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Current role of saphenous vein graft in coronary artery bypass grafting

  • Review Article
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Saphenous vein was the conduit used in the first series of coronary artery bypass grafting (CABG), and, with the exception of surgical revascularization of the left anterior descending artery, it remains the most commonly used bypass conduit. However, its durability and longevity are not ideal. Arterial grafts have better patency than saphenous vein grafts and therefore should be preferred over them. However, in certain situations, like grafting right coronary arteries with lesser degree of proximal stenosis and higher competitive flow, or in certain patient populations, like those at very high risk of wound infections and octogenarians, arterial grafting may not be the best option and saphenous vein grafting should be considered instead.

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Author information

Authors and Affiliations

  1. Department of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Avenue, Lakeside 7, Cleveland, OH, 44106-7060, USA

    Sajjad Raza, Salil Vasudeo Deo & Joseph Frank Sabik III

  2. School of Medicine, Case Western Reserve University, Cleveland, OH, USA

    Carolyn Chang & Joseph Frank Sabik III

Authors
  1. Sajjad Raza
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  2. Carolyn Chang
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  3. Salil Vasudeo Deo
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  4. Joseph Frank Sabik III
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Correspondence to Joseph Frank Sabik III.

Ethics declarations

Being a review article, Ethical statements, Human and Animal Rights, Informed consent not required.

Conflict of interest

Dr. Joseph F. Sabik, III: North American principal investigator for the Abbott Laboratories–sponsored left main coronary disease randomized trial (EXCEL). Society of Thoracic Surgeons board of directors. Scientific advisory board of Medtronic.

Other authors: none.

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Raza, S., Chang, C., Deo, S.V. et al. Current role of saphenous vein graft in coronary artery bypass grafting. Indian J Thorac Cardiovasc Surg 34 (Suppl 3), 245–250 (2018). https://doi.org/10.1007/s12055-018-0759-3

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  • DOI: https://doi.org/10.1007/s12055-018-0759-3

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