How long should Plavix be held prior to surgery?
Five days
30 day risk of death or major complication for CABG
3% & 13%
How is the ITA anatomically an excellent conduit?
Resistance of endothelium to harvest injury, nonfenestrated internal elastic lamina inhibit cellular migration and subsequent hyperplasia, medial layer is thin with less proliferative response, and endothelium has higher production of basal dilator is nitric oxide and prostacyclin. Vasodilates with multi one and does not vasoconstrict in response to norepinephrine
LIMA patency at 10 & 15 years
95 & 88%
RSVG patency at 10 & 15 years
61 & 32%