No improvements in long-term outcome after coronary artery bypass grafting with arterial grafts as a second conduit: a Swedish nationwide registry study

Abstract

Patients who had arterial grafts as second conduits did not demonstrate a better outcome in any of the studied end-points. Radial artery grafts seem to be preferable to BIMA grafts as an alternative to an SVG.

Daily melatonin protects the endothelial lineage and functional integrity against the aging process, oxidative stress, and toxic environment and restores blood flow in critical limb ischemia area in mice

“…Cardiovascular disease (CVD) remains the second cause of death worldwide in spite of current advances in treatment including pharmacological development, instruments for intervention, techniques for coronary artery bypass surgery (CABG), and percutaneous coronary intervention (PCI) as well as educational guidelines for prevention . This highlights the need for a safe and efficient therapeutic alternative.…”

SYSTEMATIC REVIEW & META-ANALYSIS OF COMPARATIVE STUDY BETWEEN SAPHENOUS VEIN AND RADIAL ARTERY AS A CONDUIT IN CORONARY ARTERY BYPASS GRAFTING SURGERY

“…On the other hand, Janiec, et al 2017 (34) & Hayward, et al 2011 & 2013 (21&22) concluded almost the same result that, Patients who received arterial grafts as second conduits did not demonstrate a better outcome in any of the studied endpoints, as reported by Janiec.…”

“…While the results of Janiec, et al 2017 (34) & Hayward, et al 2011 & 2013 (21&22) show that RA & SV have almost the same incidence rates of either PCI intervention or coronary surgery repetition. On the other hand, the results of Deb, et al 2012 (19) , Petrovic, et al 2015 (17) , Yamasaki, et al 2016 (20) & Gaudino, et al 2018 (26) showed that using RA has lower rates of the need for revascularization either by PCI or redo CABG than using SV.…”

“…On the other hand, the results of Deb, et al 2012 (19) , Petrovic, et al 2015 (17) , Yamasaki, et al 2016 (20) & Gaudino, et al 2018 (26) showed that using RA has lower rates of the need for revascularization either by PCI or redo CABG than using SV. This discrepancy can be explained by the huge unmatched number of patients received SV grafts versus those received RA grafts in Janiec, et al 2017 (34) .…”

Transatlantic Editorial: The Use of Multiple Arterial Grafts for Coronary Revascularization in Europe and North America

“…Data on the use of MAG are relatively limited for both North America and Europe (Table 3). [22][23][24][25][26][27][28][29][30] In a review of The Society of Thoracic Surgeons (STS) Adult Cardiac Surgery database including 1,493,470 patients undergoing CABG between 2004 and 2015, Schwann and colleagues 22 reported a rate of MAG of 11.3%, with a significant decrease from 16% in 2004 to 9% in 2015. In another report from the STS database focused on low-risk patients most likely to benefit from MAG (age <70 years, no or mild chronic lung disease, body mass index <30 kg/m 2 , and absence of diabetes), Lapar and colleagues 31 reported a BITA use rate of 6%.…”