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Patency of Saphenous Vein Grafts Using the PAS-Port System During Coronary Artery Bypass Surgery  Hiroshi Kubota, MD, Hidehito Endo, MD, Hikaru Ishii,

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Presentation on theme: "Patency of Saphenous Vein Grafts Using the PAS-Port System During Coronary Artery Bypass Surgery  Hiroshi Kubota, MD, Hidehito Endo, MD, Hikaru Ishii,"— Presentation transcript:

1 Patency of Saphenous Vein Grafts Using the PAS-Port System During Coronary Artery Bypass Surgery 
Hiroshi Kubota, MD, Hidehito Endo, MD, Hikaru Ishii, MD, Hiroshi Tsuchiya, MD, Yu Takahashi, MD, Yusuke Inaba, MD, Mio Noma, MD, Akihiro Yoshimoto, MD, Satoshi Higuchi, MD, Hideyasu Kohshoh, MD, Seiichi Taniai, MD, Haruhisa Ishiguro, MD, Hideaki Yoshino, MD, Kenichi Sudo, MD  The Annals of Thoracic Surgery  Volume 104, Issue 2, Pages (August 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Proximal anastomosis site. (A) For the right coronary artery, the anastomosis site was made proximal to the ascending aortic flexion to prevent the graft from bending. (B) For the left coronary artery, a maximum of 3 grafts could be anastomosed using the PAS-Port System (Cardia Inc, Redwood City, CA). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Interval between the operation and graft evaluation.
The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Multidimensional computed tomography performed 2,945 days (8.1 years) after coronary artery bypass grafting using the PAS-Port System (Cardia Inc, Redwood City, CA). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Coronary angiography performed in the patient with the longest follow-up period (3,182 days [8.7 years]) after coronary artery bypass grafting using PAS-Port System (Cardia Inc, Redwood City, CA) shows saphenous vein grafts (A) to the left anterior descending artery and (B) to the left obtuse marginal artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Graft patency of the graft material according to the target site. (AV = atrioventricular artery; Dx = diagonal branch; HL = high-lateral branch; LAD = left anterior descending artery; LITA = left internal thoracic artery; OM = obtuse marginal branch; PD = posterior descending artery; PL = posterolateral branch; RCA = right coronary artery; rGEA = right gastroepiploic artery; RITA = right internal thoracic artery; SVG = saphenous vein graft.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Kaplan-Meier curves for device-dependent saphenous vein graft patency. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Follow-up period and graft patency. Case no. indicates all consecutive patients in which the PAS-Port System (Cardia Inc, Redwood City, CA) was used regardless of the occurrence of a postoperative evaluation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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