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Interact CardioVasc Thorac Surg 2007;6:456-457. doi:10.1510/icvts.2007.156273D
© 2007 European Association of Cardio-Thoracic Surgery
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Haider Zaman
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Work in progress report - Coronary

ICVTS on-line discussion D A brilliant attempt to grade coronary artery disease

Haider Zaman

Mayo Hospital, Lahore, Pakistan

An objective method for grading of distal disease in the grafted coronary arteries

eComment: It is a brilliant and long awaited attempt to develop an objective system for grading of diffuse coronary artery disease [1]. It appears that objective grading in combination with Pulsitility Index can be a reliable method to predict the long term outcome of coronary artery surgery in diffusely diseased vessels. The only point I would like to raise is regarding the mechanical trauma which can result from probing the coronaries. Probing of vessels with hard atheromas may remain atraumatic and safe. However, probing may not be a sensible option or at least would require a great deal of discretion to avoid complications in those occasional situations when a coronary starts exuding cheesy material while doing arteriotomy.


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  1. Jalal A. An objective method for grading of distal disease in the grafted coronary arteries. Interact CardioVasc Thorac Surg 2007; 6:451–457.[Abstract/Free Full Text]

Related Article

An objective method for grading of distal disease in the grafted coronary arteries
Anjum Jalal
Interactive CardioVascular and Thoracic Surgery 2007 6: 451-455. [Abstract] [Full Text] [PDF]




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