Late results of coronary revascularization with saphenous vein and internal thoracic artery grafts
Abstract
Material and methods. From 1999 to 2006, 685 patients (mean age, 59.1±11.8 years) had angiography of 538 internal thoracic and gastroepiploic artery and 1644 saphenous vein grafts. There were 580 (84.7%) males. The mean period from operation to the performance of reangiogram was 73.3±53.5 months. Graft failure was defined as >95% stenosis. The saphenous vein was grafted to the left anterior descending artery in 106 (6.4%), to the diagonal artery in 364 (22.1%), to the obtuse marginal artery in 629 (38.3%), and to the right coronary artery in 545 (33.1%) cases.
Results. During the study, 1496 (68.97%) grafts were patent, and 686 (31.0%) had failed. Unadjusted 1-, 5-, 10-, and >10-year patency was 91.0%, 89.9%, 90.1%, and 75% for internal thoracic arteries and 79.9%, 68.6%, 57.4%, and 51.0% for saphenous veins, respectively.
Conclusions. Internal thoracic arteries demonstrate better patency than saphenous veins except when grafting moderately stenosed coronary arteries. When bypassing coronary arteries with less than 70% stenosis, saphenous veins may be a better choice.
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Kinduris, Š.; Sakalauskas, J.; Verseckaitė, R.; Kaklauskaitė, G. Late results of coronary revascularization with saphenous vein and internal thoracic artery grafts. Medicina 2009, 45, 688. https://doi.org/10.3390/medicina45090089
Kinduris Š, Sakalauskas J, Verseckaitė R, Kaklauskaitė G. Late results of coronary revascularization with saphenous vein and internal thoracic artery grafts. Medicina. 2009; 45(9):688. https://doi.org/10.3390/medicina45090089
Chicago/Turabian StyleKinduris, Šarūnas, Juozas Sakalauskas, Raimonda Verseckaitė, and Gintarė Kaklauskaitė. 2009. "Late results of coronary revascularization with saphenous vein and internal thoracic artery grafts" Medicina 45, no. 9: 688. https://doi.org/10.3390/medicina45090089