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European Journal of Cardio-Thoracic Surgery, Vol 10, 327-330, Copyright © 1996 by European Association for Cardio-thoracic Surgery
P Licht, E Jacobsen, G Lerbjerg, PE Andersen and P Alstrup
Various alternative conduits for aortocoronary bypass grafting have been
suggested when the saphenous vein quality is inadequate. During a 10-year
period we have used the cephalic vein in 39 patients. Eighteen entered an
angiographic follow-up study. A total of 31 arm vein grafts were used with
43 distal anastomoses. When calculating patency by number of patent distal
anastomoses, this was 46% (median follow-up was 31 months), but calculating
by the number of patent grafts we found 52% patency (median follow-up 31
months). In conclusion, we discourage others from using arm veins in
aortocoronary bypass operations.
ARTICLES
Cephalic veins in coronary artery bypass surgery
Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark.
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