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J Thorac Cardiovasc Surg 1996;111:1208-1212
© 1996 Mosby, Inc.


SURGERY FOR ACQUIRED HEART DISEASE

EARLY POSTOPERATIVE ANGIOGRAPHIC ASSESSMENT OF RADIAL ARTERY GRAFTS USED FOR CORONARY ARTERY BYPASS GRAFTING

Alan H. Chen, BAa, Tatsuya Nakao, MDb, Richard F. Brodman, MDb, Mark Greenberg, MDc, Richard Charney, MDc, Mark Menegus, MDc, Michael Johnson, MDc, Richard Grose, MDc, Rosemary Frame, RN, FNPb, Eric C. Hu, BAa, Hong-Keun Choi, BS, MPHa, Steven Safyer, MDc

Presented in part at the Forty-fourth Annual Session of the American College of Cardiology, New Orleans, La., March 21, 1995.

Received for publication June 6, 1995 Revisions requested July 20, 1995; revisions received Oct. 10, 1995 Accepted for publication Oct. 30, 1995. Address for reprints: Richard F. Brodman, MD, Montefiore Medical Center, Department of Cardiothoracic Surgery, 111 E. 210 St., Bronx, NY 10467.

Abstract

Despite a revival of interest in using the radial artery as an alternative conduit for myocardial revascularization, little angiographic documentation of early postoperative results has been presented, particularly in North America. Accordingly, 60 of 150 patients who underwent coronary artery bypass with radial arteries from November 1993 to July 1995 have had postoperative cardiac catheterization at our institution. The patency rate of the radial artery grafts was 95.7% (90 of 94 grafts patent) with an average internal diameter of 2.51 mm. Four radial artery grafts showed diffuse narrowing. The patency rate of the internal thoracic artery grafts was 100% with an average internal diameter of 2.25 mm. Three of 62 grafts demonstrated diffuse narrowing. Two of 24 (7.7%) saphenous vein grafts were occluded; the average internal diameter was 3.23 mm. The internal thoracic artery, the radial artery, and saphenous vein grafts were, respectively, 7.5%, 19.5%, and 53.3% larger than the anastomosed native coronary arteries. Graft-dependent flow was found in 81.1% of the radial artery grafts. Conclusion: The results of this study demonstrate that the short-term patency rate of radial artery grafts is excellent. (J THORACCARDIOVASCSURG1996;111:1208-12)




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