The impact of a second arterial graft on 5-year outcomes after coronary artery bypass grafting in the Synergy Between Percutaneous Coronary Intervention.

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Date of download: 7/8/2016 Copyright © The American College of Cardiology. All rights reserved. From: Procedural Outcomes of Chronic Total Occlusion Percutaneous.

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Presentation transcript:

The impact of a second arterial graft on 5-year outcomes after coronary artery bypass grafting in the Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery Trial and Registry Catalina A. Parasca, MD, Stuart J. Head, MD, PhD, Friedrich W. Mohr, MD, PhD, Michael J. Mack, MD, Marie-Claude Morice, MD, PhD, David R. Holmes, MD, Ted E. Feldman, MD, Antonio Colombo, MD, Keith D. Dawkins, MD, Patrick W. Serruys, MD, PhD, Arie Pieter Kappetein, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 150, Issue 3, Pages 597-606.e2 (September 2015) DOI: 10.1016/j.jtcvs.2015.05.010 Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The diagram shows the use of arterial and venous grafts in relation to placement of distal anastomoses. The percentage of arterial grafts is shown in red, and of venous grafts in blue. LCx, Left circumflex artery; LAD, left anterior descending; Diag, diagonal; RCA, right coronary artery; OM, obtuse marginal artery; PDA, posterior descending artery; PL, postero-lateral artery. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 597-606.e2DOI: (10.1016/j.jtcvs.2015.05.010) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier cumulative event curves at 5-year follow-up. Event rates and comparisons are depicted for: all-cause death in the (A) unmatched groups, and (B) matched groups; and for repeat revascularization in the (C) unmatched groups, and (D) matched groups. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 597-606.e2DOI: (10.1016/j.jtcvs.2015.05.010) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Kaplan-Meier cumulative event curves at 5-year follow-up. Event rates and comparisons are depicted for: PCI repeat revascularization in the (A) unmatched and (B) matched groups; MI in the (C) unmatched and (D) matched groups; and graft occlusion in the (E) unmatched and (F) matched groups. PCI, Percutaneous coronary intervention; MI, myocardial infarction. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 597-606.e2DOI: (10.1016/j.jtcvs.2015.05.010) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Love plot for absolute standardized differences before and after propensity-score matching. BMI, Body mass index; Fam HCAD, familial history of coronary artery disease; MI, myocardial infarction; CHF, cardiac heart failure; PAD, peripheral artery disease; CaAD, carotid artery disease; CVA/TIA, cerebrovascular attack/transient ischemic attack; COPD, chronic obstructive pulmonary disease; LVEF, left ventricular ejection fraction; LM, left main; VD, vessel disease; euroSCORE, European System for Cardiac Operative Risk Evaluation; SYNTAX, Synergy Between Percutaneous Coronary Intervention With TAXUS and Cardiac Surgery. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 597-606.e2DOI: (10.1016/j.jtcvs.2015.05.010) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions

Event rates of death and repeat revascularization before and after propensity matching. The Journal of Thoracic and Cardiovascular Surgery 2015 150, 597-606.e2DOI: (10.1016/j.jtcvs.2015.05.010) Copyright © 2015 The American Association for Thoracic Surgery Terms and Conditions