Right internal thoracic artery or radial artery

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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:

Right internal thoracic artery or radial artery Right internal thoracic artery or radial artery? A propensity-matched comparison on the second-best arterial conduit Umberto Benedetto, MD, PhD, Massimo Caputo, MD, Mario Gaudino, MD, Roberto Marsico, MD, Cha Rajakaruna, MD, Alan Bryan, MD, Gianni D. Angelini, MD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 1, Pages 79-88.e4 (January 2017) DOI: 10.1016/j.jtcvs.2016.08.060 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Graphic visualization of standardized mean difference before after propensity score matching. RCA, Right coronary artery; LAD, left anterior descending artery; LMD, left main disease; PVD, peripheral vascular disease; CX, circumflex artery; PCI, percutaneous coronary intervention; IABP, intra-aortic balloon pump; DIA, diagonal; MI, myocardial infarction; CVA, cerebrovascular accident; AF, atrial fibrillation; LV, left ventricle; COPD, chronic obstructive pulmonary disease; BMI, body mass index; DM, diabetes mellitus; OPCAB, off-pump coronary artery bypass grafting. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Kaplan-Meier survival curve probabilities in the right internal thoracic artery (RITA) and the radial artery (RA) groups in the propensity-score-matched population. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Propensity-score-adjusted Cox model survival curve probabilities in the right internal thoracic artery (RITA) and the radial artery (RA) groups according to the experimental conduit target. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Propensity-score-adjusted Cox model survival curve probabilities in the right internal thoracic artery (RITA) and the radial artery (RA) groups with the experimental conduit grafted to the left coronary system according to different RITA graft configuration. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Number of procedures per year performed by using the RITA or the RA as second arterial conduit during the study period. RITA, Right internal thoracic artery; RA, radial artery. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 Graphic visualization of missing data rates and combinations. LMD, Left main disease; BMI, body mass index; OPCAB, off-pump coronary artery bypass grafting; LV, left ventricle; CVA, cerebrovascular accident; IABP, intra-aortic balloon pump; MI, myocardial infarction; DM, diabetes mellitus; COPD, chronic obstructive pulmonary disease; PVD, peripheral vascular disease; AF, atrial fibrillation; PCI, percutaneous coronary intervention; YOP, year of procedure. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Area under the curve for the propensity score model. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E4 Number of procedures per year performed off-pump during in the study population. OPCAB, Off-pump coronary artery bypass; ONCAB, on-pump coronary artery bypass. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E5 Schoenfeld residuals visualization to check the proportional hazard assumption for the treatment variable on late mortality (beyond 4 years). The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E6 Kaplan-Meier survival curve probabilities in the unmatched radial artery (RA) groups. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure E7 Propensity-score-adjusted Cox model survival curve probabilities in the right internal thoracic artery (RITA) and the radial artery (RA) groups with the experimental conduit grafted to the right coronary system according to different RITA graft configuration. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Kaplan-Meier survival curve probabilities in the right internal thoracic artery (RITA) and the radial artery (RA) groups in the propensity-score-matched population. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Radial artery grated to the circumflex artery during off-pump coronary artery bypass. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)31099-6/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 79-88.e4DOI: (10.1016/j.jtcvs.2016.08.060) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions