Coronary artery bypass grafts to chronic occluded right coronary arteries.
CABG
CABG, coronary artery bypass grafting
CAD, coronary artery disease
CR, complete revascularization
CTO, chronic total occlusion
EuroSCORE II, European System for Cardiac Operative Risk Evaluation II
IQR, interquartile range
IR, incomplete revascularization
MACCE, major adverse cardiac and cerebrovascular events
MI, myocardial infarction
PCI, percutaneous coronary intervention
RCA, right coronary artery
chronic occluded coronary arteries
coronary artery bypass grafting
coronary artery disease
Journal
JTCVS open
ISSN: 2666-2736
Titre abrégé: JTCVS Open
Pays: Netherlands
ID NLM: 101768541
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
received:
05
01
2021
accepted:
04
06
2021
entrez:
25
8
2022
pubmed:
9
6
2021
medline:
9
6
2021
Statut:
epublish
Résumé
The benefit of revascularizing chronically occluded coronary arteries remains debatable, and available long-term outcome reports are sparse. Current guidelines recommend revascularization of chronically occluded arteries only in patients with myocardial ischemia and/or symptoms associated with angina. We investigated outcome of patients with total chronic occlusion of the right coronary artery (RCA) receiving coronary artery bypass grafting (CABG) surgery with and without revascularization of the RCA. We retrospectively analyzed all patients with chronically occluded RCAs receiving CABG with (group 1 = RCA-CABG; n = 487) and without (group 2 = No-RCA-CABG; n = 100) revascularization of the RCA. In total, 587 patients with complete follow-up of a minimum of 6 years were included (92%). In total, 82% in group 1 versus 86% in group 2 were male ( Patients with a chronically occluded RCA undergoing CABG who did not receive an RCA graft showed a significantly reduced long-term survival. Given the herein presented data, revascularization of chronically occluded right arteries during CABG should be recommended whenever technically feasible.
Sections du résumé
Background
UNASSIGNED
The benefit of revascularizing chronically occluded coronary arteries remains debatable, and available long-term outcome reports are sparse. Current guidelines recommend revascularization of chronically occluded arteries only in patients with myocardial ischemia and/or symptoms associated with angina. We investigated outcome of patients with total chronic occlusion of the right coronary artery (RCA) receiving coronary artery bypass grafting (CABG) surgery with and without revascularization of the RCA.
Methods
UNASSIGNED
We retrospectively analyzed all patients with chronically occluded RCAs receiving CABG with (group 1 = RCA-CABG; n = 487) and without (group 2 = No-RCA-CABG; n = 100) revascularization of the RCA. In total, 587 patients with complete follow-up of a minimum of 6 years were included (92%).
Results
UNASSIGNED
In total, 82% in group 1 versus 86% in group 2 were male (
Conclusions
UNASSIGNED
Patients with a chronically occluded RCA undergoing CABG who did not receive an RCA graft showed a significantly reduced long-term survival. Given the herein presented data, revascularization of chronically occluded right arteries during CABG should be recommended whenever technically feasible.
Identifiants
pubmed: 36003729
doi: 10.1016/j.xjon.2021.06.007
pii: S2666-2736(21)00156-X
pmc: PMC9390466
doi:
Types de publication
Journal Article
Langues
eng
Pagination
169-179Informations de copyright
© 2021 The Authors.
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