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June 1, 1981The Thoracic and Cardiovascular Surgeon

Sequential versus Conventional Coronary Artery Bypass Graft Surgery in Matched Patient Groups

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Key result

Sequential bypass grafting was executed more quickly than conventional grafting due to shorter suture times (5 vs. 12 min), with similar 1-year graft patency and mortality.

Why the study?

Does sequential coronary artery bypass grafting reduce the duration of ischemic arrest and cardiopulmonary bypass compared to conventional grafting in patients undergoing uncomplicated CABG?

Population

247 patients undergoing uncomplicated coronary artery bypass graft surgery

Comparison

Sequential coronary artery bypass grafting vs Conventional coronary artery bypass grafting

Design

Cohort

Follow-up

1 year (for a subset of 109 patients)

Authors

RBRoy G. BrowerJohns Hopkins UniversityKEKristel van EijkUniversity Medical Center UtrechtJSJanneke J. SpekMaastricht University

Discussion

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Implication

Sequential grafting may shorten CABG suture times with similar 1-year outcomes; leaves open effects on ischemic arrest and requires RCTs before practice change.

Study Design

Type

Cohort (n=247)

Structured PICO

Does sequential coronary artery bypass grafting reduce the duration of ischemic arrest and cardiopulmonary bypass compared to conventional grafting in patients undergoing uncomplicated CABG?

P
Population
247 patients undergoing uncomplicated coronary artery bypass graft surgery, with a subset of 109 followed up with recatheterization at one year.
E
Exposure
Sequential coronary artery bypass grafting
C
Comparator
Conventional coronary artery bypass grafting
O
Outcome
Duration of ischemic arrest and cardiopulmonary bypass

Main Result

Absolute Event Rate: 5% vs 12%

Sequential CABG reduces the duration of ischemic arrest and cardiopulmonary bypass without compromising graft patency or clinical outcomes compared to conventional CABG.

Cite This Study

Brower et al. (1981) conducted a cohort in Coronary artery disease requiring bypass surgery (n=247). Sequential bypass grafting vs. Conventional bypass grafting was evaluated on Suture time for anastomoses (minutes). Sequential bypass grafting was executed more quickly than conventional grafting due to shorter suture times (5 vs. 12 min), with similar 1-year graft patency and mortality.

synapsesocial.com/papers/6a93ca9e133ea84f97d0271bhttps://doi.org/10.1055/s-2007-1023467
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Also Consider

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

  1. 1Sequential Vein Bypass Grafting: Tactics and Long-Term Results1998 · 7 citations
  2. 2Sequential vein bypass grafting: tactics and long-term results1998 · 27 citations
  3. 3Sequential Anastomosing Technique in Coronary Artery Bypass Grafting Surgery CABG, Efficacy and Short Term Outcome2022 · 2 citations
  4. 4Comparison of the mid-term clinical efficacy and short-term complications of Y-type coronary artery bypass grafting and sequential bypass grafting of the great saphenous vein: a retrospective cohort study2022 · 2 citations
  5. 5Myocardial Reperfusion after Coronary Bypass Surgery:<i>Suture of Only Distal or All Anastomoses with the Aorta Cross-clamped?</i>1995 · 5 citations