HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): John C. Bigelow Thomas D. Bartley Albert H. Krause, Jr. Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Bigelow, J. C. Articles by Krause, A. H. Search for Related Content PubMed PubMed Citation Articles by Bigelow, J. C. Articles by Krause, A. H., Jr.

Ann Thorac Surg 1976;22:507-514
© 1976 The Society of Thoracic Surgeons

---

Articles

Long-Term Follow-up of Sequential Aortocoronary Venous Grafts

From the Good Samaritan Hospital and Medical Center, Portland, OR

^* Address reprint requests to Dr. Bigelow, 2226 NW Petty-grove, Portland, OR 97210

In 1972 we reported myocardial revascularization of 130 patients using multiple sequential aortocoronary anastomoses to a single saphenous vein [1]. Of the 122 survivors described in that report, 121 (99%) have been followed an additional 3 years. Twelve deaths occurred during the interval. The 110 currently followed patients represent 290 anastomoses; 54 have been studied angiographically since operation. Angiographic patency at 3 years in the studied group (18) was 70%. These figures exceed our follow-up data for 135 patients revascularized during the same period using individual vein grafts. Comparison of life table survival curves demonstrates this result.

We believe the improved patency and decreased operating time that have resulted from employing this technique have outweighed the likelihood of a proximal stenosis causing closure of the whole graft system. We continue to use this technique in combination with internal mammary artery grafts in the management of multiple-vessel coronary disease. Good early results using this technique have been reported by other authors [2, 3, 5].

This article has been cited by other articles:

				M. Ouzounian, A. Hassan, A. M. Yip, K. J. Buth, R. J. F. Baskett, I. S. Ali, and G. M. Hirsch The impact of sequential grafting on clinical outcomes following coronary artery bypass grafting Eur J Cardiothorac Surg, November 1, 2010; 38(5): 579 - 584. [Abstract] [Full Text] [PDF]

				B. L. van Brussel, H. W. M. Plokker, A. A. Voors, J. M. P. G. Ernst, J. C. Kelder, P. J. Knaepen, and F. E. E. Vermeulen DIFFERENT CLINICAL OUTCOME IN CORONARY ARTERY BYPASS WITH SINGLE AND SEQUENTIAL VEIN GRAFTS: A FIFTEEN-YEAR FOLLOW-UP STUDY J. Thorac. Cardiovasc. Surg., July 1, 1996; 112(1): 69 - 78. [Abstract] [Full Text]

				H. Suma and A. Takeuchi Vein Holder for Coronary Bypass Surgery Ann. Thorac. Surg., January 1, 1987; 43(1): 109 - 110. [Abstract] [PDF]

				F. Jarrett, H. A. Berkoff, A. B. Crummy, and F. O. Belzer Femorotibial Bypass Grafts With Sequential Technique: Clinical Results Arch Surg, May 1, 1981; 116(5): 709 - 714. [Abstract] [PDF]

				D. A. Cooley, D. G. McNamara, J. M. Duncan, and D. A. Ott Internal Mammary-Anomalous Left Anterior Descending Coronary Artery Graft in 16-Month-Old Infant with Tetralogy of Fallot: 30-Month Follow-up Ann. Thorac. Surg., December 1, 1980; 30(6): 588 - 591. [Abstract] [PDF]

				T. J. Yeh, D. Heidary, and L. Shelton Y-Grafts and Sequential Grafts in Coronary Bypass Surgery: A Critical Evaluation of Patency Rates Ann. Thorac. Surg., May 1, 1979; 27(5): 409 - 412. [Abstract] [PDF]

				L. I. Bonchek and G. N. Olinger Technical Considerations in Saphenous Vein Bypass Grafts to the Right Coronary Artery Ann. Thorac. Surg., March 1, 1978; 25(3): 254 - 256. [Abstract] [PDF]