Conduits for Coronary Bypass: Vein Grafts
نویسندگان
چکیده
The saphenous vein has been the principal conduit for coronary bypass grafting from the beginning, circa 1970. This report briefly traces this history and concomitantly presents one surgeons experience and personal views on use of the vein graft. As such it is not exhaustive but meant to be practical with a modest number of references. The focus is that of providing guidance and perspective which may be at variance with that of others and recognizing that there may be many ways to accomplish the task at hand. Hopefully the surgeon in training/early career may find this instructive on the journey to surgical maturity.
منابع مشابه
Role of prosthetic conduits in coronary artery bypass grafting.
Prosthetic grafts are required for coronary artery bypass grafting (CABG) when the availability of suitable autologous conduits is limited. The ideal cardiovascular bypass graft requires a broad range of characteristics including strength, viscoelasticity, biocompatibility, blood compatibility and biostability. Many alternative conduits have been developed and used in the past, but most of them...
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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....
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Coronary artery bypass graft (CABG) operations are one of the most commonly performed sur‐ gical procedures, with a worldwide prevalence of over 800,000 annually and more than 350,000 operations being performed in the United States each year [1]. The use of the left internal mam‐ mary artery (LIMA) is widely considered to be the gold standard for conventional CABG opera‐ tions. Its use has been...
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A multitude of vascular conduits are available to the Cardiac Surgeon performing Coronary Artery Bypass Graft operations. The Internal Mammary Artery, Radial Artery (RA), and the Long Saphenous Vein (LSV) have proven to be excellent conduits, especially in the current era of statin usage. However, previous stripping or varicosities of the LSV and calcification of the RA, coupled with the need f...
متن کاملWhy do UK cardiac surgeons not perform their first choice operation for coronary artery bypass graft?
For the past 15 years the “standard” coronary artery bypass graft (CABG) operation for multi-vessel coronary artery disease has used the left internal mammary artery and supplemental saphenous vein segments for conduits. However, increasing evidence suggests that arterial conduits have superior patency rates to vein grafts leading to improved survival and reduced need for reintervention. 4 It i...
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عنوان ژورنال:
دوره 45 شماره
صفحات -
تاریخ انتشار 2012