Kobayashi technique for myocardial revascularization - early experience

Background: Total arterial revascularization is a trend in the treatment of ischaemic heart disease these days. The aim of this study was to determine the short-term results of Kobayashi arterial revascularization technique. Material and methods: Between May and August 2007 a total of 10 patients underwent coronary revascularization using Kobayashi technique. The quality of sutured bypasses was assessed using transit-time flow meter and postoperative coronary angiography. Results: All bypasses had sufficient blood flow measured with a Doppler probe during the operation and showed 100% patency on postoperative angiograms. Two cases of blood flow competition occurred in the right coronary artery (RCA) territory. Both were due to insignificant stenosis of the RCA. Conclusions: Kobayashi revascularization technique, although technically demanding, is safe and provides good short-term