James Tatoulis, MD, FRACS, Brian F. Buxton, MS, FRACS, John A

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Long-Term Patency of 1108 Radial Arterial-Coronary Angiograms Over 10 Years James Tatoulis, MD, FRACS, Brian F. Buxton, MS, FRACS, John A. Fuller, FRACP, Manish Meswani, MCh, Sanjay Theodore, MCh, Nikunj Powar, MCh, Rochelle Wynne, BAppSci The Annals of Thoracic Surgery Volume 88, Issue 1, Pages 23-30 (July 2009) DOI: 10.1016/j.athoracsur.2009.03.086 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Radial artery graft patency by the Kaplan-Meier method with 95% confidence limits (gray lines). (B) Radial artery conduit patency per annum–specific for each year postoperatively in which the angiogram was performed. The Annals of Thoracic Surgery 2009 88, 23-30DOI: (10.1016/j.athoracsur.2009.03.086) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Moderate left main coronary stenosis is shown in a large left coronary system. (B) String sign (arrow) in radial artery conduit grafted to the circumflex marginal. The Annals of Thoracic Surgery 2009 88, 23-30DOI: (10.1016/j.athoracsur.2009.03.086) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Localized stenosis (arrow) in aortocoronary radial artery conduit to the circumflex marginal. The Annals of Thoracic Surgery 2009 88, 23-30DOI: (10.1016/j.athoracsur.2009.03.086) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Angiogram shows typical smooth uniform appearance of aortocoronary radial artery conduit to the posterior descending coronary artery 10 years postoperatively. The Annals of Thoracic Surgery 2009 88, 23-30DOI: (10.1016/j.athoracsur.2009.03.086) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 (A) Angiogram shows diffuse spasm in the radial artery conduit to the circumflex marginal, 11 years postoperatively. (B) Same radial artery conduit is shown after intragraft nitroglycerine. The Annals of Thoracic Surgery 2009 88, 23-30DOI: (10.1016/j.athoracsur.2009.03.086) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions