Structural features of arterial grafts important for surgical myocardial revascularization: Part II – Histology of the radial, inferior epigastric, and right gastroepiploic arteries

Milica Labudović Borović; Jelena T Kostić; Saša D Borović; Ivan V Zaletel; Sanja M Dželebdžić; Nela S Puškaš; Jelena V Kostić; Zoran Ž Trifunović

doi:10.2298/6106

Milica Labudović Borović Institute of Histology and Embryology "Aleksandar Đ. Kostić", Faculty of Medicine University of Belgrade, Belgrade
Jelena T Kostić Institute of Histology and Embryology "Aleksandar Đ. Kostić", Faculty of Medicine University of Belgrade, Belgrade
Saša D Borović Dedinje Cardiovascular Institute, Belgrade
Ivan V Zaletel Institute of Histology and Embryology "Aleksandar Đ. Kostić", Faculty of Medicine University of Belgrade, Belgrade
Sanja M Dželebdžić Institute of Histology and Embryology "Aleksandar Đ. Kostić", Faculty of Medicine University of Belgrade, Belgrade
Nela S Puškaš Institute of Histology and Embryology "Aleksandar Đ. Kostić", Faculty of Medicine University of Belgrade, Belgrade
Jelena V Kostić Cardiology Clinic, Clinical Center of Serbia, Belgrade
Zoran Ž Trifunović Military Medical Academy, Belgrade

DOI: https://doi.org/10.2298/6106

Keywords: arterial grafts, surgical myocardial revascularization, radial artery, inferior epigastric artery, right gastroepiploic artery, CABG, Arteries,

Abstract

Key words:

coronary artery bypass; vascular patency; histology; radial artery; epigastric arteries; gastroepiploic artery.

Author Biography

Milica Labudović Borović, Institute of Histology and Embryology "Aleksandar Đ. Kostić", Faculty of Medicine University of Belgrade, Belgrade

Dr Milica Labudović Borović

Institute of Histology and Embryology “Aleksandar Đ. Kostić”, Faculty of Medicine, University of Belgrade, 11000 Belgrade, 26 Višegradska Street, Serbia

References

Wendler O, Hennen B, Demertzis S, Markwirth T, Tscholl D, Lausberg H, et al. Complete arterial revascularization in multivessel coronary artery disease with 2 conduits (skeletonized grafts and T grafts). Circulation 2000; 102(19 Suppl 3): III79−83.

Oster H, Schwarz F, Störger H, Hofmann M, Piancatelli C, Thomas J, Haase J. One-year clinical outcomes after complete arterial coronary revascularization. J Interv Cardiol 2005; 18(6):437-40. PubMed PMID: 16336423. doi: 10.1111/j.1540-8183.2005.00083.x

Manabe S, Sunamori M. Radial artery graft for coronary artery bypass surgery: biological characteristics and clinical outcome. J Card Surg 2006; 21(1): 102−14.

Possati G, Gaudino M, Prati F, Alessandrini F, Trani C, Glieca F, et al. Long-term results of the radial artery used for myocardial revascularization. Circulation 2003; 108(11): 1350−4.

Labudović-Borović M. Comparative histological, histochemical and morphometric analysis of arterial grafts in surgical revas-cularization of the myocardium [thesis]. Belgrade: Faculty of Medicine, University of Belgrade; 2003. (Serbian)

Khot UN, Friedman DT, Pettersson G, Smedira NG, Li J, Ellis SG. Radial Artery Bypass Grafts Have an Increased Occurrence of Angiographically Severe Stenosis and Occlusion Compared With Left Internal Mammary Arteries and Saphenous Vein Grafts. Circulation 2004; 109(17): 2086−91.

Ruengsakulrach P, Sinclair R, Komeda M, Raman J, Gordon I, Buxton B. Comparative histopathology of radial versus internal thoracic artery and risk factors for development of intimal hyperplasia and atherosclerosis. Circulation 1999; 100(19 Suppl II)): 139−44.

Kaufer E, Factor SM, Frame R, Brodman RF. Pathology of the radial and internal thoracic arteries used as coronary artery by-pass grafts. Ann Thorac Surg 1997; 63(4): 1118−22.

