Long-term results of sequential vein coronary artery bypass grafting compared with totally arterial myocardial revascularization: a propensity score-matched follow-up study
The aim of the study was to analyse the early and long-term outcomes of a consecutive series of patients who underwent sequential coronary artery bypass grafting (CABG) and to compare them with a matched population of totally arterial revascularized patients. From January 1994 to December 1996, 209...
Gespeichert in:
| Veröffentlicht in: | European journal of cardio-thoracic surgery 2014-12, Vol.46 (6), p.1006-1013 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1013 |
|---|---|
| container_issue | 6 |
| container_start_page | 1006 |
| container_title | European journal of cardio-thoracic surgery |
| container_volume | 46 |
| creator | Garatti, Andrea Castelvecchio, Serenella Canziani, Alberto Corain, Livio Generali, Tommaso Mossuto, Eugenio Gagliardotto, Piervincenzo Anastasia, Luigi Salmaso, Luigi Giacomazzi, Francesca Menicanti, Lorenzo |
| description | The aim of the study was to analyse the early and long-term outcomes of a consecutive series of patients who underwent sequential coronary artery bypass grafting (CABG) and to compare them with a matched population of totally arterial revascularized patients.
From January 1994 to December 1996, 209 patients underwent total arterial myocardial revascularization at our institution [arterial (ART) group]. In the same period, 2097 patients underwent CABG with left internal thoracic artery on left anterior descending and great saphenous vein on the right and circumflex branches sequentially [sequential vein (SV) group]. The propensity score methodology was used to obtain risk-adjusted outcome comparisons between the two groups (209 vs 243 patients in the ART group and SV group, respectively).
In-hospital mortality was 1% in the ART group and 0.4% in the SV group (P = 0.86). Mean follow-up was 14 ± 4 years. Long-term survival was comparable among the two study groups [actuarial 5- and 15-year survival rates were 97 vs 93% and 82 vs 79% in the ART group and the SV group, respectively (P = 0.29)]. At follow-up, recurrence of angina (17 vs 18%; P = 0.99), acute myocardial infarction (MI) (3 vs 5%; P = 0.72) and repeated percutaneous coronary intervention (19 vs 21%; P = 0.69) were similar in the ART group compared with the SV group. In the Cox regression analysis, type of revascularization was not an independent predictor of any long-term outcomes (death or major adverse cardiac events). In asymptomatic patients, exercise stress test at follow-up was comparable between the two groups (P = 0.14).
Sequential vein CABG appears to have good early and long-term clinical outcomes. Also, early and long-term incidence of acute MI was not significantly higher in the SV group. However, further studies with a larger population are warranted in order to confirm the present results. |
| doi_str_mv | 10.1093/ejcts/ezu057 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1623295343</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1623295343</sourcerecordid><originalsourceid>FETCH-LOGICAL-c329t-e93e72188bd58f72f22a600d5abebfc98af0659ad8c3673ed559905ebf1776723</originalsourceid><addsrcrecordid>eNo9kUFv1DAQhS0EoqVw44x85ECoYydxwg1VhVZaiQtI3KKJM966cuLgcVqlv4kfiZddOM1I79N7o3mMvS3Fx1J06hLvTaJLfFpFrZ-x87LVqtCq-vk876IUhe4qccZeEd0LIRol9Ut2JqtG6qoS5-z3Lsz7ImGceERafSIeLCf8teKcHHj-gG7mJsQwQ9w4xIxufNgWIOL7CDa5eZ_1aYGII3906Y6nkMD7E3zwmLZgII6HNeIDkFk9RPcEyYX5Ewe-xLDgTC5tnHIUFhMkc5ftbPA-PBbrwimt4_aavbDgCd-c5gX78eX6-9VNsfv29fbq864wSnapwE6hlmXbDmPdWi2tlNAIMdYw4GBN14IVTd3B2BrVaIVjXXedqLNWat1oqS7Y-6NvPiw_glI_OTLoPcwYVurLRuagWlUqox-OqImBKKLtl-im_Kq-FP2hn_5vP_2xn4y_Ozmvw4Tjf_hfIeoP74uT6A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1623295343</pqid></control><display><type>article</type><title>Long-term results of sequential vein coronary artery bypass grafting compared with totally arterial myocardial revascularization: a propensity score-matched follow-up study</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Garatti, Andrea ; Castelvecchio, Serenella ; Canziani, Alberto ; Corain, Livio ; Generali, Tommaso ; Mossuto, Eugenio ; Gagliardotto, Piervincenzo ; Anastasia, Luigi ; Salmaso, Luigi ; Giacomazzi, Francesca ; Menicanti, Lorenzo</creator><creatorcontrib>Garatti, Andrea ; Castelvecchio, Serenella ; Canziani, Alberto ; Corain, Livio ; Generali, Tommaso ; Mossuto, Eugenio ; Gagliardotto, Piervincenzo ; Anastasia, Luigi ; Salmaso, Luigi ; Giacomazzi, Francesca ; Menicanti, Lorenzo</creatorcontrib><description>The aim of the study was to analyse the early and long-term outcomes of a consecutive series of patients who underwent sequential coronary artery bypass grafting (CABG) and to compare them with a matched population of totally arterial revascularized patients.
