bypass graft operation, Patch plasty, Radial artery, SimultaneousAbstract
Background: Serious coronary artery diseases including left main coronary artery disease, proximal left anterior descending artery disease, and three-vessel coronary artery disease with carotid artery stenosis are required simultaneous operations. By using complete arterial revascularization technique for coronary artery bypass graft operation, radial artery can be used safely as a patch material for carotid endarterectomy in combined surgery.
Methods: Between 2016 and 2018, 14 patients who had serious coronary artery disease with the stenosis of unilateral carotid artery equal/over 70% were included in the study. Complete arterial revascularization was performed in all patients and radial artery was used as a patch material in carotid endarterectomy.
Results: All patients were discharged without any complication and carotid artery colored Doppler ultrasound was performed to the patients in the 3rd months, 6th months, and first year of the operation. There was no restenosis detected.
Conclusion: In conclusion, radial artery is useable for carotid patch angioplasty in patients who underwent simultaneous carotid endarterectomy and coronary artery bypass graft operation with complete arterial revascularization. Further studies including a large number of patients are needed to examine the long-term patency of this graft.
References
Abdulrauf S. 2005. Extracranial-to-intracranial bypass using radial artery grafting for complex skull base tumors: technical note. Skull Base 15:207-13.
Abdulrauf S, Sweeney JM, Mohan YS, Palejwala SK. 2011. Short segment internal maxillary artery to middle cerebral artery bypass: a novel technique for extracranial-to-intracranial bypass. Neurosurgery 68:804-9.
Arslan C, Besirli K, Arapi B, Gode S, Tuzun H. 2016. Mid-and long-term results of external jugular vein patch palsty in carotid endarterectomy. Turk Gogus Kalp Dama 24:51-5.
Awad IA, Little JR. 1989. Patch angioplasty in carotid endarterectomy. Advantages, concerns, and controversies. Stroke 20:417-22.
Barner HB, Sundt TM, Bailey M, Zang Y. 2001. Midterm results of complete arterial revascularization in more than 1000 patients using an internal thoracic artery/radial artery T graft. Ann Surg 234:447-53.
Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. 2004. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg 40:1126-35.
Dardik H, Wolodiger F, Silvestri F, et al. 1997. Clinical experience with everted cervical vein as patch material after carotid endarterectomy. J Vasc Surg 25:545-53.
Gansera B, Angelis I, Weingartner J, Prauser NP, Spiliopoulos K, Kemkes BM. 2003. Simultaneous carotid endarterectomy and cardiac surgery – additional risk factor or safety procedure? Thorac Cardiovasc Surg 51:22-7.
Grimsley BR, Wells JK, Garrett WV, et al. 2001. Bovine pericardial patch plasty in carotid endarterctomy. Am Surg 67:890-5.
Hill MD, Shrive FM, Kennedy J, Feasby TE, Ghali WA. 2005. Simultaneous carotid endarterectomy and coronary artery bypass surgery in Canada. Neurology 64:1435-7.
Hines GL, Feuerman M, Cappello D, Cruz V. 2007. Results of carotid endarterectomy with pericardial patch angioplasty: rate and predictors of restenosis. Ann Vasc Surg 21:767-71.
Houkin K, Kamiyama H, Kuroda S, Ishikawa T, Takahashi A, Abe H. 1999. Long-term patency of radial artery graft bypass for reconstruction of the internal carotid artery. J Neurosurg 90:786-90.
Huizing E, Vos CG, Hulsebos RG, Akker PJ, Borst GJ, Unlu C. 2018. Patch angioplasty or primary closure following carotid endarterectomy for symptomatic carotid artery stenosis. Surg J (NY) 4:96-101.
Levy E, Yakubovitch D, Rudis E, et al. 2012. The role of combined carotid endarterectomy and coronary artery bypass grafting in the era of carotid stenting in view of long-term results. Interact Cardiovasc Thorac Surg 15:984-8.
Muto A, Nishibe T, Dardik H, Dardik A. 2009. Patches for carotid artery endarterectomy: current materials and prospects. J Vasc Surg 50:206-13.
Nwakanma L, Poonyagariyagon HK, Bello R, Khoynezad A, Smego D, Plestis KA. 2006. Early and late results of combined carotid endarterectomy and coronary artery bypass versus isolated coronary artery bypass. Interact Cardiovasc Thorac Surg 5:159-65.
Ono H, Inoue T, Tanishima T, Tamura A, Saito I, Saito N. 2018. High-flow bypass with radial artery graft followed by internal carotid artery ligation for large or giant aneurysms of cavernous or cervical portion: clinical results and cognitive performance. Neurosurg Rev 41:655-65.
Texakalidis P, Giannopoulos S, Charisis N, et al. 2018. A meta-analysis of randomized trials comparing bovine pericardium and other patch materials for carotid endarterectomy. J Vasc Surg 68:1241-56.
