Academic Journal
View in EDS

Bilateral versus Single Internal Thoracic Artery Grafting Strategies Supplemented by Radial Artery Grafting.

Bibliographic Details
Title: Bilateral versus Single Internal Thoracic Artery Grafting Strategies Supplemented by Radial Artery Grafting.
Authors: Hyo-Hyun Kim, Kyung-Jong Yoo, Young-Nam Youn
Source: Yonsei Medical Journal; Aug2023, Vol. 64 Issue 8, p473-480, 8p
Abstract: Purpose: It is unclear if a second or third arterial graft can improve clinical outcomes in coronary artery bypass graft surgery. We compared the outcomes of bilateral internal thoracic artery (BITA) plus radial artery (RA) grafting versus left internal thoracic artery (LITA) plus RA grafting after off-pump coronary artery bypass grafting. Materials and Methods: Between January 2009 and December 2020, a total of 3007 patients with three-vessel coronary artery disease who underwent off-pump coronary artery bypass were analyzed. Among them, 971 patients received total arterial grafting using LITA. We divided the patients into two groups [group A, BITA+RA grafting (n=227) and group B, LITA+RA grafting (n=744)], and compared the survival and major adverse cardiac and cerebrovascular event (MACCE) rates between the two groups at 10 years. Results: After risk adjustment with inverse probability treatment weighting methods, the freedom from all-cause mortality was 93.1% and 88.3% in groups A and B, respectively (p=0.140). The freedom from MACCE rates were 68.3% and 89.0%, respectively (p<0.0001). LITA plus RA grafting [hazard ratio (HR): 1.3, 95% confidence interval (CI): 1.05--2.37, p=0.025] and incomplete revascularization (HR 1.2, 95% CI: 0.70--2.15, p=0.046) were significant risk factors for MACCEs in multivariable Cox regression analysis. Conclusion: The rates of MACCEs were lower with LITA plus RA grafting than with BITA plus RA grafting in total arterial revascularization. Furthermore, complete revascularization improved long-term outcomes following total arterial grafting. [ABSTRACT FROM AUTHOR]
Copyright of Yonsei Medical Journal is the property of Yonsei University College of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Supplemental Index
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebsco.com/c/xy5jbn/result?sid=EBSCO:edo&genre=article&issn=05135796&ISBN=&volume=64&issue=8&date=20230801&spage=473&pages=473-480&title=Yonsei Medical Journal&atitle=Bilateral%20versus%20Single%20Internal%20Thoracic%20Artery%20Grafting%20Strategies%20Supplemented%20by%20Radial%20Artery%20Grafting.&aulast=Hyo-Hyun%20Kim&id=DOI:10.3349/ymj.2022.0586
    Name: Full Text Finder (for New FTF UI) (s8985755)
    Category: fullText
    Text: Find It @ SCU Libraries
    MouseOverText: Find It @ SCU Libraries
Header DbId: edo
DbLabel: Supplemental Index
An: 170390340
RelevancyScore: 983
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 983.14501953125
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Bilateral versus Single Internal Thoracic Artery Grafting Strategies Supplemented by Radial Artery Grafting.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hyo-Hyun+Kim%22&quot;&gt;Hyo-Hyun Kim&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kyung-Jong+Yoo%22&quot;&gt;Kyung-Jong Yoo&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Young-Nam+Youn%22&quot;&gt;Young-Nam Youn&lt;/searchLink&gt;
– Name: TitleSource
  Label: Source
  Group: Src
  Data: Yonsei Medical Journal; Aug2023, Vol. 64 Issue 8, p473-480, 8p
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: It is unclear if a second or third arterial graft can improve clinical outcomes in coronary artery bypass graft surgery. We compared the outcomes of bilateral internal thoracic artery (BITA) plus radial artery (RA) grafting versus left internal thoracic artery (LITA) plus RA grafting after off-pump coronary artery bypass grafting. Materials and Methods: Between January 2009 and December 2020, a total of 3007 patients with three-vessel coronary artery disease who underwent off-pump coronary artery bypass were analyzed. Among them, 971 patients received total arterial grafting using LITA. We divided the patients into two groups [group A, BITA+RA grafting (n=227) and group B, LITA+RA grafting (n=744)], and compared the survival and major adverse cardiac and cerebrovascular event (MACCE) rates between the two groups at 10 years. Results: After risk adjustment with inverse probability treatment weighting methods, the freedom from all-cause mortality was 93.1% and 88.3% in groups A and B, respectively (p=0.140). The freedom from MACCE rates were 68.3% and 89.0%, respectively (p&lt;0.0001). LITA plus RA grafting [hazard ratio (HR): 1.3, 95% confidence interval (CI): 1.05--2.37, p=0.025] and incomplete revascularization (HR 1.2, 95% CI: 0.70--2.15, p=0.046) were significant risk factors for MACCEs in multivariable Cox regression analysis. Conclusion: The rates of MACCEs were lower with LITA plus RA grafting than with BITA plus RA grafting in total arterial revascularization. Furthermore, complete revascularization improved long-term outcomes following total arterial grafting. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Yonsei Medical Journal is the property of Yonsei University College of Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder&#39;s express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://login.libproxy.scu.edu/login?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&scope=site&db=edo&AN=170390340
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.3349/ymj.2022.0586
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 473
    Titles:
      – TitleFull: Bilateral versus Single Internal Thoracic Artery Grafting Strategies Supplemented by Radial Artery Grafting.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Hyo-Hyun Kim
      – PersonEntity:
          Name:
            NameFull: Kyung-Jong Yoo
      – PersonEntity:
          Name:
            NameFull: Young-Nam Youn
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 08
              Text: Aug2023
              Type: published
              Y: 2023
          Identifiers:
            – Type: issn-print
              Value: 05135796
          Numbering:
            – Type: volume
              Value: 64
            – Type: issue
              Value: 8
          Titles:
            – TitleFull: Yonsei Medical Journal
              Type: main
ResultId 1