Does grafting of the left anterior descending artery with the in situ right internal thoracic artery have an impact on late outcomes in the context of.

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Presentation transcript:

Does grafting of the left anterior descending artery with the in situ right internal thoracic artery have an impact on late outcomes in the context of bilateral internal thoracic artery usage? Shahzad G. Raja, BSc, MBBS, MRCS, FRCS(C-Th), Umberto Benedetto, MD, PhD, Mubassher Husain, MRCS, Rafik Soliman, MD, Fabio De Robertis, MD, Mohamed Amrani, MD, PhD, FETCS, FRCS The Journal of Thoracic and Cardiovascular Surgery Volume 148, Issue 4, Pages 1275-1281 (October 2014) DOI: 10.1016/j.jtcvs.2013.11.045 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Graphic representation of standardized difference changes after propensity score matching. ckd, Chronic kidney disease; bmi, body mass index; cpb, cardiopulmonary bypass; tar, total arterial revascularization; ir, incomplete revascularization; ngr, number of grafts received; elec, elective; lv30, left ventricular ejection fraction <30%; lv50, left ventricular ejection fraction <50%; ndv, number of diseased vessels; paf, preoperative atrial fibrillation; pvd, peripheral vascular disease; neud, neurologic dysfunction; cva, cerebrovascular accident; copd, chronic obstructive pulmonary disease; smp, present smoker; hpt, hypertension; hcho, hypercholesterolemia; ins, insulin-dependent diabetics; pptca, previous percutaneous transluminal coronary angioplasty; pmi, previous myocardial infarction; nyha, New York Heart Association; fem, female. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1275-1281DOI: (10.1016/j.jtcvs.2013.11.045) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Freedom from all-cause mortality for matched groups. LITA, Left internal thoracic artery; LAD, left anterior descending artery; RITA, right internal thoracic artery. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1275-1281DOI: (10.1016/j.jtcvs.2013.11.045) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Freedom from repeat revascularization for matched groups. LITA, Left internal thoracic artery; LAD, left anterior descending; RITA, right internal thoracic artery. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1275-1281DOI: (10.1016/j.jtcvs.2013.11.045) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Freedom from composite of death and repeat revascularization for matched groups. LITA, Left internal thoracic artery; LAD, left anterior descending; RITA, right internal thoracic artery. The Journal of Thoracic and Cardiovascular Surgery 2014 148, 1275-1281DOI: (10.1016/j.jtcvs.2013.11.045) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions