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Five-year patency f...
Five-year patency for the no-touch saphenous vein and the left internal thoracic artery in on- and off-pump coronary artery bypass grafting
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- Arbeus, Mikael (författare)
- Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden,Örebro Univ, Fac Med & Hlth, Dept Cardiothorac & Vasc Surg, Örebro, Sweden.
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- de Souza, Domingos Ramos, 1954- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Cardiothoracic and Vascular Surgery,Örebro Univ, Fac Med & Hlth, Dept Cardiothorac & Vasc Surg, Örebro, Sweden.
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- Geijer, Håkan, 1961- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Radiology,Örebro Univ, Fac Med & Hlth, Dept Radiol, Örebro, Sweden.
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- Lidén, Mats, 1976- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Radiology,Örebro Univ, Fac Med & Hlth, Dept Radiol, Örebro, Sweden.
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- Pinheiro, Bruno (författare)
- Department of Cardiovascular Surgery, Hospital do Coracao Anis Rassi, Goiania, Brazil,Hosp Coracao Anis Rassi, Dept Cardiovasc Surg, Goiania, Go, Brazil.
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- Bodin, Lennart (författare)
- Karolinska Institutet
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- Samano, Ninos (författare)
- Uppsala universitet,Institutionen för kirurgiska vetenskaper,Uppsala Univ, Uppsala Univ Hosp, Dept Cardiothorac Surg, Uppsala, Sweden.
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Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden Örebro Univ, Fac Med & Hlth, Dept Cardiothorac & Vasc Surg, Örebro, Sweden (creator_code:org_t)
- 2021-07-26
- 2021
- Engelska.
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Ingår i: Journal of cardiac surgery. - : Wiley-Blackwell Publishing Inc.. - 0886-0440 .- 1540-8191. ; 36:10, s. 3702-3708
- Relaterad länk:
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https://doi.org/10.1...
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https://onlinelibrar...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- BACKGROUND: Randomized trials show high long-term patency for no-touch saphenous vein grafts in coronary artery bypass grafting. The patency rate in off-pump coronary bypass surgery for these grafts has not been investigated. Our center participated in the CORONARY randomized trial, NCT00463294. This is a study aimed to assess the patency of no-touch saphenous veins in on- versus off-pump coronary bypass surgery at five-year follow-up.METHODS: Fifty-six patients were included. Forty of 49 patients, alive at 5 years, participated in this follow-up. There were 21 and 19 patients in the on- and off-pump groups respectively. No-touch saphenous veins were used to bypass all targets and in some cases the left anterior descending artery. Graft patency according to distal anastomosis was evaluated with computed tomography angiography.RESULTS: The five-year patency rate was 123/139 (88.5%). The patency for the no-touch vein grafts was 57/64 (89.1%) in the on-pump versus 37/45 (82.2%) in the off-pump group. All left internal thoracic arteries except for one, 29/30 (96.6%), were patent. All vein grafts used to bypass the left anterior descending and the diagonal arteries were patent 32/32. The lowest patency rate for the saphenous veins was to the right coronary territory, particularly in off-pump surgery (80.0% vs. 62.5% for the on- respective off-pump groups).CONCLUSIONS: Comparable 5-year patency for the no-touch saphenous veins and the left internal thoracic arteries to the left anterior descending territory in both on- and off-pump coronary artery bypass grafting. Graft patency in off-pump CABG is lower to the right coronary artery.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Nyckelord
- Coronary artery bypass grafting
- no-touch
- off-pump
- patency
- saphenous veins
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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