Enhanced Late Survival Following Coronary Artery Bypass Graft Operation for Unstable versus Chronic Angina

Çobanoğlu, Adnan; Freimanis, Imanta E.; Grunkemeier, Gary L.; Lambert, Louis; Anderson, V.; Nunley, David L.; Garcia, Cristiane Sousa Nascimento Baez; Starr, Albert

doi:10.1016/s0003-4975(10)60710-2

Cited by 8 publications

(3 citation statements)

References 33 publications

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“…In numerous studies, outcome analysis following coronary artery bypass graft (CABG) focuses on variables (age, gender, comorbidities, surgical technique, treatment modality, time intervals, and risk factors) rather than the particulars of the revascularization itself. [39][40][41][44][45]47,53,[69][70][71][72] Insufficient large patient population, and even a lesser patient cohort in subsets, makes statistical analysis and the drawing of significant conclusions an impossibility. 45,47,51,66,[73][74][75][76][77] Therefore the impact of the extent and distribution of coronary revascularization upon long-term outcomes cannot be ascertained from these studies.…”

Section: Review Of the Literaturementioning

confidence: 99%

“…At 9 to 18 months, postoperative graft patency was 77% and the sole outcome measure was mortality. In numerous studies, outcome analysis following coronary artery bypass graft (CABG) focuses on variables (age, gender, comorbidities, surgical technique, treatment modality, time intervals, and risk factors) rather than the particulars of the revascularization itself 39‐41 , 44‐45 , 47 , 53 , 69‐72 . Insufficient large patient population, and even a lesser patient cohort in subsets, makes statistical analysis and the drawing of significant conclusions an impossibility 45 , 47 , 51 , 66 , 73‐77 .…”

Section: Review Of the Literaturementioning

confidence: 99%

“…Outcome analysis in the literature reviewed is often limited to one or two endpoints and usually mortality (survival) only 35 , 39 , 40 , 44 , 52 , 56 , 70 , 83 , 85 , 98 . In a study of 107 young patients (<35 years), Lytle found 53% event‐free ten‐year survival 99 .…”

Section: Review Of the Literaturementioning

confidence: 99%

See 2 more Smart Citations

Beyond Complete Myocardial Revascularization: Is It Important and Does It Matter?

Nathanson

Ihnken

2003

Journal of Cardiac Surgery

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Constructing more than one graft per coronary system (left anterior descending, circumflex, right) has been widely and enthusiastically practiced for many years because it was thought to confer long-term freedom from major adverse coronary events. In reality the medical and surgical literature do not document the importance of maximizing the number of coronary vessels bypassed beyond one per system. Published series exhibit great variation in patient cohort, length of follow-up and lack the whole gamut of clinical endpoints. None of the published series provide an analysis based on subset stratification according to detailed coronary vessel anatomopathologic inventory in relation to revascularization strategy.

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Section: Review Of the Literaturementioning

confidence: 99%

Section: Review Of the Literaturementioning

confidence: 99%

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Beyond Complete Myocardial Revascularization: Is It Important and Does It Matter?

Nathanson

Ihnken

2003

Journal of Cardiac Surgery

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Surgical Survival in the Coronary Artery Surgery Study (CASS) Registry

Myers¹,

Marshfield²,

Davis³

et al. 1985

The Annals of Thoracic Surgery

112

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Twelve-Year Experience with Bilateral Internal Mammary Artery Grafts

Galbut¹,

Traad²,

Dorman³

et al. 1985

The Annals of Thoracic Surgery

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A 12 1/2-year experience with 227 patients who underwent coronary revascularization with bilateral internal mammary artery (IMA) and supplemental saphenous vein grafts is presented. There were 725 coronary grafts performed (3.2 per patient). Forty-four IMA grafts were sequential. In 42 patients, the right IMA was placed through the transverse sinus to revascularize the circumflex artery. Operative mortality was 4% (9 of 227 patients). Postoperative complications included sternal infection (4 patients), reexploration for bleeding (5), and diaphragmatic dysfunction (10). Postoperative arteriography in 30 patients (mean interval, 4 1/4 years) revealed that 92% (34/37) of the left IMA and 87% (26/30) of the right IMA grafts were patent. Late follow-up was complete in 207 surviving patients. Eighteen late deaths (9 cardiac and 9 noncardiac) occurred. Actuarial survival was 83% at 10 years after operation. Of 68 patients followed from 8 to 12 1/2 years (mean interval, 10 1/2 years), 69% were asymptomatic, and 28% were in New York Heart Association Functional Class II. We conclude that bilateral IMA grafting can be accomplished with low operative risk and provides excellent long-term results.

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Enhanced Late Survival Following Coronary Artery Bypass Graft Operation for Unstable versus Chronic Angina

Cited by 8 publications

References 33 publications

Beyond Complete Myocardial Revascularization: Is It Important and Does It Matter?

Beyond Complete Myocardial Revascularization: Is It Important and Does It Matter?

Surgical Survival in the Coronary Artery Surgery Study (CASS) Registry

Twelve-Year Experience with Bilateral Internal Mammary Artery Grafts

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