Angiographic predictors of 3-year patency of bypass grafts implanted on the right coronary artery system: A prospective randomized comparison of gastroepiploic.

Slides:



Advertisements
Similar presentations
The “occasional open heart surgeon” revisited
Advertisements

Angiographic predictors of graft patency and disease progression after coronary artery bypass grafting with arterial and venous grafts  Hannu I Manninen,
Previous coronary stents do not increase early and long-term adverse outcomes in patients undergoing off-pump coronary artery bypass grafting: A propensity-matched.
Total arterial revascularization of triple vessel coronary disease based on combined internal thoracic and radial artery grafts  Robert H. Habib, PhD,
Lost in translation The Journal of Thoracic and Cardiovascular Surgery
Comparison of radial artery patency according to proximal anastomosis site: Direct aorta to radial artery anastomosis is superior to radial artery composite.
Aortic valve replacement in low-flow, low-gradient aortic stenosis: Left ventricular ejection fraction matters  Victor Dayan, MD, PhD, Philippe Pibarot,
Saphenous vein graft patency and fountain of youth
First successful transapical aortic valve implantation after aortic allograft replacement  Michael Schmoeckel, MD, Peter Boekstegers, MD, Konstantin Nikolaou,
The American Association for Thoracic Surgery 2016 Ethics Forum: Cost-effectiveness and the ethics of left ventricular assist device therapy  John W.C.
Vascular adaptation of the internal thoracic artery graft early and late after bypass surgery  Beat H. Walpoth, MD, Markus Schmid, MD, Anna Schwab, MD,
The present day potential role of fractional flow reserve–guided coronary artery bypass graft surgery  Filip Casselman, MD, PhD, FETCS, Johan Van der.
Angiographic predictors of graft patency and disease progression after coronary artery bypass grafting with arterial and venous grafts  Hannu I Manninen,
Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis  Christophe de Meester, MS, Agnès Pasquet,
Comparison of fractional flow reserve of composite Y-grafts with saphenous vein or right internal thoracic arteries  David Glineur, MD, Munir Boodhwani,
CD133+ cells: How could they have an IMPACT?
Use of a polytetrafluoroethylene graft to prevent recurrence of saphenous vein graft aneurysm after coronary artery bypass grafting  Syed T. Hussain,
Joseph F. Sabik, MD, Bruce W. Lytle, MD, Eugene H
Right internal thoracic artery or saphenous vein grafting
Which is more important in the potential interference on cardioprotection by remote ischemic preconditioning: β-blockers or anesthetic choice?  Yang Liu,
Juan A. Crestanello, MD, Richard C. Daly, MD 
Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials  Hisato Takagi, MD, PhD,
A randomized comparison of the Saphenous Vein Versus Right Internal Thoracic Artery as a Y-Composite Graft (SAVE RITA) trial: Early results  Ho Young.
Defining operative mortality: Impact on outcome reporting
Why surgery won the SYNTAX trial and why it matters
William M. DeCampli, MD, PhD 
Functional mitral stenosis after mitral valve repair is a true anatomic problem that originates from the time of surgery  Vincent Chan, MD, MPH, Thierry.
Multilevel data analysis: What? Why? How?
Harold L. Lazar, MD  The Journal of Thoracic and Cardiovascular Surgery 
The lord of the rings  Antonio Miceli, MD, PhD 
Total occlusion and string sign of radial artery versus saphenous vein graft conduits: An updated meta-analysis  Hisato Takagi, MD, PhD, Masafumi Matsui,
Association of hospital coronary artery bypass volume with processes of care, mortality, morbidity, and the Society of Thoracic Surgeons composite quality.
Surgical economics: MACRA, MIPS, and bundles—Lessons learned in the first 3 years of a coronary artery bypass grafting alternative payment model  Daniel.
A randomized comparison of the Saphenous Vein Versus Right Internal Thoracic Artery as a Y-Composite Graft (SAVE RITA) trial: One-year angiographic results.
Piggyback technique facilitates off-pump coronary artery bypass graft by using a proximal anastamostic device with arterial conduits  Bobby Yanagawa,
A meta-analysis of adjusted hazard ratios from 20 observational studies of bilateral versus single internal thoracic artery coronary artery bypass grafting 
Oh, father, where art we? Left internal mammary artery with greater saphenous vein grafts still rules surgical coronary revascularization after 30 years 
It's not “just a shunt” but sometimes it should be…
For everything there is a season
Michael R. Dashwood, PhD, Andrzej Loesch, PhD, DSc 
Use of bilateral internal thoracic artery during coronary artery bypass graft surgery in Canada: The bilateral internal thoracic artery survey  Stefano.
Niv Ad, MD, Sari D. Holmes, PhD, Paul S. Massimiano, MD, Anthony J
Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass  Benjamin Medalion, MD, Michael G. Katz, MD,
Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc 
Replicating the success of mitral valve repair in the aortic valve
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Attachment disorder in thoracoabdominal surgery
Avoiding sternotomy in repeat coronary artery bypass grafting: Feasibility, safety, and mid-term outcome of the transabdominal off-pump technique using.
Shengshou Hu, MD, Xin Yuan, MD, PhD 
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
The thoracoabdominal saga and heroes
Commentary: Hybrid graft to the rescue of the bilateral internal thoracic artery debate— Is it time for new technology or new techniques?  Moritz C. Wyler.
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
The future of cardiac surgery training: A survival guide
Spot the mesh: Six-month follow-up
Improved quality and cost-effectiveness of coronary artery bypass grafting in the United States from 1988 to 2005  Howard K. Song, MD, PhD, Brian S. Diggs,
Marc Ruel, MD, MPH, Masood A
Expanding the results of the Ross operation
“The more things change…”: The challenges ahead
Competitive flow in coronary bypass surgery: The roles of fractional flow reserve and arterial graft configuration  Hugh S. Paterson, FRACS, Paul G. Bannon,
Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart 
Apples remain apples NO matter what
Principles of aortic valve repair
Risk of Valve-Related Events After Aortic Valve Repair
Assessment and repair of aortic valve cusp prolapse: Implications for valve-sparing procedures  Munir Boodhwani, MD, MMSc, Laurent de Kerchove, MD, Christine.
IS local wound infection rate more important than long-term graft patency in coronary artery bypass grafting?  Tomislav Kopjar, MD, PhD, Michael R. Dashwood,
The impact of sequential versus single anastomoses on flow characteristics and mid- term patency of saphenous vein grafts in coronary bypass grafting 
Commentary: Radial artery and bilateral mammary arteries in coronary artery bypass grafting: How much is too much?  Derrick Y. Tam, MD, Stephen E. Fremes,
Deciding how much to pay for effective care
Presentation transcript:

