Equivalency of Saphenous Vein and Arterial Composite Grafts: 5-Year Angiography and Midterm Clinical Follow-Up Ho Young Hwang, MD, PhD, Kyung-Hak Lee,

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Equivalency of Saphenous Vein and Arterial Composite Grafts: 5-Year Angiography and Midterm Clinical Follow-Up Ho Young Hwang, MD, PhD, Kyung-Hak Lee, MD, Jung Wook Han, MD, Ki-Bong Kim, MD, PhD The Annals of Thoracic Surgery Volume 102, Issue 2, Pages 580-588 (August 2016) DOI: 10.1016/j.athoracsur.2016.02.017 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Summary flow diagram showing patients who underwent 5-year graft evaluation. (SV = saphenous vein; TA = total arterial.) The Annals of Thoracic Surgery 2016 102, 580-588DOI: (10.1016/j.athoracsur.2016.02.017) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Patent saphenous vein (SV) Y-composite grafts based on the in situ left internal thoracic artery (LITA) on (A) early postoperative, (B) 1-year, and (C) 5-year angiograms in a 60-year-old woman. The in situ LITA was anastomosed to the left anterior descending coronary artery (white arrows), and the SV was anastomosed to the diagonal coronary artery (black arrowheads) and obtuse marginal coronary artery (black arrows) using a sequential anastomotic technique. The Annals of Thoracic Surgery 2016 102, 580-588DOI: (10.1016/j.athoracsur.2016.02.017) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Comparison of (A) overall survival and (B) freedom from cardiac death between patients in the saphenous vein (SV) group (black lines) and total arterial (TA) group (gray lines). The Annals of Thoracic Surgery 2016 102, 580-588DOI: (10.1016/j.athoracsur.2016.02.017) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Comparison of overall survival rates between the propensity score-matched saphenous vein (SV) group (black line) and total arterial (TA) group (gray line). The Annals of Thoracic Surgery 2016 102, 580-588DOI: (10.1016/j.athoracsur.2016.02.017) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Comparison of major adverse cardiac and cerebrovascular event (MACCE)-free rates between patients in the saphenous vein (SV) group (black lines) and total arterial (TA) group (gray lines): (A) before propensity score matching and (B) after propensity score matching. The Annals of Thoracic Surgery 2016 102, 580-588DOI: (10.1016/j.athoracsur.2016.02.017) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions