Interact CardioVasc Thorac Surg 2007;6:254. doi:10.1510/icvts.2006.149104B © 2007 European Association of Cardio-Thoracic Surgery
Best evidence topic - Coronary |
ICVTS on-line discussion A It depends on clinical situations
Chung-Dann Kan
Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan
Do coronary artery bypass grafts using cephalic veins have a satisfactory patency?
eComment: In routine coronary artery bypass grafting operations, as well by established knowledge, total arterization and great saphenous vein grafts have been extensively used with good results for bypass grafting materials. However, we have also experienced that for people who had severe atherosclerosis with radial arteries totally occluded combined with bilateral legs varicose veins, the only choice is cephalic veins. Those patients still have good results in clinical follow-up. We believe they can gain more benefits from using cephalic vein than from diseased arteries and saphenous vein. So maybe we should seek more strategies to improve the patency rate of cephalic vein grafts [1].
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Reference
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- Purohit M, Dunning J. Do coronary artery bypass grafts using cephalic veins have a satisfactory patency? Interact CardioVasc Thorac Surg 2007; 6:251254.[Abstract/Free Full Text]
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Do coronary artery bypass grafts using cephalic veins have a satisfactory patency?
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