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May 1, 1991Circulation

Immediate postoperative aspirin improves vein graft patency early and late after coronary artery bypass graft surgery. A placebo-controlled, randomized study.

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Why the study?

Does aspirin 324 mg daily initiated within 1 hour of CABG improve early and late angiographic graft patency in patients undergoing CABG?

Population

Patients undergoing coronary artery bypass grafting.

Comparison

Aspirin 324 mg daily, initiated within 1 hour of… vs Placebo.

Design

RCT, Randomized, Double-blind, placebo-controlled

Follow-up

1 year

Authors

TGT P GavaghanVictor Chang Cardiac Research Institute
Val Gebski
Val GebskiThe University of Sydney
DBD. BaronCentre Antoine Lacassagne

Discussion

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Implication

Supports immediate aspirin initiation after CABG; confirms benefit in a double-blind RCT.

Structured PICO

Does aspirin 324 mg daily initiated within 1 hour of CABG improve early and late angiographic graft patency in patients undergoing CABG?

P
Population
Patients undergoing coronary artery bypass grafting (CABG) (n=231 evaluated at 1 week, n=219 evaluated at 1 year).
I
Intervention
Aspirin 324 mg daily, initiated within 1 hour of CABG and continued up to 1 year.
C
Comparator
Placebo.
O
Outcome
Angiographic graft patency at 1 week and 1 year after CABG.surrogate

Immediate postoperative administration of aspirin 324 mg daily significantly improves early and late vein graft patency after CABG without significantly increasing blood loss.

Cite This Study

Gavaghan et al. (1991) studied this question.

synapsesocial.com/papers/6a23e5e8b7e293e61ca62fbdhttps://doi.org/10.1161/01.cir.83.5.1526
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A Platelet-Inhibitor-Drug Trial in Coronary-Artery Bypass Operations1982 · 540 citations
  2. 2Evaluation of antiplatelet agents in the prevention of aorto-coronary bypass occlusion*1986 · 43 citations
  3. 3Prevention of aortocoronary vein-graft attrition with low-dose aspirin and triflusal, both associated with dipyridamole: a randomized, double-blind, placebo-controlled trial1989 · 48 citations
  4. 4Antiplatelet or Anticoagulant Therapy after Coronary Artery Bypass Surgery1989 · 75 citations
  5. 5Differential Inhibition by Aspirin of Vascular and Platelet Prostaglandin Synthesis in Atherosclerotic Patients1983 · 448 citations