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Coronary Collaterals and Graft Failure

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Coronary Graft Failure

Abstract

In this chapter, we recall the role of the coronary collateral circulation in severe obstructive coronary diseases, and, based on the literature review, we try to provide an answer to the question: When patients undergo aorto-coronary bypass graft surgery, does good collateral flow reduce the risk of graft disease or, on the contrary, does it increase the risk of graft disease? In order to get additional arguments, a review of the numerical models and simulations addressing this problem is also included in the chapter.

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References

  1. Levin D. Pathways and functional significance of the coronary collateral circulation. Circulation. 1974;50:831–7.

    Article  CAS  PubMed  Google Scholar 

  2. Samady H, Ragosta M, Beller G. Coronary collaterals, stenoses, and stents. J Am Coll Cardiol. 2002;40(9):1551–4.

    Article  PubMed  Google Scholar 

  3. Berry C, Balachandran KP, L’Allier PL, Lespérance J, Bonan R, Oldroyd KG. Importance of collateral circulation in coronary heart disease. Eur Heart J. 2007;28:278–91.

    Article  PubMed  Google Scholar 

  4. Boodhwani M. Invited commentary. Ann Thorac Surg. 2008;85:p79.

    Article  Google Scholar 

  5. Sabia P, Powers E, Jahaweera A, Ragosta M, Kaul S. Functional significance of collateral blood flow in patients with recent acute myocardial infarction. A study using myocardial contrast echocardiography. Circulation. 1992;85:2080–9.

    Article  CAS  PubMed  Google Scholar 

  6. Elsman P, Van’t Hof A, de Boer M, Hoorntje J, Suryapranata H, Dambrink J, Zijlstra F, on behalf of the Zwolle Myocardial Infarction Study Group. Role of collateral circulation in the acute phase of ST-segment-elevation myocardial infarction treated with primary coronary intervention. Eur Heart J. 2004;25:854–8.

    Google Scholar 

  7. Billinger M, Kloos P, Eberli F, Windecker S, Meier B, Seiler C. Physiologically assessed coronary collateral flow and adverse cardiac ischemic events: a follow-up study in 403 patients with coronary artery disease. J Am Coll Cardiol. 2002;40(9):1545–50.

    Article  PubMed  Google Scholar 

  8. Spaan J, Kolyva C, Van Den Wijngaard J, Ter Wee R, Van Horssen P, Piek J, Siebes M. Coronary structure and perfusion in health and disease. Philos Trans A Math Phys Eng Sci. 2008;366:3137–53.

    Article  PubMed  Google Scholar 

  9. Rentrop K, Cohen M, Blanke H, Phillips R. Changes in collateral channel filling immediately after controlled coronary artery occlusion by an angioplasty balloon in human subjects. J Am Coll Cardiol. 1985;5:587–92.

    Article  CAS  PubMed  Google Scholar 

  10. Regieli J, Jukema J, Nathoe H, Zwinderman A, Ng S, Grobbee D, Van Der Graaf Y, Doevendans P. Coronary collaterals improve prognosis in patients with ischemic heart disease. Int J Cardiol. 2009;132:257–62.

    Article  PubMed  Google Scholar 

  11. Kappetein A, Feldman T, Mack M, Morice MC, Holmes D, Stahle E, Dawkins K, Mohr F, Serruys P, Colombo A. Comparison of coronary bypass surgery with drug-eluting stenting for the treatment of left main and/or three vessel disease: 3-year follow up of the SYNTAX trial. Eur Heart J. 2011;32:2125–34.

    Article  PubMed  Google Scholar 

  12. Mohr F, Morice MC, Kappetein A, Feldman T, Stahle E, Colombo A, Mack M, Holmes D, Morel MA, Van Dyck N, Houle V, Dawkins K, Serruys P. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three- vessel disease and left main coronary disease: 5-year follow up of the randomized, clinical SYNTAX trial. Lancet. 2013;381:629–38.

    Article  PubMed  Google Scholar 

  13. Wijns W, Kolh P, Danchin N, Di Mario C, Falk V, Folliguet T, Garg S, Huber K, James S, Knuuti J, Lopez-Sendon J, Marco J, Menicanti L, Ostojic M, Piepoli MF, Pirlet C, Pomar JL, Reifart N, Ribichini FL, Schalij MJ, Sergeant P, Serruys PW, Silber S, Uva MS, Taggart D. Guidelines on myocardial revascularization. The task force on myocardial revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2010;31:2501–55.