Amano A, Hirose H, Takahashi A, Nagano N. Coronary artery bypass grafting using the radial artery: midterm results in a Japanese institute. Ann Thorac Surg 2001; 72(1): 120−5.

Oshima A, Takeshita S, Kozuma K, Yokoyama N, Motoyoshi K, Ishikawa S, et al. Intravascular ultrasound analysis of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 2005; 79(1): 99−103.

Gaudino M, Tondi P, Serricchio M, Spatuzza P, Santoliquido A, Flo-ra R, et al. Atherosclerotic involvement of the radial artery in patients with coronary artery disease and its relation with mid-term radial artery graft patency and endothelial function. J Thorac Cardiovasc Surg 2003; 126(6): 1968−71.

Hagiwara H, Ito T, Kamiya H, Akita T, Usui A, Ueda Y. Mid-term structural change in the radial artery grafts after coronary artery bypass grafting. Ann Thorac Surg 2004; 77(3): 805−10.

Sisto T. Atherosclerosis in internal mammary and related arte-ries. Scand J Thorac Cardiovasc Surg 1990; 24(1): 7−11.

Labudović-Borović M, Borović S, Perić M, Vuković P, Marinković J, Todorović V, et al. The internal thoracic artery as a transitional type of artery: a morphological and morphometric study. His-tol Histopathol 2010; 25(5): 561−76.

Labudović-Borović M, Borović S, Marinković-Erić J, Todorović V, Puškaš N, Kočica M, et al. A comprehensive morphometric analysis of the internal thoracic artery with emphasis on age, gender and left-to-right specific differences. Histol Histopa-thol 2013; 28(10): 1299−314.

Labudović-Borović M, Borović S, Radak Đ, Marinković-Erić J, Maravić-Stojković V, Vučević D, et al. Morphometric Model of Abdominal Aortic Aneurysms and the Significance of the Structural Changes in the Aortic Wall for Rupture Risk As-sessment. In: Fischhof D, Hatig F, editors. Aortic Aneurysms: Risk factors, Diagnosis, Surgery and Repair. New York, Haup-pauge: Nova Science Publishers, Inc; 2013. p. 81−117.

MacKay AJ, Hamilton CA, McArthur K, Berg G, Tropeano AI, Boutouyrie P, et al. Radial artery hypertrophy occurs in coronary atherosclerosis and is independent of blood pressure. Clin Sci 2001;100(5): 509−16.

Mäyränpää M, Simpanen J, Hess MW, Werkkala K, Kovanen PT. Arterial endothelial denudation by intraluminal use of papave-rine-NaCl solution in coronary bypass surgery. European jour-nal of cardio-thoracic surgery 2004; 25(4): 560−6.

Mong K, Duggan JA, Tabrizchi R. Comparative study of func-tional responses and morphometric state of distal radial arte-ries in male and female. Ann Thorac Surg 2002; 4(6): 2126−31.

Carpentier A, Guermonprez JL, Deloche A, Frechette C, DuBost C. The aorta-to-coronary radial artery bypass graft. A technique avoiding pathological changes in grafts. Ann Thorac Surg 1973; 16(2): 111−21.

Acar C, Jebara VA, Portoghese M, Beyssen B, Pagny JY, Grare P, et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg 1992; 54(4): 652−9.

Nezic DG, Knezevic AM, Jovic MD, Borovic SD. Angiographic pa-tency of the radial artery conduit in coronary artery bypass grafting. Ann Thorac Surg 2006; 81(4): 1551; author reply 1551-2.

Weinschelbaum EE, Macchia A, Caramutti VM, Machain HA, Raffaelli HA, Favaloro MR, et al. Myocardial revascularization with radial and mammary arteries: initial and mid-term results. Ann Thorac Surg 2000; 70(4): 1378−83.

Achouh P, Boutekadjirt R, Toledano D, Hammoudi N, Pagny JY, Goube P, et al. Long-term (5- to 20-year) patency of the radial artery for coronary bypass grafting. J Thorac Cardiovasc Surg 2010; 140(1): 73−9.

Ronan JW, Perry LA, Barner HB, Sundt TM. Radial artery harv-est: comparison of ultrasonic dissection with standard tech-nique. Ann Thorac Surg 2000; 69(1): 113−4.

