Excellent Long-Term Clinical Outcome After Coronary Artery Bypass Surgery Using Three Pedicled Arterial Grafts in Patients With Three-Vessel Disease

Veeger, Nic J. G. M.; Panday, G; Voors, Adriaan A.; Grandjean, Jan G.; Meer, Jan van der; Boonstra, Piet W.

doi:10.1016/j.athoracsur.2007.09.048

Cited by 12 publications

(5 citation statements)

References 20 publications

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“…Data from the large National Cardiovascular Data Registry CathPCI Registry have shown that the in-hospital mortality was higher in patients with previous CABG if they were treated for graft lesions (OR: 1.22, 95% CI: 1.12-1.32, P b 0.001) [27]. However, CABG with arterial grafting was associated with lower rates of major adverse cardiac events [29].…”

Section: Comparison With Previous Studiesmentioning

confidence: 99%

Impact of previous coronary artery bypass surgery on clinical outcome after percutaneous interventions with second generation drug-eluting stents in TWENTE trial and Non-Enrolled TWENTE registry

Sen

Lam

Tandjung

et al. 2014

International Journal of Cardiology

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Section: Comparison With Previous Studiesmentioning

confidence: 99%

Impact of previous coronary artery bypass surgery on clinical outcome after percutaneous interventions with second generation drug-eluting stents in TWENTE trial and Non-Enrolled TWENTE registry

Sen

Lam

Tandjung

et al. 2014

International Journal of Cardiology

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“…3 In anticipation of additional advantages with the use of a second arterial graft, surgeons currently use the right internal mammary artery (RIMA), 4 -6 radial artery (RA), [7][8][9] or gastroepiploic artery as the bypass conduit. 10 Numerous retrospective analyses appear to have documented an incremental survival benefit by increasing the number of arterial grafts, 4,5,9,11 even though not all reports have been similarly favorable. 12 Two independent meta-analyses have corroborated a long-term benefit, 5,13 and the results of a multicenter prospective randomized controlled trial of single IMA versus bilateral internal mammary artery (BIMA) grafting, which will assess survival at 10 years, are anticipated in 2018.…”

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confidence: 99%

Multiple Arterial Grafts Improve Late Survival of Patients Undergoing Coronary Artery Bypass Graft Surgery

et al. 2012

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Background— Use of the left internal mammary artery (LIMA) in multivessel coronary artery disease improves survival after coronary artery bypass graft surgery; however, the survival benefit of multiple arterial (MultArt) grafts is debated. Methods and Results— We reviewed 8622 Mayo Clinic patients who had isolated primary coronary artery bypass graft surgery for multivessel coronary artery disease from 1993 to 2009. Patients were stratified by number of arterial grafts into the LIMA plus saphenous veins (LIMA/SV) group (n=7435) or the MultArt group (n=1187). Propensity score analysis matched 1153 patients. Operative mortality was 0.8% (n=10) in the MultArt and 2.1% (n=154) in the LIMA/SV ( P =0.005) group, which was not statistically different ( P =0.996) in multivariate analysis or the propensity-matched analysis ( P =0.818). Late survival was greater for MultArt versus LIMA/SV (10- and 15-year survival rates were 84% and 71% versus 61% and 36%, respectively [ P <0.001], in unmatched groups and 83% and 70% versus 80% and 60%, respectively [ P =0.0025], in matched groups). MultArt subgroups with bilateral internal mammary artery/SV (n=589) and bilateral internal mammary artery only (n=271) had improved 15-year survival (86% and 76%; 82% and 75% at 10 and 15 years [ P <0.001]), and patients with bilateral internal mammary artery/radial artery (n=147) and LIMA/radial artery (n=169) had greater 10-year survival (84% and 78%; P <0.001) versus LIMA/SV. In multivariate analysis, MultArt grafts remained a strong independent predictor of survival (hazard ratio, 0.79; 95% confidence interval, 0.66–0.94; P =0.007). Conclusions— In patients undergoing isolated coronary artery bypass graft surgery with LIMA to left anterior descending artery, arterial grafting of the non–left anterior descending vessels conferred a survival advantage at 15 years compared with SV grafting. It is still unproven whether these results apply to higher-risk subgroups of patients.

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“…LIMA has been recognized as the optimal conduit in CABG because of its superior patency rate and freedom from arteriosclerosis compared with the saphenous vein (SV) 3. In anticipation of additional advantages with the use of a second arterial graft, surgeons currently use the right internal mammary artery (RIMA),4–6 radial artery (RA),7–9 or gastroepiploic artery as the bypass conduit 10. Several retrospective analyses have documented an incremental survival benefit by increasing the number of arterial grafts,4,5,9,11 and two independent meta-analyses have corroborated a long-term benefit 5,12.…”

Section: Multiple Arterial Cabg Proceduresmentioning

confidence: 99%

New Technologies in Coronary Artery Surgery

Taggart

Nir²,

Bolotin³

2013

RMMJ

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Coronary artery disease remains the leading cause of death in developed countries. Major recent studies such as SYNTAX and FREEDOM have confirmed that coronary artery bypass grafting (CABG) remains the gold standard treatment in terms of survival and freedom from myocardial infarction and the need for repeat revascularization. The current review explores the use of new technologies and future directions in coronary artery surgery, through 1) stressing the importance of multiple arterial conduits and especially the use of bilateral mammary artery; 2) discussing the advantages and disadvantages of off-pump coronary artery bypass; 3) presenting additional techniques, e.g. minimally invasive direct coronary artery bypass grafting, hybrid, and robotic-assisted CABG; and, finally, 4) debating a novel external stenting technique for saphenous vein grafts.

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Excellent Long-Term Clinical Outcome After Coronary Artery Bypass Surgery Using Three Pedicled Arterial Grafts in Patients With Three-Vessel Disease

Cited by 12 publications

References 20 publications

Impact of previous coronary artery bypass surgery on clinical outcome after percutaneous interventions with second generation drug-eluting stents in TWENTE trial and Non-Enrolled TWENTE registry

Impact of previous coronary artery bypass surgery on clinical outcome after percutaneous interventions with second generation drug-eluting stents in TWENTE trial and Non-Enrolled TWENTE registry

Multiple Arterial Grafts Improve Late Survival of Patients Undergoing Coronary Artery Bypass Graft Surgery

New Technologies in Coronary Artery Surgery

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