    Google Scholar 

  14. Sherwin S, Shah O, Doorly D, Peiro J, Papaharilaou Y, Watkins N, Caro C, Dumoulin C. The influence of out-of-plane geometry on the flow within a distal end-to-side anastomosis. J Biomech Eng. 2000;122:86–95.

    Article  CAS  PubMed  Google Scholar 

  15. Pietrabissa R, Mantero S, Marotta T, Menicanti L. A lumped parameter model to evaluate the fluid dynamics of different coronary bypasses. Med Eng Phys. 1996;18:477–84.

    Article  CAS  PubMed  Google Scholar 

  16. Chen J, Lu XY, Wang W. Non-newtonian effects of blood flow on hemodynamics in distal vascular graft anastomoses. J Biomech. 2006;39:1983–6.

    Article  PubMed  Google Scholar 

  17. Kaku D, Nakahira A, Hirai H, Sasaki Y, Hosono M, Bito Y, Suehiro Y, Suehiro S. Does rich coronary collateral circulation distal to chronically occluded left anterior descending artery compete with graft flow? Interact Cardiovasc Thorac Surg. 2013;17:944–9.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Stoller M, Seiler C. Pathophysiology of coronary collaterals. Curr Cardiol Rev. 2014;10:38–56.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Zimarino M, Ausiello A, Contegiacomo G, Riccardi I, Renda G, Di Iorio C, De Caterina R. Rapid decline of collateral circulation increases susceptibility to myocardial ischemia. J Am Coll Cardiol. 2006;48(1):59–65.

    Article  PubMed  Google Scholar 

  20. Meier P, Zbinden R, Togni M, Wenaweser P, Windecker S, Meier B, Seiler C. Coronary collateral function long after drug-eluting stent implantation. J Am Coll Cardiol. 2007;49(1):15–20.

    Article  PubMed  Google Scholar 

  21. Kern M. Attenuated coronary collateral function after drug-eluting stent implantation. J Am Coll Cardiol. 2007;49(1):21–2.

    Article  PubMed  Google Scholar 

  22. Pohl T, Seiler C, Billinger M, Herren E, Wustmann K, Mehta H, Windecker S, Eberli F, Meier B. Frequency distribution of collateral flow and factors influencing collateral channel development. J Am Coll Cardiol. 2001;38(7):1872–8.

    Article  CAS  PubMed  Google Scholar 

  23. Bexell D, Setser R, Schoenhagen P, Lieber M, Brener S, Ivanc T, Balazs E, O’Donnell T, Stillman A, Arheden H, Wagner G, White R. Influence of coronary artery stenosis severity and coronary collateralization on extent of chronic myocardial scar: insights from quantitative coronary angiography and delayed-enhancement MRI. Open Cardiovasc Med J. 2008;2:79–86.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Ozdemir O, Ozdemirel Ozkan D, Soylu M, Duran Demir A, Alyan O, Geyik B, Aras D, Kunt A, Arda K, Sasmaz H, Cobanoglu A. Effects of previously well-developed collateral vessels on left internal mammary artery graft flow after bypass surgery. Tex Heart Inst J. 2005;32:35–42.

    PubMed  PubMed Central  Google Scholar 

  25. Green D, Hutton P. Coronary circulation. Curr Anaesth Crit Care. 1999;10:70–6.

    Article  Google Scholar 

  26. Steg G, Kerner A, Mancini J, Reynolds H, Carvalho A, Fridrich V, White H, Forman S, Lamas G, Hochman J, Buller C. Impact of collateral flow to the occluded infarct-related artery on clinical outcomes in patients with recent myocardial infarction: a report from the randomized occluded artery trial. Circulation. 2010;121:2724–32.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Nathoe H, Buskens E, Jansen E, et al. Role of coronary collaterals in off-pump and on-pump coronary bypass surgery. Circulation. 2004;110:1738–42.

    Article  PubMed  Google Scholar 

  28. Smith S, Gorlin R, Herman M, Taylor W, Collins J. Myocardial blood flow in man: effects of coronary collateral circulation and coronary artery bypass surgery. J Clin Invest. 1972;51:2556–65.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Shimizu T, Nakajima M, Shimazu K, Sakamoto S, Yuasa K, Aida H, Tsuji S, Takekoshi N, Murakami E. A comparison of the results of aorto-coronary bypass grafting in collateral and non-collateral groups. J Cardiovasc Surg. 1986;27(3):316–22.

