Angiographic appearance of patent saphenous vein grafts more than 25 years after coronary artery bypass grafting

Angiographically Patent Saphenous Vein Graft to Left Anterior Descending Artery at 51 Years Post-Coronary Artery Bypass Grafting

“…The longest duration of a described patent SVG is currently 35 years. 6 Factors associated with improved SVG-LAD patency, from a small retrospective study where the mean SVG age was 30 years, include the target vessel used for grafting, with the LAD artery demonstrating the highest patency rates, good distal run-off, sequential bypass, and strict medical management, including smoking cessation and weight management. 6 Other factors associated with improved SVG patency include no-touch SVG harvesting, the use of buffered SVG storage solutions, and postsurgery pharmacotherapy, including antiplatelet and cholesterol-lowering therapies.…”

“… 6 Factors associated with improved SVG-LAD patency, from a small retrospective study where the mean SVG age was 30 years, include the target vessel used for grafting, with the LAD artery demonstrating the highest patency rates, good distal run-off, sequential bypass, and strict medical management, including smoking cessation and weight management. 6 Other factors associated with improved SVG patency include no-touch SVG harvesting, the use of buffered SVG storage solutions, and postsurgery pharmacotherapy, including antiplatelet and cholesterol-lowering therapies. 7 Y-composite graft (SAVE RITA) randomized clinical trial, which compared SVG (harvested using the no-touch technique) to RIMA use as a Y-composite graft off the in situ left internal mammary artery, found similar patency rates compared to RIMA at 10 years.…”