[Total and partial arterial revascularization].
It was shown in a long-term studies that internal thoracic arteries have higher patency, rate compared with saphenous veins grafts. The study was designed to evaluate the late results (1-4 years) of arterial (internal thoracic arteries and radial artery) and venous grafts in a patients referred to coronary revascularization. From April 1997 to June 2002, 405 patients were operated upon using radial artery and internal thoracic arteries and saphenous veins grafts in Vilnius University Heart surgery clinic and Heart Surgery center. One hundred twenty two patients were controlled at 3-36 months. 93% of patients were in CCS f. cl. 0 or 1. Twenty seven symptomatic patients were investigated angiografically at 17,6+/-10 months, and was found patent internal thoracic arteries - 93%, radial artery - 79% and saphenous veins grafts - 62%.


CONCLUSIONS
Arterial grafts tends to be superior than veins grafts in the midterm period.
Valaika
Arūnas
A
Heart Surgery Center of Vilnius University, Santariskiu 2, 2021 Vilnius, Lithuania. avalaika@yahoo.com
Uzdavinys
Giedrius
G
Norkūnas
Gediminas
G
Kalinauskas
Gintaras
G
Ivaskeviciene
Loreta
L
Semetiene
Giedre
G
Rosenas
Rytis
R
Verisnikovas
Jurgis
J
D000368:Aged; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000637:transplantation*; D011183:Postoperative Complications; D017534:Radial Artery / Q000637:transplantation*; D012501:Saphenous Vein / Q000637:transplantation*; D013997:Time Factors; D016896:Treatment Outcome