    CAS  Google Scholar 

  30. Caputo M, Anis R, Rogers C, Ahmad N, Rizvi S, Baumbach A, Karsch K, Angelini G, Oberhoff M. Coronary collateral circulation: effect on early and midterm outcomes after off-pump coronary artery bypass surgery. Ann Thorac Surg. 2008;85:71–9.

    Article  PubMed  Google Scholar 

  31. Miyamoto S, Fujita M, Sasayama S. Bidirectional function of coronary collateral channels in humans. Int J Cardiol. 2000;75:249–52.

    Article  CAS  PubMed  Google Scholar 

  32. Uflacker R, Enge I. The behavior of collateral circulation after coronary artery bypass surgery. Cardiovasc Radiol. 1978;1:225–7.

    Article  CAS  PubMed  Google Scholar 

  33. Wang J, Filipovic M, Skarvan K, Michaux I, Schumann R, Buser P, Seeberger M. Transesophageal Doppler echocardiographic detection of intramyocardial collateral flow to the right coronary artery and changes in the flow to the inferior left ventricular wall immediately after coronary artery bypass grafting. Am J Cardiol. 2006;98:1587–92.

    Article  PubMed  Google Scholar 

  34. Werner G, Emig U, Mutschke O, Schwarz G, Bahrmann P, Figula H. Regression of collateral function after recanalization of chronic total coronary occlusions. Circulation. 2003;108:2877–82.

    Article  PubMed  Google Scholar 

  35. Werner G. The role of coronary collaterals in chronic total occlusions. Curr Cardiol Rev. 2014;10:57–64.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Taylor C, Figueroa C. Patient-specific modeling of cardiovascular mechanics. Ann Rev Biomed Eng. 2009;11:109–34.

    Article  CAS  Google Scholar 

  37. Geven M, Bohte V, Aarnoudse W, Van Den Berg P, Rutten M, Pijls N, Van De Vosse F. A physiologically representative in vitro model of the coronary circulation. Physiol Meas. 2004;25:891–904.

    Article  PubMed  Google Scholar 

  38. Olufsen M, Nadim A. On deriving lumped models for blood flow and pressure in the systemic arteries. Math Biosci Eng. 2004;1(1):61–80.

    Article  PubMed  Google Scholar 

  39. Kim H, Vignon-Clementel I, Figueroa C, Jansen K, Taylor C. Developing computational methods for three-dimensional finite element simulations of coronary blood flow. Finite Elem Anal Design. 2010;46:514–25.

    Article  Google Scholar 

  40. Kim H, Vignon-Clementel I, Coogan J, Figueroa C, Jansen K, Taylor C. Patient-specific modeling of blood flow and pressure in human coronary arteries. Ann Biomed Eng. 2010;38(10):3195–209.

    Article  CAS  PubMed  Google Scholar 

  41. Morris P, Ryan D, Morton A, Lycett R, Lawford P, Hose R, Gunn J. Virtual Fractional Flow Reserve from coronary angiography, modeling the significance of coronary lesions. JACC Cardiovasc Interv. 2013;6(2):149–57.

    Article  PubMed  Google Scholar 

  42. Owida A, Do H, Morsi Y. Numerical analysis of coronary artery bypass grafts: an overview. Comput Meth Prog Biomed. 2012;108:689–705.

    Article  Google Scholar 

  43. Dur O, Coskun S, Coskun K, Frakes D, Kara L, Pekkan K. Computer-aided patient-specific coronary artery graft design improvements using CFD coupled shape optimizer. Cardiovasc Eng Technol. 2011;2(1):35–47.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Cacho F, Doblaré M, Holzapfel G. A procedure to simulate coronary artery bypass graft surgery. Med Biol Eng Comput. 2007;45(9):819–27.

    Article  PubMed  Google Scholar 

  45. Xiong F, Chong C. A parametric numerical investigation on haemodynamics in distal coronary anastomoses. Med Eng Phys. 2008;30:311–20.

    Article  CAS  PubMed  Google Scholar 

  46. Sankaran S, Moghadam M, Kahn A, Tseng E, Guccione J, Marsden A. Patient-specific multiscale modeling of blood flow for coronary artery bypass graft surgery. Ann Biomed Eng. 2012;40(10):2228–42.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Politis A, Stavropoulos G, Christolis M, Panagopoulos F, Vlachos N, Markatos N. Numerical modeling of simulated blood flow in idealized composite arterial coronary grafts: steady state simulations. J Biomech. 2007;40(5):1125–36.

