| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2001;19:140-144
© 2001 Elsevier Science NL
ener
demirCardiovascular Surgery Department, Türkiye Yüksek Ihtisas Hospital, Ankara, Turkey
Received 30 March 2000; received in revised form 19 October 2000; accepted 17 November 2000.
Corresponding author. N. Tandogan cad. 5/6 Kavaklidere 06540, Ankara, Turkey. Tel.: +90-312-426-7574; fax: +90-312-426-6181
e-mail: kvural{at}tr.net
Objectives: The long-term patency rates for individual and sequential saphenous vein grafts (SVG) as coronary bypass conduits are angiographically compared; the impact of native coronary vessel characteristics is investigated. Methods: A total of 875 distal coronary anastomoses on 500 SVGs were assessed in 430 patients at an average of 5.8±3 years after a coronary revascularization procedure. Results: The patency rates of sequential conduits were markedly higher than those of individual ones (82 vs. 68%, P=0.0005). Also, the anastomoses on the sequential conduits had better patency (75 vs. 68%, P=0.03). This difference was even more pronounced in coronary arteries of poor quality and small (<1.5 mm) diameter (57 vs. 28% for the sequential grafts and individual grafts, respectively, P=0.001). Also, when the most distally located coronary artery on a sequential graft was of poor run-off, the patency rate for the entire conduit was considerably low (42.5%). Conclusions: The patency of a sequential vein graft conduit is generally better than that of an individual one, especially for poor run-off coronary vessels, provided that the most distally located anastomosis is done on a good coronary artery in terms of quality and diameter. Using a minimal length of conduits is another advantage. However, failure of a single sequential conduit jeopardizes all the anastomoses along that graft segment. Besides, sequential grafting is technically more demanding, and the technical expertise in performing a sequential anastomosis is probably among the important determinants of short- and long-term patency.
Key Words: Sequential • Coronary • Bypass • Saphenous • Individual • Revascularization
This article has been cited by other articles:
|
|
 |
|
  M. Hulusi, M. Basaran, M. Ugurlucan, A. Kocailik, and E. K. Basaran Coronary Artery Bypass Grafting With Y-Saphenous Vein Grafts Angiology, December 1, 2009; 60(6): 668 - 675. [Abstract] [PDF]
|
|
|
|
 |
|
 T. A. Schwann, A. Zacharias, C. J. Riordan, S. J. Durham, A. S. Shah, and R. H. Habib Sequential radial artery grafts for multivessel coronary artery bypass graft surgery: 10-year survival and angiography results. Ann. Thorac. Surg., July 1, 2009; 88(1): 31 - 39. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. D. Glower Invited commentary. Ann. Thorac. Surg., July 1, 2009; 88(1): 39 - 39. [Full Text] [PDF]
|
|
|
|
 |
|
 F. Onorati, G. Santarpino, A. Rubino, L. Cristodoro, C. Scalas, and A. Renzulli Intraoperative bypass graft flow in intra-aortic balloon pump-supported patients: Differences in arterial and venous sequential conduits J. Thorac. Cardiovasc. Surg., July 1, 2009; 138(1): 54 - 61. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Nordgaard, N. Vitale, and R. Haaverstad Transit-time blood flow measurements in sequential saphenous coronary artery bypass grafts. Ann. Thorac. Surg., May 1, 2009; 87(5): 1409 - 1415. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Gongora and T. M. Sundt III Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632. [Full Text]
|
|
|
|
|
|
M. Gwozdziewicz, P. Nemec, M. Simek, R. Hajek, and M. Troubil Sequential Bypass Grafting on the Beating Heart: Blood Flow Characteristics Ann. Thorac. Surg., August 1, 2006; 82(2): 620 - 623. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. M. Vural, Z. H. Iscan, A. Kunt, E. Sener, and O. Tasdemir Off-Pump, In Situ Internal Thoracic Artery Grafting: A Durable Treatment for Single-Vessel Coronary Artery Disease Ann. Thorac. Surg., March 1, 2005; 79(3): 814 - 818. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Widimsky, Z. Straka, P. Stros, K. Jirasek, J. Dvorak, J. Votava, L. Lisa, T. Budesinsky, M. Kolesar, T. Vanek, et al. One-Year Coronary Bypass Graft Patency: A Randomized Comparison Between Off-Pump and On-Pump Surgery Angiographic Results of the PRAGUE-4 Trial Circulation, November 30, 2004; 110(22): 3418 - 3423. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Lev-Ran, R. Mohr, D. Pevni, N. Nesher, Y. Weissman, D. Loberman, and G. Uretzky Bilateral internal thoracic artery grafting in diabetic patients: Short-term and long-term results of a 515-patient series J. Thorac. Cardiovasc. Surg., April 1, 2004; 127(4): 1145 - 1150. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. L. Mickleborough, S. Carson, and J. Ivanov Gender differences in quality of distal vessels: effect on results of coronary artery bypass grafting J. Thorac. Cardiovasc. Surg., October 1, 2003; 126(4): 950 - 958. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. J. Woo and T. J. Gardner Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2003; 2(2003): 581 - 607. [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
