HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Rafael García Fuster Oscar Gil Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Fuster, R. G. Articles by Montero, J. A. Search for Related Content PubMed PubMed Citation Articles by Fuster, R. G. Articles by Montero, J. A. Related Collections Coronary disease

Eur J Cardiothorac Surg 2004;26:839-841
© 2004 Elsevier Science NL

How-to-do-it

Arterial graft extension with radial artery: a method of total arterial revascularization

^a Department of Cardiac Surgery, University General Hospital of Valencia, Av. Tres Cruces s/n, 46014, Valencia, Spain
^b Department of Radiology, University General Hospital of Valencia, Av. Tres Cruces s/n, 46014, Valencia, Spain

Received 15 March 2004; received in revised form 15 June 2004; accepted 2 July 2004.

^* Corresponding author. Address: C/Artes Gráficas n° 4, esc. izda, pta 3, 46010, Spain. Tel.: +34-96-3622216; fax: +34-96-3862982. (E-mail: rgfuster{at}terra.com).

A method of total arterial revascularization is presented. This technique is based on the extension of a semi-skeletonized right internal thoracic artery graft with an entire radial artery in an end to end fashion. A complete arterial revascularization is achieved with a bilateral in situ internal thoracic artery strategy preserving the left internal thoracic artery to the left anterior descending artery bypass as an isolated graft. In our experience, this pattern of revascularization has been especially important in patients with atheromatous disease of the ascending aorta, a difficult situation in which a ‘no-touch technique’ is mandatory.