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Ethicon, Route 22 W, Somerville, NJ 08876
(Email: jhart7@its.jnj.com).
Sequential grafting techniques during coronary artery bypass grafting (CABG) have been in use for decades and have been adopted by different surgeons to varying extents. Purported advantages have included efficient use of available conduits, potentially improved graft patency rates attributable to presumed higher flow rates, and the need for fewer proximal anastomoses for sequential aortocoronary grafts. Intraoperative transit time graft flow measurement and calculation of the pulsatility index have likewise been available for many years and have been adopted by some surgeons as a quality control measure.
Nordgaard and coauthors [1] have provided a retrospective analysis of intraoperative
Related Article
Ann. Thorac. Surg. 2009 87: 1409-1415.
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