July 19, 2012Open Access
View Full PaperMultiple Arterial Grafts Improve Late Survival of Patients Undergoing Coronary Artery Bypass Graft Surgery
Structured PICO
Does arterial grafting of non-left anterior descending vessels improve survival compared to saphenous vein grafting in patients undergoing isolated CABG with LIMA to LAD?
P
Population
Patients undergoing isolated coronary artery bypass graft surgery with LIMA to left anterior descending artery
I
Intervention
Arterial grafting of the non-left anterior descending vessels
C
Comparator
Saphenous vein (SV) grafting
O
Outcome
Survival at 15 yearshard clinical
Multiple arterial grafts provide a long-term survival benefit over saphenous vein grafts for non-LAD targets in patients undergoing CABG.
Abstract
In patients undergoing isolated coronary artery bypass graft surgery with LIMA to left anterior descending artery, arterial grafting of the non-left anterior descending vessels conferred a survival advantage at 15 years compared with SV grafting. It is still unproven whether these results apply to higher-risk subgroups of patients.