Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study
Objective: The aim of our study was to evaluate the long-term outcome of patients exclusively undergoing total arterial revascularization off-pump coronary artery bypass grafting and to compare the performance of the radial artery and the right internal thoracic artery as a second conduit. Methods:...
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| Acceso en línea: | http://hdl.handle.net/20.500.12110/paper_00225223_v147_n2_p632_Navia |
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todo:paper_00225223_v147_n2_p632_Navia |
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dspace |
| institution |
Universidad de Buenos Aires |
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I-28 |
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R-134 |
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Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
adult aged artery graft article assisted ventilation cardiac conduit cardiovascular mortality cerebrovascular accident comparative study controlled study event free survival female follow up forward heart failure heart left ventricle failure hospital readmission human incidence internal mammary artery kidney dysfunction left internal thoracic artery major clinical study male middle aged morbidity off pump coronary surgery outcome assessment overall survival postoperative complication priority journal propensity score radial artery retrospective study revascularization right coronary artery right internal thoracic artery surgical mortality survival total arterial revascularization 23 bilateral internal thoracic artery BITA CABG CI confidence interval coronary artery bypass grafting European System for Cardiac Operative Risk Evaluation euroSCORE hazard ratio HR internal thoracic artery interquartile range IQR ITA LAD left anterior descending left internal thoracic artery LITA odds ratio off-pump coronary artery bypass OPCAB OR RA radial artery right internal thoracic artery RITA saphenous vein graft SVG TAR total arterial revascularization Aged Chi-Square Distribution Coronary Artery Bypass, Off-Pump Disease-Free Survival Female Follow-Up Studies Humans Internal Mammary-Coronary Artery Anastomosis Kaplan-Meier Estimate Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Patient Readmission Postoperative Complications Propensity Score Proportional Hazards Models Radial Artery Reoperation Retrospective Studies Risk Factors Time Factors Treatment Outcome |
| spellingShingle |
adult aged artery graft article assisted ventilation cardiac conduit cardiovascular mortality cerebrovascular accident comparative study controlled study event free survival female follow up forward heart failure heart left ventricle failure hospital readmission human incidence internal mammary artery kidney dysfunction left internal thoracic artery major clinical study male middle aged morbidity off pump coronary surgery outcome assessment overall survival postoperative complication priority journal propensity score radial artery retrospective study revascularization right coronary artery right internal thoracic artery surgical mortality survival total arterial revascularization 23 bilateral internal thoracic artery BITA CABG CI confidence interval coronary artery bypass grafting European System for Cardiac Operative Risk Evaluation euroSCORE hazard ratio HR internal thoracic artery interquartile range IQR ITA LAD left anterior descending left internal thoracic artery LITA odds ratio off-pump coronary artery bypass OPCAB OR RA radial artery right internal thoracic artery RITA saphenous vein graft SVG TAR total arterial revascularization Aged Chi-Square Distribution Coronary Artery Bypass, Off-Pump Disease-Free Survival Female Follow-Up Studies Humans Internal Mammary-Coronary Artery Anastomosis Kaplan-Meier Estimate Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Patient Readmission Postoperative Complications Propensity Score Proportional Hazards Models Radial Artery Reoperation Retrospective Studies Risk Factors Time Factors Treatment Outcome Navia, D. Vrancic, M. Piccinini, F. Camporrotondo, M. Thierer, J. Gil, C. Benzadon, M. Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study |
| topic_facet |
adult aged artery graft article assisted ventilation cardiac conduit cardiovascular mortality cerebrovascular accident comparative study controlled study event free survival female follow up forward heart failure heart left ventricle failure hospital readmission human incidence internal mammary artery kidney dysfunction left internal thoracic artery major clinical study male middle aged morbidity off pump coronary surgery outcome assessment overall survival postoperative complication priority journal propensity score radial artery retrospective study revascularization right coronary artery right internal thoracic artery surgical mortality survival total arterial revascularization 23 bilateral internal thoracic artery BITA CABG CI confidence interval coronary artery bypass grafting European System for Cardiac Operative Risk Evaluation euroSCORE hazard ratio HR internal thoracic artery interquartile range IQR ITA LAD left anterior descending left internal thoracic artery LITA odds ratio off-pump coronary artery bypass OPCAB OR RA radial artery right internal thoracic artery RITA saphenous vein graft SVG TAR total arterial revascularization Aged Chi-Square Distribution Coronary Artery Bypass, Off-Pump Disease-Free Survival Female Follow-Up Studies Humans Internal Mammary-Coronary Artery Anastomosis Kaplan-Meier Estimate Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Patient Readmission Postoperative Complications Propensity Score Proportional Hazards Models Radial Artery Reoperation Retrospective Studies Risk Factors Time Factors Treatment Outcome |
| description |
