Journal of Vascular Medicine & Surgery

Tomoaki Iwasaki

Publications

• Short Communication
  Coronary Artery Bypass Grafting Using Side-to-Side Anastomosis with Distal End Clipping of the Saphenous Vein Graft
  Author(s): Katsuhiko Matsuyama, Masahiko Kuinose, Nobusato Koizumi, Tomoaki Iwasaki, Kayo Toguchi and Hitoshi OginoKatsuhiko Matsuyama, Masahiko Kuinose, Nobusato Koizumi, Tomoaki Iwasaki, Kayo Toguchi and Hitoshi Ogino
  
  Although the Saphenous Vein Graft (SVG) is commonly grafted to the coronary artery with an end-to-side anastomotic technique, there is often a significant mismatch between the diameters of the SVG and the coronary artery, which may cause SVG failure. To overcome such a drawback of the standard end-to-side SVG anastomosis, we introduce a novel side-to-side anastomosis with distal end clipping of the SVG in coronary artery bypass grafting. The long-term outcome of Coronary Artery Bypass Grafting (CABG) depends predominantly on graft patency. Although an arterial graft is preferably used to improve long-term graft patency, a Saphenous Vein Graft (SVG) is also still widely used as a second bypass graft. The reported SVG patency ranging from 25% to >50% within 10 years was inferior to that of an arterial graft, despite considerable efforts to prevent SVG failure. Although the SV.. View More»
  DOI: 10.4172/2329-6925.1000145

  Abstract PDF