Comparison and significance of bypass patency rates in noncritical versus critical coronary obstruction
Autor: | Kenneth W. Sniderman, David C. Levin, Carl F. Beckmann, Thomas A. Sos |
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Rok vydání: | 1982 |
Předmět: |
Adult
Postoperative Care Risk medicine.medical_specialty Graft failure business.industry Coronary Disease Middle Aged Coronary Angiography Total occlusion Surgery Coronary artery bypass surgery Internal medicine Preoperative Care cardiovascular system Cardiology Humans Medicine Radiology Nuclear Medicine and imaging Coronary Artery Bypass business Aged |
Zdroj: | Radiology. 143:413-416 |
ISSN: | 1527-1315 0033-8419 |
DOI: | 10.1148/radiology.143.2.6978501 |
Popis: | Preoperative and postoperative angiograms were compared in 81 patients who had undergone coronary artery bypass surgery. In these patients, 135 bypassed vessels had had critical stenoses or total occlusion; 99 of these bypasses (73.3%) were patent. Of 36 bypassed vessels that had had noncritical stenoses, 26 (72.2%) were patent. This difference was not significant. Thus, competitive inflow does not lead to excessive graft failure in noncritically diseased vessels, and they can be bypassed with the same expectation of success as critically obstructed vessels. The risk and the advantages of bypassing mild lesions at the same time that severe obstructions are surgically treated are discussed. |
Databáze: | OpenAIRE |
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