Multiple Arterial Grafts Improve Late Survival of Patients Undergoing Coronary Artery Bypass Graft Surgery
Why the study?
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?
Population
Patients undergoing isolated coronary artery bypass graft surgery with LIMA to left anterior descending artery
Comparison
Arterial grafting of the non-left anterior… vs Saphenous vein (SV) grafting
Follow-up
15 years
Authors
Discussion
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Member takes
Implication
Supports arterial over SV grafting for non-LAD targets; hypothesis-generating and leaves open need for RCTs before practice change.
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.
Limitations
- Unproven whether results apply to higher-risk subgroups of patients
Cite This Study
Locker et al. (2012) studied this question.