    Article  CAS  PubMed  Google Scholar 

  48. Sankaranarayanan M, Chua L, Ghista D, Tan Y. Computational model of blood flow in the aorto-coronary bypass graft. Biomed Eng Online. 2005;4(14):1–13.

    Google Scholar 

  49. Leuprecht A, Perktold K, Prosi M, Berk T, Trubel W, Schima H. Numerical study of hemodynamics and wall mechanics in distal end-to-side anastomoses of bypass grafts. J Biomech. 2002;35:225–36.

    Article  PubMed  Google Scholar 

  50. Maasrani M, Verhoye JP, Corbineau H, Drochon A. Analog electrical model of the coronary circulation in case of multiple revascularization. Ann Biomed Eng. 2008;36(7):1163–74.

    Article  PubMed  Google Scholar 

  51. Maasrani M, Abouliatim I, Ruggieri VG, Corbineau H, Verhoye JP, Drochon A. Simulations of fluxes in diseased coronary network using an electrical model. In: Proceedings of the IEEE XIX international conference on electrical machines, ICEM. Rome; 2010.

    Google Scholar 

  52. Maasrani M, Abouliatim I, Harmouche M, Verhoye JP, Corbineau H, Drochon A. Patients’ specific simulations of coronary fluxes in case of three-vessel disease. J Biomed Sci Eng. 2011;4:34–45.

    Article  Google Scholar 

  53. Goldstein R, Stinson E, Scherer J, Seningen R, Grehl T, Epstein S. Intraoperative coronary collateral function in patients with coronary occlusive disease. Circulation. 1974;XLIX:298–308.

    Article  Google Scholar 

  54. Maasrani M, Drochon A, Abouliatim I, Harmouche M, Corbineau H, Verhoye JP. Theoretical study of the flow rate towards the right heart territory in case of total occlusion of the right coronary artery. Med Eng Phys. 2013;35:103–7.

    Article  PubMed  Google Scholar 

  55. Harmouche M, Maasrani M, Corbineau H, Verhoye JP, Drochon A. Coronary three-vessel disease with occlusion of the right coronary artery: what are the most important factors that determine the right territory perfusion? Innov Res Biomed Eng. 2014;35:149–57.

    Google Scholar 

  56. Hirotani T, Kameda T, Shirota S, Nakao Y. An evaluation of the intraoperative transit time measurements of coronary bypass flow. Eur J Cardiothorac Surg. 2001;19(6):848–52.

    Article  CAS  PubMed  Google Scholar 

  57. Glineur D, Poncelet A, El Khoury G, D’hoore W, Astarci P, Zech F, Noirhomme P, Hanet C. Fractional flow reserve of pedicled internal thoracic artery and saphenous vein grafts 6 months after bypass surgery. Eur J Cardiothorac Surg. 2007;31:376–82.

    Article  PubMed  Google Scholar 

  58. Abouliatim I, Harmouche M, Drochon A, Maasrani M, Corbineau H, Verhoye JP. Coronary flow in patients with three-vessel disease: simulated hemodynamic variables in relation to angiographically assessed collaterality and history of myocardial infarction. ISRN Vascular Medicine. 2011; Article ID 470313, 10 pages.

    Google Scholar 

  59. Nijveldt R, Beek A, Hirsch A, Stoel M, Hofman M, Umans V, Algra P, Twisk J, Van Rossum A. Functional recovery after acute myocardial infarction. Comparison between angiography, electrocardiography, and cardiovascular magnetic resonance measures of microvascular injury. J Am Coll Cardiol. 2008;52:181–9.

    Article  PubMed  Google Scholar 

  60. Shimizu T, Hirayama T, Suesada H, Ikeda K, Ito S, Ishimaru S. Effect of flow competition on internal thoracic artery graft: postoperative velocimetric and angiographic study. J Thorac Cardiovasc Surg. 2000;120:459–65.

    Article  CAS  PubMed  Google Scholar 

  61. Lust R, Zeri R, Spence P, et al. Effect of chronic native flow competition on internal thoracic artery grafts. Ann Thorac Surg. 1994;57:45–50.

    Article  CAS  PubMed  Google Scholar 

  62. Kawasuji M, Sakakibara N, Takemura H, Tedoriya T, Ushijima T, Watanabe Y. Is internal thoracic artery grafting suitable for a moderately stenotic coronary artery? J Thorac Cardiovasc Surg. 1996;112:253–9.

