HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Kwang Ree Cho Ki-Bong Kim Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Cho, K. R. Articles by Kim, K.-B. Search for Related Content PubMed PubMed Citation Articles by Cho, K. R. Articles by Kim, K.-B. Related Collections Coronary disease

Eur J Cardiothorac Surg 2006;29:511-516
© 2006 Elsevier Science NL

Serial angiographic follow-up of grafts one year and five years after coronary artery bypass surgery

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 28 Yeon-Gun Dong, Jong-Ro Gu, Seoul 110-744, South Korea

Received 27 July 2005; received in revised form 19 December 2005; accepted 21 December 2005.

^_* Corresponding author. Tel.: +82 2 2072 3482; fax: +82 2 747 5245. (Email: kimkb{at}snu.ac.kr).

Objective: We studied retrospectively the patency of grafts after coronary artery bypass grafting (CABG) using serial angiographies performed one year and five years after surgery. Methods: One hundred and nine patients who had available coronary angiographies at both one year and five years after CABG were included. Morphologic changes of anastomotic sites and grafts were traced in the same group of patients using the FitzGibbon grading system. Results: The arterial graft patency rate (FitzGibbon grade A + B) was significantly higher than the saphenous vein grafts at both one year (98.0% vs 82.4%, p < 0.001) and five years (90.7% vs 80.2%, p = 0.006) after surgery, respectively. The arterial graft patency rate was superior to vein grafts in the left anterior descending coronary artery territory at both one year (97.5% vs 82.0%, p = 0.001) and five years (90.9% vs 78.0%, p = 0.042) postoperatively. Other territories showed similar patency rates between arterial and vein grafts. The vein graft patency rate at five years postoperatively was lowest in the right coronary territory when compared with other territories. When the patency pattern was compared between postoperative years 1 and 5, the proportion of FitzGibbon grade B grafts increased significantly in the vein grafts (3.1% vs 7.5%, p = 0.002), while that of arterial grafts remained stable (8.6% vs 7.3%, p = 0.774). When the graft patency at postoperative year 5 was compared between patients with recurrent angina and those without, the patients with recurrent angina showed a higher proportion of FitzGibbon grade B grafts (19.2% vs 4.8% in arterial grafts, p = 0.023; 20.5% vs 4.8% in vein grafts, p = 0.003) and lower grade A grafts (65.4% vs 86.4% in arterial grafts, p = 0.019; 43.6% vs 78.2% in vein grafts, p < 0.001), and a lower vein graft patency rate (64.1% vs 83.0%, p = 0.014). Conclusions: The arterial graft patency rate was significantly higher than that of saphenous vein grafts, especially in the left anterior descending coronary artery territory, at one year and five years postoperatively. The decreased patency rate of the vein grafts, along with insulin-dependent diabetes mellitus, were associated with angina recurrence.

Key Words: Coronary artery bypass grafting (CABG) • Angiography • Ischemic heart disease

This article has been cited by other articles:

				K.-B. Kim, K. R. Cho, and D. S. Jeong Midterm angiographic follow-up after off-pump coronary artery bypass: serial comparison using early, 1-year, and 5-year postoperative angiograms. J. Thorac. Cardiovasc. Surg., February 1, 2008; 135(2): 300 - 307. [Abstract] [Full Text] [PDF]

				C. M. Jones, T. Athanasiou, N. Dunne, J. Kirby, S. Attaran, A. Chow, S. Purkayastha, and A. Darzi Multi-slice computed tomography in coronary artery disease. Eur. J. Cardiothorac. Surg., September 1, 2006; 30(3): 443 - 450. [Abstract] [Full Text] [PDF]