From January 1994 to December 1996, 209 patients underwent total arterial myocardial revascularization at our institution [arterial (ART) group]. In the same period, 2097 patients underwent CABG with left internal thoracic artery on left anterior descending and great saphenous vein on the right and circumflex branches sequentially [sequential vein (SV) group]. The propensity score methodology was used to obtain risk-adjusted outcome comparisons between the two groups (209 vs 243 patients in the ART group and SV group, respectively).
In-hospital mortality was 1% in the ART group and 0.4% in the SV group (P = 0.86). Mean follow-up was 14 ± 4 years. Long-term survival was comparable among the two study groups [actuarial 5- and 15-year survival rates were 97 vs 93% and 82 vs 79% in the ART group and the SV group, respectively (P = 0.29)]. At follow-up, recurrence of angina (17 vs 18%; P = 0.99), acute myocardial infarction (MI) (3 vs 5%; P = 0.72) and repeated percutaneous coronary intervention (19 vs 21%; P = 0.69) were similar in the ART group compared with the SV group. In the Cox regression analysis, type of revascularization was not an independent predictor of any long-term outcomes (death or major adverse cardiac events). In asymptomatic patients, exercise stress test at follow-up was comparable between the two groups (P = 0.14).
Sequential vein CABG appears to have good early and long-term clinical outcomes. Also, early and long-term incidence of acute MI was not significantly higher in the SV group. However, further studies with a larger population are warranted in order to confirm the present results.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1093/ejcts/ezu057</identifier><identifier>PMID: 24627440</identifier><language>eng</language><publisher>Germany</publisher><subject>Angina Pectoris - surgery ; Blood Vessel Prosthesis ; Coronary Artery Bypass - methods ; Coronary Artery Bypass - mortality ; Exercise Test ; Female ; Follow-Up Studies ; Hospital Mortality ; Humans ; Italy - epidemiology ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Myocardial Ischemia - surgery ; Myocardial Revascularization - methods ; Myocardial Revascularization - mortality ; Propensity Score ; Retrospective Studies ; Treatment Outcome</subject><ispartof>European journal of cardio-thoracic surgery, 2014-12, Vol.46 (6), p.1006-1013</ispartof><rights>The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c329t-e93e72188bd58f72f22a600d5abebfc98af0659ad8c3673ed559905ebf1776723</citedby><cites>FETCH-LOGICAL-c329t-e93e72188bd58f72f22a600d5abebfc98af0659ad8c3673ed559905ebf1776723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24627440$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Garatti, Andrea</creatorcontrib><creatorcontrib>Castelvecchio, Serenella</creatorcontrib><creatorcontrib>Canziani, Alberto</creatorcontrib><creatorcontrib>Corain, Livio</creatorcontrib><creatorcontrib>Generali, Tommaso</creatorcontrib><creatorcontrib>Mossuto, Eugenio</creatorcontrib><creatorcontrib>Gagliardotto, Piervincenzo</creatorcontrib><creatorcontrib>Anastasia, Luigi</creatorcontrib><creatorcontrib>Salmaso, Luigi</creatorcontrib><creatorcontrib>Giacomazzi, Francesca</creatorcontrib><creatorcontrib>Menicanti, Lorenzo</creatorcontrib><title>Long-term results of sequential vein coronary artery bypass grafting compared with totally arterial myocardial revascularization: a propensity score-matched follow-up study</title><title>European journal of cardio-thoracic surgery</title><addtitle>Eur J Cardiothorac Surg</addtitle><description>The aim of the study was to analyse the early and long-term outcomes of a consecutive series of patients who underwent sequential coronary artery bypass grafting (CABG) and to compare them with a matched population of totally arterial revascularized patients.
From January 1994 to December 1996, 209 patients underwent total arterial myocardial revascularization at our institution [arterial (ART) group]. In the same period, 2097 patients underwent CABG with left internal thoracic artery on left anterior descending and great saphenous vein on the right and circumflex branches sequentially [sequential vein (SV) group]. The propensity score methodology was used to obtain risk-adjusted outcome comparisons between the two groups (209 vs 243 patients in the ART group and SV group, respectively).
