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The no-touch saphen...
The no-touch saphenous vein graft in elderly coronary bypass patients with multiple comorbidities is a promising conduit to substitute the left internal thoracic artery
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- Samano, Ninos, 1972- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery
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- Geijer, Håkan, 1961- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Radiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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- Bodin, Lennart, 1941- (author)
- Karolinska Institutet,Örebro universitet,Handelshögskolan vid Örebro Universitet,Intervention and Implementation Research, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden
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- Arbeus, Mikael (author)
- Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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- Mannion, John D. (author)
- Department of Surgery, Bayhealth Medical Center, Dover DE, USA
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- Dashwood, Michael (author)
- Surgical and Interventional Sciences, Royal Free Hospital Campus, University College Medical School, London, United Kingdom
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- Souza, Domingos (author)
- Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
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(creator_code:org_t)
- Mosby Inc. 2017
- 2017
- English.
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In: Journal of Thoracic and Cardiovascular Surgery. - : Mosby Inc.. - 0022-5223 .- 1097-685X. ; 154:2, s. 457-466.e3
- Related links:
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http://www.jtcvs.org...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
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- OBJECTIVES: We investigated the patency rates of no-touch saphenous vein grafts anastomosed to the left anterior descending artery compared with the left internal thoracic artery. Further, we compared the patency of no-touch vein grafts to the left anterior descending artery with the patency of no-touch vein grafts to other coronary arteries.METHODS: Of 2635 consecutive patients undergoing coronary artery bypass grafting between 2003 and 2008, 168 (6.3%) were given at least a saphenous vein graft to the left anterior descending artery to avoid harvesting complications in high-risk patients or in response to a left internal thoracic artery injury. A total of 97 patients were consecutively included after informed consent. A clinical examination and computed tomography angiography were performed on 91 patients at a mean of 6 (4-9) years.RESULTS: The mean age of patients was 75.6 ± 8.5 years. Postoperatively, 88.7% of patients (86/97) were free of angina. The 91 examined patients had 163 grafts with 286 distal anastomoses. Crude patency, according to distal anastomoses, was 94.4% (270/286). The patency of single versus sequential no-touch vein grafts to the left anterior descending artery was 98% (50/51) versus 92.5% (37/40). The total patency rate was 95.6% (87/91), similar to the reported patency rate for the left internal thoracic artery. The no-touch grafts to the left anterior descending artery versus other coronaries had a patency of 95.6% (87/91) versus 93.8% (183/195), a high similarity confirmed by an equivalence analysis.CONCLUSIONS: In elderly coronary bypass patients with multiple comorbidities, a no-touch saphenous vein graft is a promising substitute for the left internal thoracic artery.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- bypass graft
- computed tomography angiography
- coronary artery bypass grafting
- left internal thoracic artery
- no-touch harvesting technique
- patency
- saphenous vein
Publication and Content Type
- ref (subject category)
- art (subject category)
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Samano, Ninos, 1 ...
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Geijer, Håkan, 1 ...
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Bodin, Lennart, ...
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Arbeus, Mikael
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Mannion, John D.
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Dashwood, Michae ...
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Souza, Domingos
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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Journal of Thora ...
- By the university
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Örebro University
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Karolinska Institutet