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Ann Thorac Surg 2001;72:816
© 2001 The Society of Thoracic Surgeons

Invited commentary

Guo-Wei He, MD, PhDa,b

a Department of Surgery, The Chinese University of Hong Kong, Hong Kong SAR, China
b Provincial Hospital, Department of Cardiac Surgery, Anhui Heart Institute, Provincial Hospital, Anhui Medical University, Hefei, China

e-mail: gwhe@cuhk.edu.hk

The use of arterial grafts in coronary artery bypass grafting is widely accepted and the internal mammary artery (IMA) has been the primary major arterial graft. Arterial grafts are small to mid-sized conduit arteries. A major concern of arterial grafting is perioperative vasospasm in the graft [1, 2]. Although the results of IMA grafting are excellent, and this artery is used in the daily practice of most cardiac surgeons around the world, vasospasm is encountered in IMA grafts, as in other arterial grafts such as the radial artery and the gastroepiploic artery. Vasospasm of arterial grafts has been studied for many years and methods to overcome spasm have been developed. These include: (1) avoidance of the most spastic . . . [Full Text of this Article]


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