Micromorphology of Skeletonized and Pedicled Internal Thoracic and Radial Arteries

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• 作者：Sergey Mamchur ; MD ; PhD^* ; ^{mamchse@cardio.kem.ru" class="auth_mail" title="E-mail the corresponding author} ; ^{sergei_mamchur@mail.ru" class="auth_mail" title="E-mail the corresponding author} ; Nikita Bokhan ; MD^* ; Yuri Vecherskii ; MD ; PhD^&dagger ; ; Egor Malyshenko ; MD ; PhD^&Dagger ;
• 关键词：internal thoracic artery ; radial artery ; coronary artery bypass grafting ; micromorphology
• 刊名：Seminars in Thoracic and Cardiovascular Surgery
• 出版年：2015
• 出版时间：Summer 2015
• 年：2015
• 卷：27
• 期：2
• 页码：115-120
• 全文大小：1104 K

文摘

The objective of the study was to estimate the internal thoracic arteries (ITA) and radial arteries (RA) micromorphologic features by light microscopy after harvesting them using the skeletonization and pedicled methods in patients undergoing coronary artery bypass grafting. The micromorphologic characteristics of ITA and RA were studied by luminous microscopy in 61 patients undergoing coronary artery bypass grafting. A total of 122 ITA and RA segments harvested during surgery, fixed in formalin, and stained with hematoxiline and eosin were evaluated. The mean intima-media thickness of ITA was 9.2 and 134.7 µm and that of RA was 9.1 and 334.2 µm, respectively. In the distal segment of ITA the media-intima relation was 1.5 times bigger than in the proximal segment. None of ITA specimens contained atherosclerotic plaques or lipid inclusions. Atherosclerotic plaques were found in 3 (5%) RA specimens. Other degenerative changes were detected in 30%-74.2% of the specimens: splitting of internal elastic lamina, reduced tortuosity of the internal elastic lamina, and thickening and detachment of the intima; their incidence was associated with the skeletonization of the vessels. In conclusion, the incidence of ITA and RA degenerative changes varies from 30%-74.2% and its increase is associated with the skeletonization of the vessels, which is statistically significant. The media of the RA is 2.5 times thicker than that of the ITA (P < 0.01). This fact shows that RA has higher spasmogenic potential than that of ITA. The distal segment of the ITA has 1.5 times bigger media-intima relation than the proximal segment. Therefore, in case of enough graft length, it is recommended to avoid the distal segment and cut it off.