[HSF] radial artery-vein patch

[Steven Schwartz]

We were concerned about potential injury to the IMA, which we felt  
was not justifiable on a routine basis.
My associates do not believe in the routine benefit of an "anaortic"  
approach to CABG.
We still use the IMA for the proximal if there is concern about the  
length of the graft.
Steven Schwartz

On Mar 2, 2008, at 3:51 PM, Donald Ross wrote:

> Steven,
> Why did you abandon the radial-ima anastomosis in favour of the aorta?
> I did the opposite, to gain extra reach for the radial and to keep  
> clear of the aorta.
> Don
> On 03/03/2008, at 5:38 AM, Steven Schwartz wrote:
>
>> No. We've used radials extensively over the past 8 years. We  
>> started putting the proximal to the LIMA, then moved to putting  
>> the proximal directly to the aorta. We use 6-0 prolene for the  
>> proximal anastamosis to the aorta and have not seen any problems.  
>> The usual issues should be considered in selection of RAs and  
>> targets in regards to degree of proximal stenosis.
>> Steven Schwartz
>>
>> On Mar 2, 2008, at 8:20 AM, yadav del wrote:
>>
>>> I have seen some surgeons using vein or pericardial patch  cuff   
>>> for proximal radial artery anastomosis  over aorta.
>>>
>>>   Is it necessary to do so?
>>>
>>>
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