Connolly MW, Torrillo LD, Stauder MJ, Patel NU, McCabe JC, Loulmet DF, et al. Endoscopic radial artery harvesting: results of first 300 patients. Ann Thorac Surg 2002; 74(2): 502−5.

Cho W, Yoo DG, Kim JB, Lee SH, Jung SH, Chung CH, et al. Left internal thoracic artery composite grafting with the right internal thoracic versus radial artery in coronary artery bypass grafting. J Card Surg 2011; 26(6): 579−85.

Sato T, Isomura T, Suma H, Horii T, Kikuchi N. Coronary artery bypass grafting with gastroepiploic artery composite graft. Ann Thorac Surg 2000; 69(1): 65−9.

Maniar HS, Barner HB, Bailey MS, Prasad SM, Moon MR, Pasque MK, et al. Radial artery patency: are aortocoronary conduits superior to composite grafting. Ann Thorac Surg 2003; 76(5): 1498−503.

Berger A, MacCarthy PA, Siebert U, Carlier S, Wijns W, Heyndrickx G, et al. Long-Term Patency of Internal Mammary Artery Bypass Grafts: Relationship With Preoperative Severity of the Native Coronary Artery Stenosis. Circulation 2004; 110(11 Suppl 1): 36−40.

Nezić D, Knezević A, Borović S, Cirković M, Milojević P. Coronary-coronary free internal thoracic artery graft on a single, distal, left anterior descending artery lesion. J Thorac Cardiovasc Surg 2004; 127(5): 1517−8. PubMed PMID: 15116019

Nezić DG, Knezević AM, Cirković MV, Borović SD, Milojević PS. Arterial coronary-coronary conduit over single, distal left anterior descending coronary artery lesion: 3. 5 years afterward. J Thorac Cardiovasc Surg 2007; 134(1): 238−40.

Rocha-E-Silva R, de Pádua MA, Fabri JJ, Ramos RB, Cunha FC, Dallan LA, et al. Coronary revascularization with the left in-ternal thoracic artery and radial artery: comparison of short-term clinical evolution between elective and emergency sur-gery. Clinics (Sao Paulo) 2005; 60(3): 227−32.

Muneretto C, Bisleri G, Negri A, Manfredi J, Carone E, Morgan JA, et al. Left internal thoracic artery-radial artery composite grafts as the technique of choice for myocardial revascularization in elderly patients: a prospective randomized evaluation. J Thorac Cardiovasc Surg 2004; 127(1): 179−84.

Al-Sabti HA, Al Kindi A, Al-Rasadi K, Banerjee Y, Al-Hashmi K, Al-Hinai A. Saphenous vein graft vs. radial artery graft searching for the best second coronary artery bypass graft. J Saudi Heart Assoc 2013; 25(4): 247−54.

Zacharias A, Habib RH, Schwann TA, Riordan CJ, Durham SJ, Shah A. Improved survival with radial artery versus vein con-duits in coronary bypass surgery with left internal thoracic ar-tery to left anterior descending artery grafting. Circulation 2004; 109(12): 1489−96.

Hayward PA, Gordon IR, Hare DL, Matalanis G, Horrigan ML, Rosalion A, et al. Comparable patencies of the radial artery and right internal thoracic artery or saphenous vein beyond 5 years: results from the Radial Artery Patency and Clinical Outcomes trial. J Thorac Cardiovasc Surg 2010; 139(1): 60−5.

Athanasiou T, Saso S, Rao C, Vecht J, Grapsa J, Dunning J, et al. Radial artery versus saphenous vein conduits for coronary ar-tery bypass surgery: forty years of competition--which conduit offers better patency? A systematic review and meta-analysis. Eur J Cardiothorac Surg 2011; 40(1): 208−20.

Deb S, Cohen EA, Singh SK, Une D, Laupacis A, Fremes SE. Radial artery and saphenous vein patency more than 5 years after coronary artery bypass surgery: results from RAPS (Radial Artery Patency Study). J Am Coll Cardiol 2012; 60(1): 28−35.

