Artículos de revistas
Incidence Of Atherosclerosis In Radial Arteries Of Cadavers [incidência De Aterosclerose Em Artérias Radiais De Cadáveres]
Registro en:
Brazilian Journal Of Cardiovascular Surgery. , v. 21, n. 2, p. 165 - 172, 2006.
1027638
2-s2.0-33748894685
Autor
De Sampaio J.A.F.
Braile D.M.
Ferro M.C.
Magna L.A.
Da Silva Jr. D.C.
Alcolea A.P.
Institución
Resumen
Objective: To verify the incidence of atherosclerotic obstructions and microscopic atherosclerotic lesions in radial arteries dissected from cadavers of over 34-year-olds. Methods: Twenty-nine cadavers had both radial arteries dissected as if they were going to be utilized as coronary artery bypass grafts. An angiogram was performed to determine atherosclerotic obstructions of the radial arteries. Subsequently, 3 fragments of each artery (proximal, medial, distal) were prepared on microscope slides using hematoxylin-eosin in order to identify microscopic atherosclerotic lesions. Results were compared with risk factors found in the patient's records: age, gender, hypertension, diabetes, history of smoking, myocardial infarction, stroke, peripheral vascular disease, obesity, family history. Results: No obstructive lesions were found in the angiograms. Four cadavers presented with microscopic atherosclerotic and pre-atherosclerotic lesions. Among the risk factors considered, only age was correlated with microscopic lesions. The arteries measured, on average, 19.22 cm in males and 17.45 cm in females. Their diameters were 1.87 mm for men and 1.72 mm for women. Conclusions: No atherosclerotic obstructions were found in the radial arteries of these cadavers. Age is a risk factor for microscopic atherosclerotic lesions. 21 2 165 172 Carpentier, A., Guermonprez, J.L., Deloche, A., Frechette, C., DuBost, C., The aorta-to-coronary radial artery bypass graft: A technique avoiding pathological changes in grafts (1973) Ann Thorac Surg, 16 (2), pp. 111-121 Curtiss, J.J., Stoney, W.S., Alford, W.C., Burrus, G.R., Thomas, C.S.J., Intimal hiperplasia: A cause of radial artery aortocoronary bypass graft failure (1975) Ann Thorac Surg, 20 (6), pp. 628-635 Fisk, R.L., Brooks, C.H., Callaghan, J.C., Dvorkin, J., Experience with the radial artery graft for coronary bypass (1976) Ann Thorac Surg, 21 (6), pp. 513-518 Acar, C., Jebara, V.A., Portoghese, M., Beyssen, B., Revival of the radial artery for coronary artery bypass grafting (1992) Ann Thorac Surg, 54 (4), pp. 652-660 Dietl, C.A., Benoit, C.H., Radial artery graft for coronary revascularization: Technical considerations (1995) Ann Thorac Surg, 60 (1), pp. 102-110 Costa, F.D.A., Costa, I.A., Poffo, R., Abuchaim, D., Gaspar, R., Garcia, L., Myocardial revascularization with the radial artery: A clinical and angiographic study (1996) Ann Thorac Surg, 62 (2), pp. 475-480 Manasse, E., Sperti, G., Suma, H., Canosa, C., Koe, A., Martinelli, L., Use of the radial artery for myocardial revascularization (1996) Ann Thorac Surg, 62 (4), pp. 1076-1083 Calafiore, A.M., Teodori, G., Di Giammarco, G., D'Annunzio, E., Angelini, R., Vittola, G., Coronary revascularization with the radial artery: New interest for an old conduit (1995) J Card Surg, 10 (2), pp. 140-146 Buxton, B., Fuller, J., Gaer, J., Liu, J.J., Mee, J., Sinclair, R., The radial artery as a bypass graft (1996) Curr Opin Cardiol, 11 (6), pp. 591-598 Dallan, L.A., Oliveira, S.A., Jatene, F.B., Corso, R., Iglésias, J.C., Prates, N., Artéria radial na ampliação do uso de enxertos arteriais para revascularização do miocárdio: Considerações anatômicas e tática cirúrgica (1996) Rev Bras Cir Cardiovasc, 11 (2), pp. 75-81 Souza, L.C.G., Souza, J.M., Berlinck, M., Oliveira, S.A., Artéria gastroepiplóica direita na cirurgia de revascularização do miocárdio (2000) Rev Bras Cir Cardiovasc, 15 (1), pp. 16-22 Sisto, T., Atherosclerosis in internal mammary and related arteries (1990) Scand J Thorac Cardiovasc Surg, 24 (1), pp. 7-11 Vink, A., Schoneveld, A.H., Poppen, M., Kleijin, D.P., Borst, C., Pasterkamps, G., Morphometric