Total arterial complete revascularization versus combined complete revascularization in patients undergoing coronary artery bypass grafting: Early outcomes

Background

Total arterial revascularization is a target to achieve in patients with coronary artery disease (CAD) especially in younger patients. This study sought to assess early outcomes after total arterial complete re-vascularization versus combined complete re-vascularization in patients undergoing coronary artery bypass surgery (CABG).

Methods

In a period of 12 months, a number of 104 successive patients subjected to on-pump isolated CABG (no other concomitant procedures) were included in our study. Those patients were divided into two main groups based on grafting strategy: Total arterial grafts “G1” (all arterial grafts no saphenous veins) and Left internal mammary artery (LIMA) in addition to saphenous vein grafts (SVG) “G2”.

Results

Complete arterial re-vascularization patients “G1”were younger, more often of male gender, better New York Heart Association (NYHA), less often operated upon urgently and more comorbid diseases without any significant difference. On the other hand, composite complete re-vascularization “G2” received more distal anastomosis than complete arterial re-vascularization patients “G1” without any significant difference.

Conclusions

Looking for the early results it may be difficult to get a significant difference between total arterial revascularization and composite arterial and venous grafting.