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Endoscopic Venous Harvesting by Inexperienced Operators Compromises Venous Graft Remodeling
Soroosh Kiani, MD, Pranjal H. Desai, MD, Nannan Thirumvalavan, MD, Dinesh John Kurian, BS, Mary Margaret Flynn, MD, XiaoQing Zhao, PhD, Robert S. Poston, MD The Annals of Thoracic Surgery Volume 93, Issue 1, Pages (January 2012) DOI: /j.athoracsur Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Representation of adventitial tear as seen on optical coherence tomographic imaging of a saphenous vein graft with a significant adventitial tear (red asterisk) with associated denudation of adventitia from the deeper vessel wall. The Annals of Thoracic Surgery , 11-18DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Early relationship (ie, day 5) between shear stress (dynes/cm2) and positive remodeling of saphenous vein conduits stratified according to the number of injuries found on intraoperative optical coherence tomography. The plots illustrate that luminal shear stress showed a significant relationship to the degree of diameter change noted in conduits with <4 injuries (R2 = , p < ; blue line and squares). In comparison, conduits with ≥ 4 injuries (R2 = , p = 0.396; red line and diamonds) had a blunted dilation response to shear stress. The Annals of Thoracic Surgery , 11-18DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 Relationship between change in graft diameter early (day 5) and late (6 months post) as compared to the diameter of the conduit measured intraoperatively (day 0). (post operative day 5) Plot demonstrates a significant relationship (R2 = 0.792, p = 0.005) of the ability of the conduit to undergo positive remodeling at day 5 and maintain luminal diameter at 6 months. The Annals of Thoracic Surgery , 11-18DOI: ( /j.athoracsur ) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions
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