and immunohistochemical characterization of the intimal layer throughout the arterial system of elderly humans (2002) J Anat, 200 (1 PART), pp. 97-103 Kaufer, E., Factor, S.M., Frame, R., Brodman, R.F., Pathology of the radial and internal thoracic arteries used as coronary artery bypass grafts (1997) Ann Thorac Surg, 63 (4), pp. 1118-1122 Ruengsakulrach, P., Sinclair, R., Komeda, M., Raman, J., Gordon, I., Buxton, B., Comparative histopathology of radial artery versus internal thoracic artery and risk factors for development of intimal hyperplasia and atherosclerosis (1999) Circulation, 100 (19 SUPPL.), pp. II-139-44 Kane-Toddttall, S.M., Taggart, S.P., Clements-Jewery, H., Roskell, D.E., Pre-existing vascular disease in the radial artery and other artery bypass conduits (1999) Eur J Med Res, 16 (4), pp. 11-14 Sobral, M.L.P., Santos, G.G., Santos, L.A.S., Haddad, V.L.S., Avelar Jr., S.F., Stolf, N.A.G., Estudo comparativo randomizado da evolução imediata dos pacientes com artéria radial anastomosada proximalmente na aorta ou como enxerto composto (2006) Rev Bras Cir Cardiovasc, 21 (1), pp. 35-41 Nicolosi, A.C., Pohl, L.L., Parsons, P., Cambria, R.A., Olinger, G.N., Increased incidence of radial artery calcification in patients with diabetes mellitus (2002) J Surg Res, 102 (1), pp. 1-5 Ruengsakulrach, P., Brooks, M., Sinclair, R., Hare, D., Gordon, I., Buxton, B., Prevalence and prediction of calcification and plaques in radial artery grafts by ultrasound (2001) J Thorac Cardiovasc Surg, 122 (2), pp. 398-399 Deshpande, R.P., Chukwuemeka, A., Iqbal, A., Desai, J.B., Dystrophic calcification of the radial artery (2000) Ann Thorac Surg, 69 (6), pp. 1939-1940 Reyes, A.T., Frame, R., Brodman, R.F., Technique for harvesting the radial artery as a coronary bypass graft (1995) Ann Thorac Surg, 59 (1), pp. 118-126 Hessess, C.S., Mullick, S.G., (1995) Tecnica de la Hematoxilinaeosina, Utilizando Hematoxilina de Harris Y Eosina Amarilla. Metodos Histotecnologicos, pp. 58-59. , Washington:A.S.I.T Weinschelbaum, E.E., Macchia, A., Caramutti, V.M., Machain, H.A., Rafaelli, H.A., Myocardial revascularization with radial and mammary arteries: Initial and long-term results (2000) Ann Thorac Surg, 70 (4), pp. 1378-1383 Iaco, A.L., Teodori, G., Di Giammarco, G., Di Mauro, M., Storto, L., Mazzei, V., Radial artery for myocardial revascularization: Long-term clinical and angiographic results (2001) Ann Thorac Surg, 72 (2), pp. 464-469 Tatoulis, J., Buxton, B.F., Fuller, J.A., Patencies of 2127 arterial to coronary conduits over 15 years (2004) Ann Thorac Surg, 77 (1), pp. 93-101 Borger, M.A., Cohen, G., Buth, K.J., Rao, V., Bozinovski, J., Liaghati-Nasseri, N., Multiple arterial grafts: Radial versus right internal thoracic arteries (1998) Circulation, 98 (19 SUPPL.), pp. II7-14 Caputo, M., Reeves, B., Marchetto, G., Mahesh, B., Lim, K., Angelini, G.D., Radial versus right internal thoracic artery as a second arterial conduit for coronary surgery: Early and midterm outcomes (2003) J Thorac Cardiovasc Surg, 126 (1), pp. 39-47 Lemma, M., Mangini, A., Gelpi, G., Innorta, A., Spina, A., Antona, C., Is it better to use the radial artery as a composite graft? Clinical and angiographic results of aorto-coronary versus Y -graft (2004) Eur J Cardiothorac Surg, 26 (1), pp. 110-117 Possati, G., Gaudino, M., Prati, F., Alessandrini, F., Trani, C., Glieca, F., Long-term results of the radial artery used for myocardial revascularization (2003) Circulation, 108 (11), pp. 1350-1354 Khot, U.N., Friedman, D.T., Pettersson, G., Smedira, N.G., Li, J., Ellis, S.G., Radial artery bypass grafts have an increased occurrence of angiographically severe stenosis and occlusion compared with left internal mammary arteries and saphenous vein grafts (2004) Circulation, 109 (17), pp. 2086-2091 Barry, M.M., Foulon, P., Touati, G., Ledoux, B., Sevestre, H., Carmi, D., Comparative histological and biometric study of the coronary, radial and left internal thoracic arteries (2003) Surg Radiol Anat, 25 (3-4), pp. 284-289