Korean J Thorac Cardiovasc Surg.
2000 Jun;33(6):512-517.
Onlay Patch Coronary Angioplasty with Autologous Saphenous Vein
- Affiliations
-
- 1Department of Cardiothoracic Surgery, College of Medicine, Dankook University.
- 2Department of Cardiothoracic Surgery, Jae-chon Seoul Hospital.
Abstract
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BACKGROUND: Onlay vein patch coronary angioplasty has been known to be an option for coronary
artery stenosis in the selective iesions
MATERIAL AND METHOD: During the period between July 1997 and August 1999, coronary angioplasty
using autologous saphenous vein was done on 16 sites in 14 cases for the stenotic lesion at
the bifurcation area and significantly stenosis distal to anastomosis.
RESULT: Early patency of the angioplasty site was 85.7% at postoperative day 7. There was no
statistically difference in graft patency, operative parameters, and complications compared
to conventional anatomosis(p>0.05).
CONCLUSIONS
Despite the small number of cases, the patency rate of the coronary patch
angioplasty was comparable to the conventional CABG. Coronary artery only patch angioplasty
could be performed in highly selected coronary arteries.