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Related Experiment Videos

Complementary saphenous grafting: long-term follow-up.

R Dion1, D Glineur, D Derouck

  • 1Cliniques Universitaires Saint-Luc, Brussels, Belgium. r.a.e.dion@lumc.nl

The Journal of Thoracic and Cardiovascular Surgery
|August 2, 2001
PubMed
Summary
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Sequential internal thoracic artery grafting with complementary saphenous grafts shows high long-term patency and excellent freedom from angina. This approach remains a viable option for select patients, especially those with remote coronary artery disease.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Vascular Surgery

Background:

  • Review of 10-year outcomes for sequential internal thoracic artery grafting revealed surprisingly high long-term patency rates.
  • Most patients also received complementary saphenous grafts, prompting a detailed analysis of these combined grafting strategies.

Purpose of the Study:

  • To analyze in detail the long-term clinical and angiographic outcomes of sequential internal thoracic artery grafting combined with saphenous vein grafts.
  • To evaluate the patency and intactness rates of different graft types and anastomoses.

Main Methods:

  • Retrospective study of 500 consecutive patients who received at least one sequential internal thoracic artery graft (October 1985 - August 1991).
  • Saphenous grafts were used for complete revascularization in addition to arterial grafting.

Related Experiment Videos

  • Late angiographic restudy was performed on 161 patients at a mean of 7.5 years postoperatively.

    • Main Results:

    • At 10 years, freedom from angina was 82% and freedom from cardiac events was 69%.
    • Overall saphenous graft patency was 72.5% and intactness was 60.2%.
    • Sequential saphenous grafts demonstrated significantly better patency and intactness than single saphenous grafts.

    Conclusions:

    • Complementary sequential saphenous grafting is a valuable option for patients under 70, particularly those with disease in distal coronary territories.
    • This strategy offers durable results and contributes to complete revascularization.