Gianni Angelini of Imperial College, London, UK, considers the evidence for single versus multiple arterial grafts in coronary bypass surgery. Professor Angelini discusses why saphenous vein remains the second conduit of choice in the majority of cases worldwide.
This presentation was originally given during the SCTS Ionescu University program at the 2015 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of SCTS. Please click here for more information on SCTS educational programs.
In my experience if patient is more younger more arterial graft is better than redo CABG.
In my experience if patient is more younger more arterial graft is better than redo CABG.
Total arterial revascularization:
inclusion criteriae:
1. Lesions > 75%,
2. viable myocardium in territory
3. diameter of targets < 1.5 mm 4. Young patient (defined by the community) Exclusion Criteriae: 1. DM 2. Obese
Total arterial revascularization:
inclusion criteriae:
1. Lesions > 75%,
2. viable myocardium in territory
3. diameter of targets >1.5 mm
4. Young patient (defined by the community)
Exclusion Criteriae:
1. DM 2. Obese
Dear Gianni
Congratulations, I agree with your conclusions.
I also think we should learn more in how to manage, handle and preserve the saphenous vein. Many of us have some patients with a vein patent after more than 40 years
Apart from the BIMAIs important to use other sources of non touching the aorta were the surgeons will be comfortable . In the future in my impresión many more patients will be benefit with Hybrid revascularización procedures, so we, surgeons should need to learn more in how to perform the MIDCAB or MINI OPCAB approach in grafting the LIMA to the LAD with less sternum opening and , less traumatic ,and quicker recovery