Angiographic predictors of 3-year patency of bypass grafts implanted on the right coronary artery system: A prospective randomized comparison of gastroepiploic artery, saphenous vein, and right internal thoracic artery grafts  David Glineur, MD, PhD, William D’hoore, MD, PhD, Laurent de Kerchove, MD, Philippe Noirhomme, MD, Joel Price, MD, MPH, Claude Hanet, MD, PhD, Gebrine El Khoury, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 142, Issue 5, Pages 980-988 (November 2011) DOI: 10.1016/j.jtcvs.2011.07.017 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Flow chart of the study. CABG, Coronary artery bypass grafting; RGEA, right gastroepiploic artery; SVG, saphenous vein graft; BITA, bilateral internal thoracic artery. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 980-988DOI: (10.1016/j.jtcvs.2011.07.017) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Relationship (least-squares regression line [RITA, continuous line; RGEA, interrupted line; SVG, dotted line]) among patency scores of SVG (square dot), RGEA (triangle dot), and RITA (round dot) and MLD of the grafted RCA. MLD, Minimum lumen diameter; RCA, right coronary artery; RGEA, right gastroepiploic artery; RITA, right internal thoracic artery; SVG, saphenous vein graft. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 980-988DOI: (10.1016/j.jtcvs.2011.07.017) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Relationship between patency scores of the analyzed grafts (SVG, RGEA, RITA) and MLD (left) and percent stenosis (right) of the grafted RCA. The box ends are Tukey’s hinges; the whiskers are at the largest and smallest values that are not outliers or extremes, which are defined as 1.5 and 3.0 interquartile ranges from the hinges. MLD, Minimum lumen diameter; RGEA, right gastroepiploic artery; RITA, right internal thoracic artery; SVG, saphenous vein graft. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 980-988DOI: (10.1016/j.jtcvs.2011.07.017) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions