Equipoise between radial artery and right internal thoracic artery as the second arterial conduit in left internal thoracic artery-based coronary artery bypass graft surgery: a multi-institutional study†

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Thomas A SchwannRobert H Habib

Abstract

Multiple arterial coronary artery grafting (MABG) improves long-term survival compared with single arterial CABG (SABG), yet the best second arterial conduit to be used with the left internal thoracic artery (LITA) remains undefined. Outcomes in patients grafted with radial artery (RA-MABG) versus right internal thoracic artery (RITA-MABG) as the second arterial graft were compared with SABG. Multi-institutional, retrospective analysis of non-emergent isolated LITA to left anterior descending coronary artery CABG patients was performed using institutional Society of Thoracic Surgeon National Adult Cardiac Surgery Databases. 4484 (54.5%) SABG [LITA ± saphenous vein grafts (SVG)], 3095 (37.6%) RA-MABG (RA ± SVG) and 641 (7.9%) RITA-MABG (RITA ± SVG) patients were included. The RITA was used as a free (68%) or in situ (32%) graft. RA grafts were principally anastomosed to the ascending aorta. Long-term survival was ascertained from US Social Security Death Index and institutional follow-up. Triplet propensity matching and covariate-adjusted multivariate logistic regression were used to adjust for baseline differences between study cohorts. Compared with the SABG cohort, the RITA-MABG cohort was younger (58.6 ± 10.2vs65.9 ± 10.4, P...Continue Reading

References

Feb 6, 2002·The Journal of Thoracic and Cardiovascular Surgery·Antonio Maria CalafioreGiuseppe Spira
Oct 29, 2002·The Annals of Thoracic Surgery·Milo C EngorenSamuel J Durham
Jul 25, 2003·The Journal of Thoracic and Cardiovascular Surgery·Massimo CaputoGianni D Angelini
Nov 25, 2004·The Annals of Thoracic Surgery·Bruce W LytleDelos M Cosgrove
Mar 22, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas A SchwannRobert H Habib
Apr 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Giuseppe NassoGiuseppe Speziale
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Citations

Feb 3, 2016·The Journal of Thoracic and Cardiovascular Surgery·Saswata Deb, Stephen E Fremes
Aug 20, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Miguel Sousa Uva, Philippe Kolh
Jul 17, 2016·The Journal of Thoracic and Cardiovascular Surgery·Saswata Deb, Stephen E Fremes
Oct 5, 2016·The Journal of Thoracic and Cardiovascular Surgery·Umberto BenedettoGianni D Angelini
Apr 3, 2019·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thomas A SchwannJeffrey P Jacobs
Jun 21, 2019·Current Opinion in Cardiology·Cristiano SpadaccioMario F L Gaudino
Aug 11, 2017·General Thoracic and Cardiovascular Surgery·Thierry Carrel, Bernhard Winkler
Aug 21, 2020·Journal of the American Heart Association·Mario GaudinoStephen Fremes
Oct 6, 2020·Circulation·Brian F BuxtonUNKNOWN RAPCO Investigators*
Dec 1, 2018·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·James Tatoulis
Dec 16, 2018·The Journal of Thoracic and Cardiovascular Surgery·Elfriede RuttmannUNKNOWN RADIAL Investigators
Aug 5, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Saqib H QureshiSurendra Naik
Oct 8, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Daniel J F M ThuijsUNKNOWN SYNTAX Extended Survival Investigators

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