M Gaudino. 2 Loop FD et al NEJM 1986 Arterial conduits used for coronary artery bypass grafting - Internal Thoracic Artery - Radial Artery - Right.

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Presentation transcript:

M Gaudino

2

Loop FD et al NEJM 1986

Arterial conduits used for coronary artery bypass grafting - Internal Thoracic Artery - Radial Artery - Right Gastroepiploic Artery - Inferior Epigastric Artery - Others

Ann Cardiothorac Surg 2013

Effects of bilateral internal mammary artery grafting on long-term survival. Gijong Yi et al. Circulation. 2014;130: Copyright © American Heart Association, Inc. All rights reserved.

Zhang H. Herz 2013 Comparison of radial artery versus saphenous vein for clinical outcomes

© 2013 by Lippincott Williams & Wilkins. Published by Lippincott Williams & Wilkins, Inc.2 Saphenous Vein Graft Failure After Coronary Artery Bypass Surgery: Pathophysiology, Management, and Future Directions. Annals of Surgery. 257(5): , May 2013.

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12 Hess et al. Predictors of VGF After CABG. Circulation. 2014;130:

Comparative patencies of different in situ and free arterial conduits at 5 years. Hayward PA, Buxton BF. Contemporary Coronary Graft Patency: 5-Year Observational Data From a Randomized Trial of Conduits. Ann Thorac Surg 2007;84:795-9.

Actuarial graft patency on protocol-directed angiography at 1 month to 10 years. Hayward PA, Buxton BF. Contemporary Coronary Graft Patency: 5-Year Observational Data From a Randomized Trial of Conduits. Ann Thorac Surg 2007;84: SV isART fART

Cao et al J Thorac Cardiovasc Surg 2013 RA vs GSV: graft occlusion

Cao et al J Thorac Cardiovasc Surg 2013 RA vs GSV: overall graft failure

Cao et al J Thorac Cardiovasc Surg 2013 RA vs GSV: graft patency

European Journal of Cardio-Thoracic Surgery (2014) 1–7

The real world

RAPCO Trial: Assessment, enrolment and randomization - group 1 Hayward et al.The Radial Artery Patency and Clinical Outcomes (RAPCO) Trial: Design, Intermediate Term Results and Future Direction Heart, Lung and Circulation 2011

Hayward PA and BuxtonBF Ann Cardiothorac Surg 2013;2(4): Kaplan-Meier estimates of survival by intention to treat of RA vs. RITA patients, Group 1

Hayward PA and BuxtonBF Ann Cardiothorac Surg 2013;2(4): Kaplan-Meier estimates of Event free survival of RA vs. RITA patients, Group 1

Hayward PA et al J Thorac Cardiovasc Surg 2010;139:60-7 Kaplan-Meier estimates of graft patency in group 1 by intention to treat

Scheme for the choice of the second arterial conduit Gaudino et al ATS 2015

Gaudino et al JACC 2015

Kamiya et al Ann Thorac Surg 2003