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Ann Thorac Surg 1998;66:S2-S5
© 1998 The Society of Thoracic Surgeons

Arterial grafting: techniques and conduits

Hendrick B. Barner, MDa

a Division of Cardiothoracic Surgery, Barnes-Jewish Hospital, St. Louis, Missouri, USA

Address reprint requests to Dr Barner, Division of Cardiothoracic Surgery, Barnes-Jewish Hospital, One Barnes-Jewish Hospital Plaza, Suite 3108 Queeny Tower, St. Louis, MO 63110

Presented at "Risk Management in CABG: Significant Surgical Considerations," New Orleans, LA, Jan 24, 1998.

The superior long-term patency and survival of the internal thoracic artery in coronary artery bypass grafting, compared with saphenous vein, established the internal thoracic artery as the conduit of choice for myocardial revascularization. Use of the internal thoracic artery has expanded, and the possibility of similar performance by other arteries has motivated surgeons to investigate alternative arterial conduits (eg, the gastroepiploic artery, inferior epigastric artery, and radial artery). Although these grafts have become more technically feasible and have shown benefits, more follow-up data are needed to determine the long-term patency, freedom from arteriosclerosis, and efficacy of alternative conduits.




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