Comparison of free arterial and saphenous vein grafting in outcomes after coronary bypass surgery

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2022-04-08 DOI:10.1080/14017431.2022.2060525

V. Abromaitiene, J. Greisen, H. Kimose, Zidryne Karaliunaite, C. Jakobsen

引用次数: 1

Abstract

Abstract Objectives. The goal of this study was to examine whether the use of free arterial grafts could reduce the need for repeated revascularization and all-cause mortality in patients undergoing coronary artery grafting. Design. The cohort study included 17,354 consecutive adults with isolated coronary artery grafting from 2000 to 2016 in three cardiac surgery centers. Data were obtained from the Western Denmark Heart Registry. Propensity matching with 24 factors was used to establish comparable groups of patients receiving either vein grafts (n = 1019) or free arterial grafts (n = 1019) for outcome analysis. Results. The need for repeated revascularization and all-cause mortality was similar in both graft groups at 10 years of follow-up. Creatine-Kinase MB Isoenzyme >100 μg/L increased the risk of repeated revascularization rate after 1, 5 and 10 years. Conclusions. Long-term outcomes in revascularization and survival are comparable after free arterial or saphenous vein grafting.

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游离动脉和隐静脉移植在冠状动脉搭桥术后疗效的比较

抽象的目标。本研究的目的是研究游离动脉移植是否可以减少冠状动脉移植患者的反复血运重建需求和全因死亡率。设计。该队列研究纳入了2000年至2016年在三个心脏外科中心连续进行孤立冠状动脉移植的17,354名成年人。数据来自西丹麦心脏登记处。采用24个因素的倾向匹配，建立接受静脉移植(n = 1019)或游离动脉移植(n = 1019)患者的可比较组，进行结果分析。结果。在10年的随访中，两个移植组的重复血运重建需求和全因死亡率相似。肌酸激酶MB同工酶>100 μg/L增加了1、5和10年后重复血运重建率的风险。结论。游离动脉或隐静脉移植在血运重建和生存方面的长期结果是相当的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.