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Cited by 355

The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.

Mechanisms, Consequences, and Prevention of Coronary Graft Failure

Open access
Gaudino, Mario, Antoniades, Charalambos, Benedetto, Umberto, Deb, Saswata, Di Franco, Antonino, Di Giammarco, Gabriele, Fremes, Stephen, Glineur, David, Grau, Juan, He, Guo-Wei, Marinelli, Daniele, Ohmes, Lucas B., Patrono, Carlo, Puskas, John, Tranbaugh, Robert, Girardi, Leonard N., Taggart, David P., Ruel, Marc, Bakaeen, Faisal G.·2017·Circulation

Abstract

Graft failure occurs in a sizeable proportion of coronary artery bypass conduits. We herein review relevant current evidence to give an overview of the incidence, pathophysiology, and clinical consequences of this multifactorial phenomenon. Thrombosis, endothelial dysfunction, vasospasm, and oxidative stress are different mechanisms associated with graft failure. Intrinsic morphological and functional features of the bypass conduits play a role in determining failure. Similarly, characteristics of the target coronary vessel, such as the severity of stenosis, the diameter, the extent of atherosclerotic burden, and previous endovascular interventions, are important determinants of graft outcome and must be taken into consideration at the time of surgery. Technical factors, such as the method used to harvest the conduits, the vasodilatory protocol, the storage solution, and the anastomotic technique, also play a major role in determining graft success. Furthermore, systemic atherosclerotic risk factors, such as age, sex, diabetes mellitus, hypertension, and dyslipidemia, have been variably associated with graft failure. The failure of a coronary graft is not always correlated with adverse clinical events, which vary according to the type, location, and reason for failed graft. Intraoperative flow verification and secondary prevention using antiplatelet and lipid-lowering agents can help reducing the incidence of graft failure.

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Metadata

Authors
Gaudino, M., Antoniades, C., Benedetto, U., Deb, S., Di Franco, A., Di Giammarco, G., Fremes, S., Glineur, D., Grau, J., He, G.-W., Marinelli, D., Ohmes, L. B., Patrono, C., Puskas, J., Tranbaugh, R., Girardi, L. N., Taggart, D. P., Ruel, M., & Bakaeen, F. G.
Venue
Circulation
Published
2017-10-31
Volume
136
Issue
18
Pages
1749-1764
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2765697464
Cited by
355
References
64
FWCI
20.97
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Mechanisms, Consequences, and Prevention of Coronary Graft Failure. https://app.cochat.ai/papers/10.1161/circulationaha.117.027597
The paper
Gaudino, M., Antoniades, C., Benedetto, U., Deb, S., Di Franco, A., Di Giammarco, G., Fremes, S., Glineur, D., Grau, J., He, G.-W., Marinelli, D., Ohmes, L. B., Patrono, C., Puskas, J., Tranbaugh, R., Girardi, L. N., Taggart, D. P., Ruel, M., & Bakaeen, F. G. (2017). Mechanisms, Consequences, and Prevention of Coronary Graft Failure. Circulation. https://doi.org/10.1161/circulationaha.117.027597

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.