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Ann Thorac Surg 1976;21:513-518
© 1976 The Society of Thoracic Surgeons

Articles

Experience with the Radial Artery Graft for Coronary Artery Bypass

R. Leighton Fisk, M.D., Carman H. Brooks, M.D., John C. Callaghan, M.D.*, Joseph Dvorkin, M.D.

Departments of Cardiovascular Surgery and Cardiology, University of Alberta Hospital, Edmonton, Alta, Canada

Accepted for publication November 24, 1975.

* Address reprint requests to Dr. Callaghan, Department of Surgery, Clinical Sciences Building, University of Alberta, Edmonton, Alta, Canada

Forty-eight radial artery grafts and 22 saphenous vein grafts in 37 patients undergoing coronary bypass procedures were studied early postoperatively. Most of the saphenous vein grafts were patent, but one-half of the radial artery grafts were occluded. Failure of the radial artery grafts could not be attributed to unfavorable runoff in the recipient vessels. Radial arteries carrying higher flows and those to vessels having more severe degrees of proximal stenosis occluded with a higher frequency. The radial artery should not be used for coronary bypass.




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