Objective: The aim of our study was to evaluate the long-term outcome of patients exclusively undergoing total arterial revascularization off-pump coronary artery bypass grafting and to compare the performance of the radial artery and the right internal thoracic artery as a second conduit. Methods: We studied a consecutive series of 1700 patients undergoing off-pump coronary artery bypass grafting, receiving a radial artery or right internal thoracic artery as a second graft for total arterial revascularization, between 2003 and 2010. A total of 1447 patients (85.11%) received bilateral internal thoracic artery grafting, and 253 patients (14.89%) received left internal thoracic artery and radial artery grafting. A propensity score-matched analysis was performed to compare the 2 groups, bilateral internal thoracic artery and left internal thoracic artery and radial artery, relative to overall survival, morbidity, and combined end points event-free survival. Hazard ratios (HRs) and their 95% confidence intervals (CIs) were estimated by Cox regression. Results: In the full unmatched patient population, the postoperative survival (HR, 0.59; 95% CI, 0.38-0.92; P =.021), incidence of reintervention/readmission (HR, 0.42; 95% CI, 0.28-0.61; P <.001), and combined end points (HR, 0.47; 95% CI, 0.35-0.63; P <.001) were significantly better in the bilateral internal thoracic artery group. In the propensity score-matched patient population, the incidence of reintervention/readmission (HR, 0.40; 95% CI, 0.18-0.88; P =.02) and combined end points (HR, 0.54; 95% CI, 0.32-0.92; P =.02) were significantly better in the bilateral internal thoracic artery group compared with the left internal thoracic artery-radial artery group. Conclusions: The results of our study provide evidence for the superiority of the right internal thoracic artery graft compared with the radial artery as a second conduit in total arterial revascularization off-pump coronary artery bypass grafting. Copyright © 2014 by The American Association for Thoracic Surgery. |
| format |
JOUR |
| author |
Navia, D. Vrancic, M. Piccinini, F. Camporrotondo, M. Thierer, J. Gil, C. Benzadon, M. |
| author_facet |
Navia, D. Vrancic, M. Piccinini, F. Camporrotondo, M. Thierer, J. Gil, C. Benzadon, M. |
| author_sort |
Navia, D. |
| title |
Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study |
| title_short |
Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study |
| title_full |
Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study |
| title_fullStr |
Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study |
| title_full_unstemmed |
Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study |
| title_sort |
is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? a propensity score-matched follow-up study |
| url |
http://hdl.handle.net/20.500.12110/paper_00225223_v147_n2_p632_Navia |
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1782030179144564736 |
| spelling |
todo:paper_00225223_v147_n2_p632_Navia2023-10-03T14:33:39Z Is the second internal thoracic artery better than the radial artery in total arterial off-pump coronary artery bypass grafting? A propensity score-matched follow-up study Navia, D. Vrancic, M. Piccinini, F. Camporrotondo, M. Thierer, J. Gil, C. Benzadon, M. adult aged artery graft article assisted ventilation cardiac conduit cardiovascular mortality cerebrovascular accident comparative study controlled study event free survival female follow up forward heart failure heart left ventricle failure hospital readmission human incidence internal mammary artery kidney dysfunction left internal thoracic artery major clinical study male middle aged morbidity off pump coronary surgery outcome assessment overall survival postoperative complication priority journal propensity score radial artery retrospective study revascularization right coronary artery right internal thoracic artery surgical mortality survival total arterial revascularization 23 bilateral internal thoracic artery BITA CABG CI confidence interval coronary artery bypass grafting European System for Cardiac Operative Risk Evaluation euroSCORE hazard ratio HR internal thoracic artery interquartile range IQR ITA LAD left anterior descending left internal thoracic artery LITA odds ratio off-pump coronary artery bypass OPCAB OR RA radial artery right internal thoracic artery RITA saphenous vein graft SVG TAR total arterial revascularization Aged Chi-Square Distribution Coronary Artery Bypass, Off-Pump Disease-Free Survival Female Follow-Up Studies Humans Internal Mammary-Coronary Artery Anastomosis Kaplan-Meier Estimate Logistic Models Male Middle Aged Multivariate Analysis Odds Ratio Patient Readmission Postoperative Complications Propensity Score Proportional Hazards Models Radial Artery Reoperation Retrospective Studies Risk Factors Time Factors Treatment Outcome Objective: The aim of our study was to evaluate the long-term outcome of patients exclusively undergoing total arterial revascularization off-pump coronary artery bypass grafting and to compare the performance of the radial artery and the right internal thoracic artery as a second conduit. Methods: We studied a consecutive series of 1700 patients undergoing off-pump coronary artery bypass grafting, receiving a radial artery or right internal thoracic artery as a second graft for total arterial revascularization, between 2003 and 2010. A total of 1447 patients (85.11%) received bilateral internal thoracic artery grafting, and 253 patients (14.89%) received left internal thoracic artery and radial artery grafting. A propensity score-matched analysis was performed to compare the 2 groups, bilateral internal thoracic artery and left internal thoracic artery and radial artery, relative to overall survival, morbidity, and combined end points event-free survival. Hazard ratios (HRs) and their 95% confidence intervals (CIs) were estimated by Cox regression. Results: In the full unmatched patient population, the postoperative survival (HR, 0.59; 95% CI, 0.38-0.92; P =.021), incidence of reintervention/readmission (HR, 0.42; 95% CI, 0.28-0.61; P <.001), and combined end points (HR, 0.47; 95% CI, 0.35-0.63; P <.001) were significantly better in the bilateral internal thoracic artery group. In the propensity score-matched patient population, the incidence of reintervention/readmission (HR, 0.40; 95% CI, 0.18-0.88; P =.02) and combined end points (HR, 0.54; 95% CI, 0.32-0.92; P =.02) were significantly better in the bilateral internal thoracic artery group compared with the left internal thoracic artery-radial artery group. Conclusions: The results of our study provide evidence for the superiority of the right internal thoracic artery graft compared with the radial artery as a second conduit in total arterial revascularization off-pump coronary artery bypass grafting. Copyright © 2014 by The American Association for Thoracic Surgery. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_00225223_v147_n2_p632_Navia |