Complementary saphenous grafting: long-term follow-up.

摘要: OBJECTIVE: Recently we reviewed the 10-year clinical and angiographic outcomes of sequential internal thoracic artery grafting. Most patients also received complementary saphenous grafts, their overall long-term patency rates were surprisingly high. Therefore, decided to analyze these results in more detail. METHODS: The first consecutive 500 having at least one graft between October 1985 August 1991 restudied retrospectively. grafts only used achieve complete revascularization addition complex arterial grafting on less significant or remote coronary vessels. A total 161 consented a late restudy mean postoperative interval 7.5 years (1-12.2 years). RESULTS: At 5 10 postoperatively, freedom from angina was 96% 82%, any cardiac event 92.8% 69%, respectively. Only 15 (3.1%) needed additional (0.3% per patient-year): 4 bypass (0.8%) 11 percutaneous transluminal angioplasty (2.3%). intactness anastomoses 72.5% 60.2%, There difference versus single anastomoses: 76% 60% 64.5% 44.4%, no either right anastomosed artery: 83.4% 75.2% 77.8% 62.4%, same true for "remote area" (distal circumflex, distal artery). CONCLUSIONS: Complementary still deserves consideration some below 70 age, particularly those with disease area": circumflex branches.