Radial-Artery or Saphenous-Vein Grafts in Coronary-Artery Bypass Surgery

In a patient-level combined analysis of six randomized trials, the use of radial-artery grafts for CABG, as compared with the use of saphenous-vein grafts, resulted in a lower rate of adverse cardiac events and a higher patency rate at 5 years of follow-up.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2018-05, Vol.378 (22), p.2069-2077
Hauptverfasser:	Gaudino, Mario, Benedetto, Umberto, Fremes, Stephen, Biondi-Zoccai, Giuseppe, Sedrakyan, Art, Puskas, John D, Angelini, Gianni D, Buxton, Brian, Frati, Giacomo, Hare, David L, Hayward, Philip, Nasso, Giuseppe, Moat, Neil, Peric, Miodrag, Yoo, Kyung J, Speziale, Giuseppe, Girardi, Leonard N, Taggart, David P
Format:	Artikel
Sprache:	eng
Schlagworte:	Age Aged Angiography Bypass Cardiovascular disease Clinical outcomes Clinical trials Coronary Angiography Coronary artery Coronary Artery Bypass - adverse effects Coronary Artery Bypass - methods Coronary Artery Disease - mortality Coronary Artery Disease - surgery Coronary vessels Female Health care policy Heart attacks Heart rate Heart surgery Humans Male Medicine Middle Aged Myocardial infarction Myocardial Infarction - epidemiology Occlusion Patients Postoperative Complications - epidemiology Proportional Hazards Models Radial Artery - transplantation Randomized Controlled Trials as Topic Regression analysis Reoperation - statistics & numerical data Saphenous Vein - transplantation Surgeons Thoracic surgery Treatment Failure Vascular Patency
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Beschreibung
Zusammenfassung:	In a patient-level combined analysis of six randomized trials, the use of radial-artery grafts for CABG, as compared with the use of saphenous-vein grafts, resulted in a lower rate of adverse cardiac events and a higher patency rate at 5 years of follow-up.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMoa1716026