ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Vollmer Bomfim
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Souza, D. S.R.
Right arrow Articles by Filbey, D.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Souza, D. S.R.
Right arrow Articles by Filbey, D.
Related Collections
Right arrow Coronary disease

Ann Thorac Surg 2001;71:797-800
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

High early patency of saphenous vein graft for coronary artery bypass harvested with surrounding tissue

Domingos S.R. Souza, MDa, Vollmer Bomfim, PhDa, Helge Skoglund, MDb, Michael R. Dashwood, PhDc, Jan W. Borowiec, PhDd, Lennart Bodin, PhDe, Derek Filbey, PhDf

a Department of Cardiothoracic Surgery, Örebro Medical Centre Hospital, Örebro, Sweden
b Department of Radiology, Örebro Medical Centre Hospital, Örebro, Sweden
c Department of Molecular Pathology and Clinical Biochemistry and Surgery, The Royal Free and University College Medical School, Royal Free Campus, London, England, United Kingdom
d Department of Thoracic and Cardiothoracic Surgery, University Hospital, Uppsala, Sweden
e Department of Biostatistics, Örebro Medical Centre Hospital, Örebro, Sweden
f Department of Transfusion Medicine, Örebro Medical Centre Hospital, Örebro, Sweden

Accepted for publication October 18, 2000.

Address reprint requests to Dr Souza, Department of Cardiothoracic Surgery, Örebro Medical Centre Hospital, SE 701 85 Örebro, Sweden
e-mail: domingos.souza{at}orebroll.se

Background. Surgical trauma to the saphenous vein, used as a conduit for coronary artery bypass grafting, affects their occlusion rate. This study evaluates the early patency of saphenous vein grafts harvested with a pedicle of surrounding tissue that protects the vein from spasm and trauma.

Methods. Fifty-two patients underwent coronary artery bypass grafting with saphenous veins harvested with surrounding tissue. Forty-five patients, who received a total of 124 vein grafts and 42 left internal mammary arteries, underwent angiographic follow-up at a mean of 18 months (9 to 24 months).

Results. Patency for saphenous vein grafts was 95.4% and for left internal mammary arteries, it was 93.3%. Twenty-nine of 30 (96.7%) vein grafts anastomosed to arteries 2.0 mm or more, 65 of 67 (97%) grafts to 1.5 mm, and 10 of 13 (77%) anastomosed to 1-mm arteries were patent. Nineteen of 22 (86.4%) vein grafts with flow rates 20 mL/min or less, 32 of 34 (94.1%) with flow between 20 and 40 mL/min, and 50 of 51 (98%) with flow more than 40 mL/min were patent. Other registered surgical and clinical factors did not contribute to vessel occlusion.

Conclusions. Early patency rate of saphenous veins harvested with surrounding tissue is very high, even in saphenous vein grafts demonstrating low blood flow. Preservation of graft endothelium using our harvesting technique may be the explanation of this success.




This article has been cited by other articles:


Home page
 Card Surg AdultHome page
E. Gongora and T. M. Sundt III
Myocardial Revascularization with Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632.
[Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
N. Burris, K. Schwartz, C.-M. Tang, M. S. Jafri, J. Schmitt, M. H. Kwon, O. Toshinaga, J. Gu, J. Brown, E. Brown, et al.
Catheter-based infrared light scanner as a tool to assess conduit quality in coronary artery bypass surgery
J. Thorac. Cardiovasc. Surg., February 1, 2007; 133(2): 419 - 427.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. R. Dashwood, K. Savage, A. Dooley, X. Shi-Wen, D. J. Abraham, and D. S.R. Souza
Effect of Vein Graft Harvesting on Endothelial Nitric Oxide Synthase and Nitric Oxide Production
Ann. Thorac. Surg., September 1, 2005; 80(3): 939 - 944.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Z. Davis, D. Garber, S. Clark, H. Roth, V. Bufalino, M. J. Budoff, S. Mao, and H. K. Jacobs
Long-term patency of coronary grafts with endoscopically harvested saphenous veins determined by contrast-enhanced electron beam computed tomography
J. Thorac. Cardiovasc. Surg., March 1, 2004; 127(3): 823 - 828.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. C. Cook, C. M. Crowley, R. Hayden, M. Gao, L. Fedoruk, S. V. Lichtenstein, and C. van Breemen
Traction injury during minimally invasive harvesting of the saphenous vein is associated with impaired endothelial function
J. Thorac. Cardiovasc. Surg., January 1, 2004; 127(1): 65 - 70.
[Abstract] [Full Text] [PDF]

Home page
 Card Surg AdultHome page
Y. J. Woo and T. J. Gardner
Myocardial Revascularization with Cardiopulmonary Bypass
Card. Surg. Adult, January 1, 2003; 2(2003): 581 - 607.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
D. S.R. Souza, M. R. Dashwood, J. C.S. Tsui, D. Filbey, L. Bodin, B. Johansson, and J. Borowiec
Improved patency in vein grafts harvested with surrounding tissue: results of a randomized study using three harvesting techniques
Ann. Thorac. Surg., April 1, 2002; 73(4): 1189 - 1195.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2001 by The Society of Thoracic Surgeons.