[HSF] radial artery-vein patch

[john pj]

Dr Don,
   
  Do you think there are any conditions where one has to avoid  LIMA T/Ygrafts.
   
  I have seen some surgeons avoiding T grafts  in patients with small LIMA, low EF or large hearts.

Hgrmd at aol.com wrote:
  Don,
The problem is getting through the operation with no conversion. Your 
technique also illustrates a recurring theme of mine that for a particular 
procedure, better outcomes are associated with higher volume. When I used to do 
a significant number of standalone CABG's, better than half were done off 
pump. Now, if I get stuck with a standalone, I opt for the pump unless the 
aorta is really bad, or if there are only a couple of grafts to do. Again, 
thanks for sharing.

Hal



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