    Article  CAS  PubMed  Google Scholar 

  63. Rockstroh J, Brown BG. Coronary collateral size, flow capacity, and growth estimates from the angiogram in patients with obstructive coronary disease. Circulation. 2002;105:168–73.

    Article  PubMed  Google Scholar 

  64. Jokinen J, Werkkala K, Vainikka T, Peräkylä T, Simpanen J, Ihlberg L. Clinical value of intra-operative transit-time flow measurement for coronary artery bypass grafting: a prospective angiography-controlled study. Eur J Cardiothorac Surg. 2011;39:918–23.

    Article  PubMed  Google Scholar 

  65. Nakajima H, Iguchi A, Tabata M, Koike H, Morita K, Takahashi K, Asakura T, Nishimura S, Niinami H. Predictors and prevention of flow insufficiency due to limited flow demand. J Cardiothorac Surg. 2014;9:188.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Kieser TM, Rose S, Kowalewski R, Belenkle I. Transit time flow predicts outcomes in coronary artery bypass graft patients: a series of 1000 consecutive arterial grafts. Eur J Cardiothorac Surg. 2010;38:155–62.

    Article  PubMed  Google Scholar 

  67. Reul R. Will drug-eluting stents replace coronary artery bypass surgery? Tex Heart Inst J. 2005;32:323–30.

    PubMed  PubMed Central  Google Scholar 

  68. Fearon W, Shah M, Ng M, Brinton T, Wilson A, Tremmel J, Schnittger I, Lee D, Vagelos R, Fitzgerald P, Yock P, Yeung A. Predictive value of the index of microcirculatory resistance in patients with ST-segment elevation myocardial infarction. J Am Coll Cardiol. 2008;51(5):560–5.

    Article  PubMed  Google Scholar 

  69. Spies C, Mohrs O, Madison J, Fach A, Nowak B, Voigtlander T. Limited flow reserve in non-obstructed bypass grafts supplying infarcted myocardium: implications for cardiovascular magnetic resonance imaging protocols. J Cardiovasc Magn Reson. 2006;8:373–9.

    Article  PubMed  Google Scholar 

  70. Chello M, Spadaccio C, Anselmi A, Patti G, Lusini M, Sciascio G, Covino E. Simvastatin reduces CD40 expression in an experimental model of early arterialization of saphenous vein graft. J Surg Res. 2006;136:302–8.

    Article  CAS  PubMed  Google Scholar 

  71. Ozturk N, Sucu N, Comelekoglu U, Yilmaz BC, Aytacoglu BN, Vezir O. Pressure applied during surgery alters the biomechanical properties of human saphenous vein graft. Heart Vessels. 2013;28:237–45.

    Article  PubMed  Google Scholar 

  72. Zhao J, Andreasen J, Yang J, Rasmussen B, Liao D, Gregersen H. Manual pressure distension of the human saphenous vein changes its biomechanical properties – implication for coronary artery bypass grafting. J Biomech. 2007;40:2268–76.

    Article  PubMed  Google Scholar 

  73. Schmitz C, Ashraf O, Schiller W, Jürgen Preusse C, Esmailzadeh B, Likungu J, Fimmers R, Welz A. Transit time flow measurement in on-pump and off-pump coronary artery surgery. J Thorac Cardiovasc Surg. 2003;126:645–50.

    Article  PubMed  Google Scholar 

  74. Redzek A, Mihajlovic B, Kovacevic P, Cemerlic N, Pavlovic K, Velicki L. Patency of internal thoracic artery and vein grafts according to revascularized coronary artery properties. Med Pregl. 2011;LXIV(3–4):137–42.

    Article  Google Scholar 

  75. Karapanos N, Suddendorf S, Li Z, Huebner M, Joyce L, Park S. The impact of competitive flow on distal coronary flow and on graft flow during coronary artery bypass surgery. Interact Cardiovasc Thorac Surg. 2011;12:993–7.

    Article  Google Scholar 

  76. Seiler C. The human coronary collateral circulation. Heart. 2003;89:1352–7.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Seiler C, Stoller M, Pitt B, Meier P. The human coronary collateral circulation: development and clinical importance. Eur Heart J. 2013;34:2674–82.

    Article  CAS  PubMed  Google Scholar 

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Drochon, A., Anselmi, A., Harmouche, M., Corbineau, H., Verhoye, JP. (2016). Coronary Collaterals and Graft Failure. In: Ţintoiu, I., Underwood, M., Cook, S., Kitabata, H., Abbas, A. (eds) Coronary Graft Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-26515-5_33

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