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Composite lengthened arterial conduits: long-term angiographic results of an uncommon surgical strategy.

DI GIAMMARCO, GABRIELE;
2001-01-01
2001
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
WOS:000171545300008
122
687
690
3
11581599
We sought to evaluate the long-term patency rate of composite lengthened conduits.From December 1991 to April 2000, 43 patients had a composite lengthened arterial conduit. There was a mean of 2.83 +/- 1.23 anastomoses per patient. No 30-day mortality occurred. Five patients died from 3 to 84 months after the operation (mean, 38.6 +/- 34.6 months). After a mean follow-up of 57.0 +/- 32.3 months (range, 3-99 months), all the survivors are asymptomatic. The only cardiac major events recorded were 2 (4.6\%) late acute myocardial infarctions in the patients who died. Eight-year survival and event-free survival were both 80.4\% +/- 9.1\% (range, 3\%-93\%). In the early period (13.5 +/- 4.8 days) in 26 patients, 26 arterial composite lengthened conduits and 37 distal anastomoses had postoperative angiographic control; all the anastomoses were rates as grade A, according to Fitzgibbon classification. In the late period (29 +/- 30 months) in 23 patients, 23 arterial composite lengthened conduits and 34 distal anastomoses were checked; the patency rate was 22 (95.6\%) of 23 for the composite lengthened conduits and 33 (97\%) of 34 for the distal anastomoses.In particular situations, when the length of an arterial conduit is not enough to allow a correct use of the graft, lengthening of an arterial conduit can be a safe and effective technique.
Anastomosis; Surgical; Coronary Angiography; Coronary Vessels; Female; Follow-Up Studies; Humans; Male; Middle Aged; Myocardial Revascularization; Time Factors; Vascular Surgical Procedures
2-s2.0-0035497351
8
info:eu-repo/semantics/article
262
G., Vitolla; DI GIAMMARCO, Gabriele; G., Teodori; V., Mazzei; C., Canosa; M. D., Mauro; S., D'Alessandro; A. M., Calafiore
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11564/177080
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