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Ann Thorac Surg 1975;20:628-635
© 1975 The Society of Thoracic Surgeons
From the Division of Cardiac Surgery, St. Thomas Hospital, and the Department of Surgery, Vanderbilt Hospital, Nashville, Tenn
* Address reprint requests to Dr. Stoney, 2108 West End Ave., Nashville, Tenn. 37203
Autogenous radial artery grafts have been advocated for those situations in which adequate saphenous vein is not available for aortocoronary bypass procedures. It was anticipated that autogenous artery would demonstrate less predilection to develop the intimal proliferative changes seen with vein grafts in the arterial system. Early clinical experience with 79 patients receiving one or more radial artery grafts has shown that the radial artery is not spared occlusive intimal proliferative changes. Although early restudy of 6 patients was encouraging, late restudy in 29 patients showed 22 of 34 radial artery grafts (64.7%) to be unsatisfactory. Recovered grafts from 3 patients who required a second operation revealed severe generalized intimal hyperplasia. On the basis of this experience we no longer consider the radial artery an alternative conduit for aortocoronary bypass.
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P. Aarnio, A. Harjula, A. Lehtola, H. Sariola, E. Merikallio, and S. Mattila Free Internal Mammary Artery as Canine Coronary Artery Bypass Graft Vascular and Endovascular Surgery, May 1, 1988; 22(3): 179 - 184. [Abstract] [PDF]
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R. Limet The Alternative to the Saphenous Vein as an Arterial Graft Vascular and Endovascular Surgery, July 1, 1984; 18(4): 201 - 210. [Abstract] [PDF]
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C.-J. Chiu Why Do Radial Artery Grafts for Aortocoronary Bypass Fail? A Reappraisal Ann. Thorac. Surg., December 1, 1976; 22(6): 520 - 523. [Abstract] [PDF]
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 C. S. Thomas Jr, W. C. Alford Jr, G. R. Burrus, R. A. Frist, and W. S. Stoney Results of Reoperation for Failed Aortocoronary Bypass Grafts Arch Surg, November 1, 1976; 111(11): 1210 - 1213. [Abstract] [PDF]
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R. L. Fisk, C. H. Brooks, J. C. Callaghan, and J. Dvorkin Experience with the Radial Artery Graft for Coronary Artery Bypass Ann. Thorac. Surg., June 1, 1976; 21(6): 513 - 518. [Abstract] [PDF]
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