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Ann Thorac Surg 2003;76:2118-2120
© 2003 The Society of Thoracic Surgeons

How to do it

A technique for evaluating competitive flow for intraoperative decision making in coronary artery surgery

Gil Bolotin, MD, PhD*a, Alan P. Kypson, MDa, L. Wiley Nifong, MDa, W. Randolph Chitwood, Jr, MDa

a Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA

Accepted for publication March 25, 2003.

* Address reprint requests to Dr Bolotin, Department of Surgery, Brody School of Medicine, East Carolina University, 600 Moye Blvd, Greenville, NC, USA 27858
e-mail: boloting{at}mail.ecu.edu

The effect of native coronary competitive flow on the patency of arterial and saphenous vein grafts is controversial. We use a simple intraoperative technique to evaluate competitive flow that allows us to make informed intraoperative decisions regarding anastomotic quality, vessel runoff, and competing native coronary blood flow.




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