The second edition of this book provides updated knowledge about the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. The reader will find first-hand information on arterial grafts as well as vein grafts with regard to biological characteristics, clinical use including off-pump coronary bypass grafting surgery, results, and future developments. Written by world-renowned cardiac surgeons and cardiovascular research scientists working in this area, the book will be invaluable both as a practical guide and as a stimulus for further improvement of arterial grafting techniques and technology.

CABG (Coronary arterial bypass grafting) - the most common cardiac surgical procedure - more than 500,000 performed each year in the USA alone Valuable practical guide and stimulus for improvement of arterial grafting techniques and technology

Zusammenfassung

This updated edition examines the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. It contains first-hand information on arterial grafts, as well as vein grafts with regard to biological characteristics, clinical use including off-pump coronary bypass grafting surgery, results, and future developments. The book is a practical guide and as a stimulus for further improvement of arterial grafting techniques.

Inhalt
Biological Characteristics of Arterial Grafts.- Histology and Comparison of Arterial Grafts Used for Coronary Surgery.- Endothelial Function and Interaction Between the Endothelium and Smooth Muscle in Arterial Grafts.- Clinical Physiology and Related Biological Characteristics.- Clinical Classification of Arterial Grafts.- Use of Vasodilators for Arterial Grafts in Coronary Bypass Surgery.- Pharmacological Studies and Guidelines for the Use of Vasodilators for Arterial Grafts.- Myocardial Protection During Coronary Bypass Surgery Using Arterial Grafts.- Myocardial Management in Arterial Revascularization.- Cardiac Protection from the Viewpoint of Coronary Endothelial Function.- Percutaneous Coronary Interventions Versus Coronary Artery Bypass Surgery.- Needle or Knife? A Comparison Between Percutaneous Coronary Interventions (Including Plain Balloon Angioplasty and Coronary Stenting) and Coronary Artery Bypass Surgery.- Clinical Choice of Arterial Grafts.- Considerations in the Choice of Arterial Grafts.- Internal Thoracic Artery Grafting.- History of Internal Thoracic Artery Grafting and Alternative Arterial Grafts.- Surgical Techniques for Internal Thoracic Artery Grafting.- Long-Term Results of Internal Thoracic Artery Grafting.- Bilateral Versus Unilateral Internal Thoracic Artery in Coronary Bypass Grafting.- Left-Sided Myocardial Revascularization with Bilateral Skeletonized Internal Thoracic Artery.- Free Compared with Pedicled Right Internal Thoracic Arteries for Coronary Artery Bypass Grafting.- Radial Artery Grafting.- History and Operative Technique.- Radial Artery Grafting: Clinical Antispastic Protocols.- Radial Artery: Clinical Results.- Angiographic Studies of the Radial Artery Graft.- Gastroepiploic Artery Grafting.- Right Gastroepiploic Artery Grafting: History and Operative Techniques.- The Right Gastroepiploic Artery Graft.- Technique and Results for Skeletonized GEA Using the Harmonic Scalpel in Combination with Other Arterial Grafts in Off-Pump Coronary Bypass Surgery.- Inferior Epigastric Artery Grafting.- Inferior Epigastric Artery Grafting: History, Anatomy and Surgical Techniques.- Inferior Epigastric Artery Grafting: Clinical Results.- Rarely or Possibly Used Arterial Grafting.- Splenic Artery Grafting.- Use of the Subscapular-Thoracodorsal Artery for Coronary Artery Bypass Grafting.- Inferior Mesenteric Artery Grafting.- Ulnar Artery as a Coronary Artery Bypass Graft: Five-Year Experience.- Descending Branch of Lateral Circumflex Femoral Artery Grafting.- The Intercostal Artery: An Ideal Arterial Graft Awaiting Clinical Application.- Arterial Grafting Using Complex Grafts.- Complex Arterial Grafts: Operative Techniques.- Complex Arterial Grafts: Clinical Results.- Internal Thoracic Artery T-Grafting: Operative Technique and Long-Term Results.- Internal Thoracic Artery and Radial Artery T-Grafting: Operative Technique and Long-Term Results.- Arterial Grafting in Reoperative Coronary Artery Bypass Surgery.- Role of Internal Thoracic Artery Grafts in Reoperative Coronary Artery Bypass Surgery.- Quality Control of Arterial Grafting: Early Detection of Graft Patency and Flow.- Flow Capacity of Arterial Grafts: Internal Thoracic Artery, Gastroepiploic Artery and Other Grafts.- Intraoperative Graft Evaluation in Coronary Artery Bypass Grafting Using a 15-MHz High-Frequency Linear Transducer: Maintaining the Comprehensive Quality of Coronary Surgery.- Role of Venous Grafts in Arterial Grafting.- Role of Venous Grafts in Combination with Arterial Grafting.- Minimally Invasive Saphenous Vein Harvesting forCoronary Artery Bypass Grafting.- Novel Strategies for the Prevention of Vein Graft Failure.- Gene Therapy for Vein Graft Disease.- Minimally Invasive Techniques in Arterial Grafting.- Minimally Invasive Coronary Artery Bypass Surgery and the Role of Arterial Conduits.- Off-Pump Coronary Artery Bypass Grafting Using Arterial Grafts.- Comparison of the Effect of On-Pump and Off-Pump Coronary Artery Bypass Grafting on Neurological Events.- Closed-Chest Cardiopulmonary Bypass and Cardioplegia for Coronary Artery Bypass Surgery: History and Development.