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- W4290310677 abstract "Serial arteriograms were obtained in 501 patients after coronary bypass grafting. Study I within 5 years of operation (mean interval 15 months) and Study II more than 5 years after (mean interval 88 months, range 60 to 147 months). One hundred patients received both internal mammary artery and saphenous vein grafts: 37, mammary artery grafts only, and 364, vein grafts only. In Study I, 645 (82 %) of 786 vein grafts were patent, 42 (5 %) stenotic or irregular, and 99 (13 %) occluded. Of 140 mammary artery grafts, 136 (97 %) were patent, two (2 %) stenotic, and two (2 %) occluded. Of the 645 vein grafts patent in Study I, 357 (55%) remained patent in Study II, 119 (18%) were stenotic or irregular, and 169 (26%) were occluded. Of 136 mammary artery grafts patent in Study I, 130 (96%) were unchanged, one was stenotic, and five (4%) were occluded in Study II. Early vein graft patency was influenced by the coronary artery grafted and by angina. Progression of vein grafts patent at Study I to stenosis or occlusion at Study II was associated with increasing postoperative interval (p < 0.00001), interval myocardial infarction (p < 0.001), angina (p < 0.001), diabetes (p < 0.004), hypercholesterolemia (p < 0.006), and hypertriglyceridemia (p < 0.02); it was not influenced by the coronary artery grafted. Within 5 years of operation, mammary artery graft patency exceeded vein graft patency. Between 5 and 12 years after operation, the attrition rate of vein grafts greatly exceeded that of mammary artery grafts (p < 0.0001)." @default.
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- W4290310677 date "1985-02-01" @default.
- W4290310677 modified "2023-10-13" @default.
- W4290310677 title "Long-term (5 to 12 years) serial studies of internal mammary artery and saphenous vein coronary bypass grafts" @default.
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- W4290310677 doi "https://doi.org/10.1016/s0022-5223(19)38820-8" @default.
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