In-hospital mortality was 1% in the ART group and 0.4% in the SV group (P = 0.86). Mean follow-up was 14 ± 4 years. Long-term survival was comparable among the two study groups [actuarial 5- and 15-year survival rates were 97 vs 93% and 82 vs 79% in the ART group and the SV group, respectively (P = 0.29)]. At follow-up, recurrence of angina (17 vs 18%; P = 0.99), acute myocardial infarction (MI) (3 vs 5%; P = 0.72) and repeated percutaneous coronary intervention (19 vs 21%; P = 0.69) were similar in the ART group compared with the SV group. In the Cox regression analysis, type of revascularization was not an independent predictor of any long-term outcomes (death or major adverse cardiac events). In asymptomatic patients, exercise stress test at follow-up was comparable between the two groups (P = 0.14).
Sequential vein CABG appears to have good early and long-term clinical outcomes. Also, early and long-term incidence of acute MI was not significantly higher in the SV group. However, further studies with a larger population are warranted in order to confirm the present results.</description><subject>Angina Pectoris - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Coronary Artery Bypass - methods</subject><subject>Coronary Artery Bypass - mortality</subject><subject>Exercise Test</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Kaplan-Meier Estimate</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Ischemia - surgery</subject><subject>Myocardial Revascularization - methods</subject><subject>Myocardial Revascularization - mortality</subject><subject>Propensity Score</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1010-7940</issn><issn>1873-734X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kUFv1DAQhS0EoqVw44x85ECoYydxwg1VhVZaiQtI3KKJM966cuLgcVqlv4kfiZddOM1I79N7o3mMvS3Fx1J06hLvTaJLfFpFrZ-x87LVqtCq-vk876IUhe4qccZeEd0LIRol9Ut2JqtG6qoS5-z3Lsz7ImGceERafSIeLCf8teKcHHj-gG7mJsQwQ9w4xIxufNgWIOL7CDa5eZ_1aYGII3906Y6nkMD7E3zwmLZgII6HNeIDkFk9RPcEyYX5Ewe-xLDgTC5tnHIUFhMkc5ftbPA-PBbrwimt4_aavbDgCd-c5gX78eX6-9VNsfv29fbq864wSnapwE6hlmXbDmPdWi2tlNAIMdYw4GBN14IVTd3B2BrVaIVjXXedqLNWat1oqS7Y-6NvPiw_glI_OTLoPcwYVurLRuagWlUqox-OqImBKKLtl-im_Kq-FP2hn_5vP_2xn4y_Ozmvw4Tjf_hfIeoP74uT6A</recordid><startdate>201412</startdate><enddate>201412</enddate><creator>Garatti, Andrea</creator><creator>Castelvecchio, Serenella</creator><creator>Canziani, Alberto</creator><creator>Corain, Livio</creator><creator>Generali, Tommaso</creator><creator>Mossuto, Eugenio</creator><creator>Gagliardotto, Piervincenzo</creator><creator>Anastasia, Luigi</creator><creator>Salmaso, Luigi</creator><creator>Giacomazzi, Francesca</creator><creator>Menicanti, Lorenzo</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201412</creationdate><title>Long-term results of sequential vein coronary artery bypass grafting compared with totally arterial myocardial revascularization: a propensity score-matched follow-up study</title><author>Garatti, Andrea ; Castelvecchio, Serenella ; Canziani, Alberto ; Corain, Livio ; Generali, Tommaso ; Mossuto, Eugenio ; Gagliardotto, Piervincenzo ; Anastasia, Luigi ; Salmaso, Luigi ; Giacomazzi, Francesca ; Menicanti, Lorenzo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c329t-e93e72188bd58f72f22a600d5abebfc98af0659ad8c3673ed559905ebf1776723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Angina Pectoris - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Coronary Artery Bypass - methods</topic><topic>Coronary Artery Bypass - mortality</topic><topic>Exercise Test</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Kaplan-Meier Estimate</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Ischemia - surgery</topic><topic>Myocardial Revascularization - methods</topic><topic>Myocardial Revascularization - mortality</topic><topic>Propensity Score</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Garatti, Andrea</creatorcontrib><creatorcontrib>Castelvecchio, Serenella</creatorcontrib><creatorcontrib>Canziani, Alberto</creatorcontrib><creatorcontrib>Corain, Livio</creatorcontrib><creatorcontrib>Generali, Tommaso</creatorcontrib><creatorcontrib>Mossuto, Eugenio</creatorcontrib><creatorcontrib>Gagliardotto, Piervincenzo</creatorcontrib><creatorcontrib>Anastasia, Luigi</creatorcontrib><creatorcontrib>Salmaso, Luigi</creatorcontrib><creatorcontrib>Giacomazzi, Francesca</creatorcontrib><creatorcontrib>Menicanti, Lorenzo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardio-thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Garatti, Andrea</au><au>Castelvecchio, Serenella</au><au>Canziani, Alberto</au><au>Corain, Livio</au><au>Generali, Tommaso</au><au>Mossuto, Eugenio</au><au>Gagliardotto, Piervincenzo</au><au>Anastasia, Luigi</au><au>Salmaso, Luigi</au><au>Giacomazzi, Francesca</au><au>Menicanti, Lorenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-term