Živković K, Labudović-Borović M. Morphological and morphome-tric characteristics of the inferior epigastric artery. Medicinski podmladak 2004; 55(1−2): 23−30. (Serbian)

Schwartz D, Factor S, Schwartz J, Petrosian E, Blitz A, Mcloughlin D, et al. Histological evaluation of the inferior epigastric artery in patients with known atherosclerosis. Eur J Cardiothorac Surg 1992; 6(8): 438−41.

van Son JA, Smedts F, de Wilde PC, Pijls NH, Wong-Alcala L, Kubat K, et al Histological study of the internal mammary artery with emphasis on its suitability as a coronary artery bypass graft. Ann Thorac Surg 1993; 55(1): 106−13.

van Son JA, Smedts F. Histology of the internal mammary artery versus the inferior epigastric artery. Ann Thorac Surg 1992; 53(6): 1147−9.

Wahba A, Offerdal K. Histology of internal mammary artery. Ann Thorac Surg 1994; 57(3): 781−3.

van Son JA, Smedts FM, Yang CQ, Mravunac M, Falk V, Mohr FW, et al. Morphometric study of the right gastroepiploic and inferior epigastric arteries. Ann Thorac Surg 1997; 63(3): 709−15.

Fawcett D. Bloom and Fawcett A Textbook of Histology. Phil-adelphia: WB Saunders Company; 1986.

Puig LB, Ciongolli W, Cividanes GV, Dontos A, Kopel L, Bittencourt D, et al. Inferior epigastric artery as a free graft for myocardial revascularization. J Thorac Cardiovasc Surg 1990; 99(2): 251−5.

Buche M, Schroeder E, Gurné O, Chenu P, Paquay JL, Marchandise B, et al. Coronary artery bypass grafting with the inferior epi-gastric artery. Midterm clinical and angiographic results. J Thorac Cardiovasc Surg 1995; 109(3): 553−9.

Barner HB. Conduits for Coronary Bypass: Arteries Other Than the Internal Thoracic Artery's. Korean J Thorac Cardio-vasc Surg 2013; 46(3): 165−77.

Suma H, Takanashi R. Arteriosclerosis of the gastroepiploic and internal thoracic arteries. Ann Thorac Surg 1990; 50(3): 413−6.

Suma H, Takeuchi A, Hirota Y. Myocardial revascularization with combined arterial grafts utilizing the internal mammary and the gastroepiploic arteries. Ann Thorac Surg 1989; 47(5): 712−5.

van Son JA, Smedts F, Vincent JG, van Lier HJ, Kubat K. Comparative anatomic studies of various arterial conduits for myocardial revascularization. J Thorac Cardiovasc Surg 1990; 99(4): 703−7.

Labudović-Borović M. Histological characteristics of grafts used in surgical myocardial revascularization. In: Perić M, editor. Continual medical education. Proceedings of Ischemic heart disease and revascularization - modern therapy and guidance Symposium. Belgrade; 2004 May14−15; Belgrade: Zbornik ra-dova 2004. p. 54−8. (Serbian)

Bailey CP, Hirose T, Brancato R, Aventura A, Yamamoto N. Revascularization of the posterior (diaphragmatic) portion of the heart. Ann Thorac Surg 1966; 2(6): 791−805.

Grandjean JG, Boonstra PW, den Heyer P, Ebels T. Arterial revas-cularization with the right gastroepiploic artery and internal mammary arteries in 300 patients. J Thorac Cardiovasc Surg 1994; 107(5): 1309−15.

Glineur D, D'hoore W, de Kerchove L, Noirhomme P, Price J, Hanet C, et al. Angiographic predictors of 3-year patency of bypass grafts implanted on the right coronary artery system: a pros-pective randomized comparison of gastroepiploic artery, sa-phenous vein, and right internal thoracic artery grafts. J Thorac Cardiovasc Surg 2011; 142(5): 980−8.

Suzuki T, Asai T, Matsubayashi K, Kambara A, Kinoshita T, Takashima N, et al. In off-pump surgery, skeletonized gastroepiploic artery is superior to saphenous vein in patients with bilateral internal thoracic arterial grafts. Ann Thorac Surg 2011; 91(4): 1159−64.

Suma H. Gastroepiploic artery graft in coronary artery bypass grafting. Ann Cardiothorac Surg 2013; 2(4): 493−8.