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- W2124245795 endingPage "133" @default.
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- W2124245795 abstract "A survey is made to autologous arterial grafts for coronary arterial bypass grafting. Articles were collected by searching MEDLINE database. Search terms included arterial graft and coronary bypass. Reports regarding the commonly used arterial grafts, including the internal mammary artery (IMA), as well as the radial, right gastroepiploic, and inferior epigastric arteries, were screened in order to highlight their morphologic characteristics, patency rates, advantages and drawbacks, while a comprehensive collection was made on those grafts with merely a scattering of cases, such as the subscapular, ulnar, splenic, and lateral costal arteries. The patency rate of pedicled left and right IMAs were similar. Pedicled IMA had a higher patency than free IMA graft. Higher incidence of sternal infection was found in patients with bilateral IMAs bypassed. A skeletonized IMA would supply a better sternal perfusion, but may cause a focal injury during harvest. An increased risk of graft failure of the IMA is associated with grafting low-grade stenosed or non-left anterior descending coronary arteries. The superiority of the IMA over other conduits might be due to its superior endothelial function and flow remodeling. The IMA is elastic, while others are muscular. The patency rates were 88.9% for the IMA at 20-year, 85% for the radial artery at 5-year, 85.7% for the right gastroepiploic artery at 5-year, and 52.2% for the inferior epigastric artery at 21.2-month follow-up, respectively. Other grafts had fewer reports, but showed good results. In the graft selection for coronary bypass, the primary choice is the left IMA; the second choice is the right IMA; and the radial artery is the third choice. Other arteries could be used as additional grafts." @default.
- W2124245795 created "2016-06-24" @default.
- W2124245795 creator A5007737731 @default.
- W2124245795 creator A5011863446 @default.
- W2124245795 creator A5012852540 @default.
- W2124245795 creator A5045317951 @default.
- W2124245795 date "2006-09-01" @default.
- W2124245795 modified "2023-09-24" @default.
- W2124245795 title "The Alternatives of Autologous Arterial Grafts for Coronary Bypass Surgery" @default.
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