results of sequential vein coronary artery bypass grafting compared with totally arterial myocardial revascularization: a propensity score-matched follow-up study</atitle><jtitle>European journal of cardio-thoracic surgery</jtitle><addtitle>Eur J Cardiothorac Surg</addtitle><date>2014-12</date><risdate>2014</risdate><volume>46</volume><issue>6</issue><spage>1006</spage><epage>1013</epage><pages>1006-1013</pages><issn>1010-7940</issn><eissn>1873-734X</eissn><abstract>The aim of the study was to analyse the early and long-term outcomes of a consecutive series of patients who underwent sequential coronary artery bypass grafting (CABG) and to compare them with a matched population of totally arterial revascularized patients.
From January 1994 to December 1996, 209 patients underwent total arterial myocardial revascularization at our institution [arterial (ART) group]. In the same period, 2097 patients underwent CABG with left internal thoracic artery on left anterior descending and great saphenous vein on the right and circumflex branches sequentially [sequential vein (SV) group]. The propensity score methodology was used to obtain risk-adjusted outcome comparisons between the two groups (209 vs 243 patients in the ART group and SV group, respectively).
In-hospital mortality was 1% in the ART group and 0.4% in the SV group (P = 0.86). Mean follow-up was 14 ± 4 years. Long-term survival was comparable among the two study groups [actuarial 5- and 15-year survival rates were 97 vs 93% and 82 vs 79% in the ART group and the SV group, respectively (P = 0.29)]. At follow-up, recurrence of angina (17 vs 18%; P = 0.99), acute myocardial infarction (MI) (3 vs 5%; P = 0.72) and repeated percutaneous coronary intervention (19 vs 21%; P = 0.69) were similar in the ART group compared with the SV group. In the Cox regression analysis, type of revascularization was not an independent predictor of any long-term outcomes (death or major adverse cardiac events). In asymptomatic patients, exercise stress test at follow-up was comparable between the two groups (P = 0.14).
Sequential vein CABG appears to have good early and long-term clinical outcomes. Also, early and long-term incidence of acute MI was not significantly higher in the SV group. However, further studies with a larger population are warranted in order to confirm the present results.</abstract><cop>Germany</cop><pmid>24627440</pmid><doi>10.1093/ejcts/ezu057</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1010-7940 |
| ispartof | European journal of cardio-thoracic surgery, 2014-12, Vol.46 (6), p.1006-1013 |
| issn | 1010-7940 1873-734X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1623295343 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Angina Pectoris - surgery Blood Vessel Prosthesis Coronary Artery Bypass - methods Coronary Artery Bypass - mortality Exercise Test Female Follow-Up Studies Hospital Mortality Humans Italy - epidemiology Kaplan-Meier Estimate Male Middle Aged Myocardial Ischemia - surgery Myocardial Revascularization - methods Myocardial Revascularization - mortality Propensity Score Retrospective Studies Treatment Outcome |
| title | Long-term results of sequential vein coronary artery bypass grafting compared with totally arterial myocardial revascularization: a propensity score-matched follow-up study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-19T14%3A48%3A31IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Long-term%20results%20of%20sequential%20vein%20coronary%20artery%20bypass%20grafting%20compared%20with%20totally%20arterial%20myocardial%20revascularization:%20a%20propensity%20score-matched%20follow-up%20study&rft.jtitle=European%20journal%20of%20cardio-thoracic%20surgery&rft.au=Garatti,%20Andrea&rft.date=2014-12&rft.volume=46&rft.issue=6&rft.spage=1006&rft.epage=1013&rft.pages=1006-1013&rft.issn=1010-7940&rft.eissn=1873-734X&rft_id=info:doi/10.1093/ejcts/ezu057&rft_dat=%3Cproquest_cross%3E1623295343%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1623295343&rft_id=info:pmid/24627440&rfr_iscdi=true |