Choice of conduits for coronary artery bypass grafting: craft or science?
Brian F Buxton, Philip AR Hayward, Andrew E Newcomb, Simon Moten, Siven Seevanayagam, Ian Gordon
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | OXFORD UNIV PRESS INC | Published : 2009
Long-term patency of a bypass graft is an important determinant in reducing morbidity and increasing survival after coronary bypass surgery. The purpose of this review is to analyse factors contributing to improved outcomes of commonly used conduits. Progress has been limited by the lack of uniform definitions of graft failure and development of appropriate statistical models. Evolving techniques for assessing patency at more frequent intervals has provided insight into the time and sites of early disease. The explosion of scientific knowledge of graft physiology has added to improving harvest, storage and early protection procedures thereby reducing early morbidity. Similarly, the understan..View full abstract