The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1093-1100 , May 2009

Arterial revascularization in primary coronary artery bypass grafting: Direct comparison of 4 strategies—Results of the Stand-in-Y Mammary Study

  • Giuseppe Nasso, MD

      Affiliations

    • Division of Cardiac Surgery, Anthea Hospital, Bari, Italy
    • Corresponding Author InformationAddress for reprints: Giuseppe Nasso, MD, Division of Cardiac Surgery, Anthea Hospital, Via C. Rosalba, 35-37, 70124 Bari, Italy.
    • ,
  • Roberto Coppola, MD

      Affiliations

    • Division of Cardiac Surgery, Villa Azzurra Hospital, Rapallo, Italy
    • ,
  • Raffaele Bonifazi, MD

      Affiliations

    • Division of Cardiac Surgery, Anthea Hospital, Bari, Italy
    • ,
  • Felice Piancone, MD

      Affiliations

    • Division of Cardiac Surgery, Anthea Hospital, Bari, Italy
    • ,
  • Giuseppe Bozzetti, MD

      Affiliations

    • Division of Cardiac Surgery, Anthea Hospital, Bari, Italy
    • ,
  • Giuseppe Speziale, MD

      Affiliations

    • Division of Cardiac Surgery, Anthea Hospital, Bari, Italy

Received 3 July 2008 ,Revised 22 September 2008 ,Accepted 16 October 2008.

  • Image Result

    Schematic outline of the revascularization strategies in the study groups (the vessels of the lateral wall are depicted as the secondary coronary target). A, Group 1. Y graft: in situ left internal th

    Schematic outline of the revascularization strategies in the study groups (the vessels of the lateral wall are depicted as the secondary coronary target). A, Group 1. Y graft: in situ left internal thoracic artery (LITA)–left anterior descending coronary artery and isolated right internal thoracic artery (RITA) to the secondary target with or without great saphenous vein (GSV) graft(s). B, Group 2. In situ right internal thoracic artery (RITA)–left anterior descending coronary artery in situ left internal thoracic artery (LITA) to the secondary target with or without great saphenous vein (GSV) graft(s). C, Group 3. In situ left internal thoracic artery (LITA)–left anterior descending coronary artery and free radial artery (RA) graft to the secondary target with or without great saphenous vein (GSV) graft(s). Group 3 also includes a Y graft: in situ LITA–left anterior descending coronary artery and RA segment to the secondary target with or without GSV grafts. D, Group 4, Control group: in situ left internal thoracic artery (LITA)–left anterior descending coronary artery plus great saphenous vein (GSV) graft(s).

  • Image Result
    Overall survival at the end of the follow-up period in the 4 study groups.

    Overall survival at the end of the follow-up period in the 4 study groups.

  • Image Result
    Freedom from adverse cardiac events at the end of the follow-up period in the 4 study groups.

    Freedom from adverse cardiac events at the end of the follow-up period in the 4 study groups.

  • Image Result
    Freedom from adverse cardiac events in patients younger and older than 75 years (arterial revascularization vs traditional revascularization).

    Freedom from adverse cardiac events in patients younger and older than 75 years (arterial revascularization vs traditional revascularization).

PII: S0022-5223(08)01744-3

doi: 10.1016/j.jtcvs.2008.10.029

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 5 , Pages 1093-1100 , May 2009

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