Trachiotis GD, Pfister AJ. 1997. Management strategy for simultaneous carotid endarterectomy and coronary revascularization. Ann Thorac Surg 64:1013-18.
Weimar C, Bilbilis K, Rekowski J, et al. 2017. Safety of simultaneous coronary artery bypass grafting and carotid endarterectomy versus isolated coronary artery bypass grafting. Stroke 48:2769-75.
Wendler O, Hennen B, Demertzis S, et al. 2000. Complete arterial revascularization in multivessel coronary artery disease with 2 conduits (skeletonized grafts and T-grafts). Circulation 102:79-83.
Yasuda H, Kuroda S, Ushikoshi S, et al. 2005. Combined surgical and endovascular treatment of infected pseudoaneurysm after carotid endarterectomy. Neurol Med Chir (Tokyo) 45:37-40.
Published
How to Cite
Issue
Section
Author Disclosure & Copyright Transfer Agreement
In order to publish the original work of another person(s), The Heart Surgery Forum® must receive an acknowledgment of the Author Agreement and Copyright Transfer Statement transferring to Forum Multimedia Publishing, L.L.C., a subsidiary of Carden Jennings Publishing Co., Ltd. the exclusive rights to print and distribute the author(s) work in all media forms. Failure to check Copyright Transfer agreement box below will delay publication of the manuscript.
A current form follows:
The author(s) hereby transfer(s), assign(s), or otherwise convey(s) all copyright ownership of the manuscript submitted to Forum Multimedia Publishing, LLC (Publisher). The copyright transfer covers the exclusive rights to reproduce and distribute the article and the material contained therein throughout the world in all languages and in all media of expression now known or later developed, including but not limited to reprints, photographic reproduction, microfilm, electronic data processing (including programming, storage, and transmission to other electronic data record(s), or any other reproductions of similar nature), and translations.
However, Publisher grants back to the author(s) the following:
- The right to make and distribute copies of all or part of this work for use of the author(s) in teaching;
- The right to use, after publication in The Heart Surgery Forum, all or part of the material from this work in a book by the author(s), or in a collection of work by the author(s);
- The royalty-free right to make copies of this work for internal distribution within the institution/company that employs the author(s) subject to the provisions below for a work-made-for-hire;
- The right to use figures and tables from this work, and up to 250 words of text, for any purpose;
- The right to make oral presentations of material from this work.
Publisher reserves the right to grant or refuse permission to third parties to republish all or part of the article or translations thereof. To republish, such third parties must obtain written permission from the Publisher. (This is in accordance with the Copyright Statute, United States Code, Title 17. Exception: If all authors were bona fide officers or employees of the U.S. Government at the time the paper was prepared, the work is a “work of the US Government” (prepared by an officer or employee of the US Government as part of official duties), and therefore is not subject to US copyright; such exception should be indicated on signature lines. If this work was prepared under US Government contract or grant, the US Government may reproduce, royalty-free, all or portions of this work and may authorize others to do so, for official US Government purposes only, if the US Government contract or grant so requires.
I have participated in the conception and design of this work and in the writing of the manuscript and take public responsibility for it. Neither this manuscript nor one with substantially similar content under my authorship has been published, has been submitted for publication elsewhere, or will be submitted for publication elsewhere while under consideration by The Heart Surgery Forum, except as described in an attachment. I have reviewed this manuscript (original version) and approve its submission. If I am listed above as corresponding author, I will provide all authors with information regarding this manuscript and will obtain their approval before submitting any revision. I attest to the validity, accuracy, and legitimacy of the content of the manuscript and understand that Publisher assumes no responsibility for the validity, accuracy, and legitimacy of its content. I warrant that this manuscript is original with me and that I have full power to make this Agreement. I warrant that it contains no matter that is libelous or otherwise unlawful or that invades individual privacy or infringes any copyright or other proprietary right. I agree to indemnify and hold Publisher harmless of and from any claim made against Publisher that relates to or arises out of the publication of the manuscript and agree that this indemnification shall include payment of all costs and expenses relating to the defense of any such claim, including all reasonable attorney’s fees.
I warrant that I have no financial interest in the drugs, devices, or procedures described in the manuscript (except as disclosed in the attached statement).
I state that the institutional Human Subjects Committee and/or the Ethics Committee approved the clinical protocol reported in this manuscript for the use of experimental techniques, drugs, or devices in human subjects and appropriate informed consent documents were utilized.
Furthermore, I state that any and all animals used for experimental purposes received humane care in USDA registered facilities in compliance with the “Principles of Laboratory Animal Care” formulated by the National Society for Medical Research and the “Guide for the Care and Use of Laboratory Animals” prepared by the Institute of Laboratory Animal Resources and published by the National Institutes of Health (NIH Publication No. 85-23, revised 1985).
