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Right internal thoracic artery or radial artery

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Presentation on theme: "Right internal thoracic artery or radial artery"— Presentation transcript:

1 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 e4 (January 2017) DOI: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

5 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

6 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

7 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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

9 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

10 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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

12 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

13 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  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

14 Video 1 Radial artery grated to the circumflex artery during off-pump coronary artery bypass. Video available at: The Journal of Thoracic and Cardiovascular Surgery  , e4DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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