The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages 1511-1518.e4 , June 2010

Late outcomes after radial artery versus saphenous vein grafting during reoperative coronary artery bypass surgery

  • Anoar Zacharias, MD

      Affiliations

    • Yvonne Viens, SGM, Research Institute-Saint Vincent Mercy Medical Center, Toledo, Ohio
  • ,
  • Thomas A. Schwann, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Regional Heart and Vascular Center at Saint Vincent Mercy Medical Center, Toledo, Ohio
  • ,
  • Christopher J. Riordan, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Regional Heart and Vascular Center at Saint Vincent Mercy Medical Center, Toledo, Ohio
  • ,
  • Samuel J. Durham, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Regional Heart and Vascular Center at Saint Vincent Mercy Medical Center, Toledo, Ohio
    • Department of Surgery, University of Toledo College of Medicine, Toledo, Ohio
  • ,
  • Aamir S. Shah, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Regional Heart and Vascular Center at Saint Vincent Mercy Medical Center, Toledo, Ohio
    • Department of Surgery, University of Toledo College of Medicine, Toledo, Ohio
  • ,
  • Milo Engoren, MD

      Affiliations

    • Division of Cardiothoracic Surgery, the Regional Heart and Vascular Center at Saint Vincent Mercy Medical Center, Toledo, Ohio
  • ,
  • Robert H. Habib, PhD

      Affiliations

    • Yvonne Viens, SGM, Research Institute-Saint Vincent Mercy Medical Center, Toledo, Ohio
    • Department of Medicine, University of Toledo College of Medicine, Toledo, Ohio
    • Corresponding Author InformationAddress for reprints: Robert H. Habib, PhD, Cardiovascular and Pulmonary Research, Yvonne Viens, SGM, Research Institute, St Vincent Mercy Medical Center, 2222 Cherry St, MOB2, Suite 1250, Toledo, OH 43608.

Received 9 March 2009 ,Revised 3 July 2009 ,Accepted 29 July 2009.

References 

  1. Loop F, Lytle B, Cosgrove D, et al. Influence of the internal-mammary-artery graft on 10-year survival and other cardiac events. N Engl J Med. 1986;314:1–6
  2. Cameron A, Davis KB, Green G, Schaff HV. Coronary bypass surgery with internal-thoracic-artery grafts—effects on survival over a 15-year period. N Engl J Med. 1996;334:216–219
  3. Lytle BW, Blackstone EH, Sabik JF, Houghtaling P, Loop FD, Cosgrove DM. The effect of bilateral internal thoracic artery grafting on survival during 20 postoperative years. Ann Thorac Surg. 2004;78:2005–2012
  4. Rankin JS, Tuttle RH, Wechsler AS, Teichmann TL, Glower DD, Califf RM. Techniques and benefits of multiple internal mammary artery bypass at 20 years of follow-up. Ann Thorac Surg. 2007;83:1008–1014
  5. Zacharias A, Habib RH, Schwann TA, Riordan CJ, Durham SJ, Shah A. Improved survival with radial artery versus vein conduits in coronary bypass surgery with left internal thoracic artery to left anterior descending artery grafting. Circulation. 2004;109:1489–1496
  6. Schwann TA, Zacharias A, Riordan CJ, Durham SJ, Shah AS, Habib RH. Survival and graft patency following coronary artery bypass grafting with coronary endarterectomy: role of arterial versus vein conduits. Ann Thorac Surg. 2007;84:25–31
  7. Zacharias A, Schwann TA, Riordan CJ, Durham SJ, Shah A, Habib RH. Late results of conventional versus all-arterial revascularization based on internal thoracic and radial artery grafting. Ann Thorac Surg. 2009;87:19–26e2
  8. Schwann TA, Zacharias A, Riordan CJ, Durham SJ, Shah AS, Habib RH. Sequential radial artery grafts for multi-vessel CABG: 10-year survival and angiography results. Ann Thorac Surg. 2009;88:31–39
  9. Lytle BW, McElroy D, McCarthy P, et al. Influence of arterial coronary bypass grafts on the mortality in coronary reoperations. J Thorac Cardiovasc Surg. 1994;107:675–683
  10. Sabik JF, Blackstone EH, Houghtaling PL, et al. Is reoperation still a risk factor in coronary artery bypass surgery?. Ann Thorac Surg. 2005;80:1719–1727
  11. Blackstone EH. Comparing apples to oranges. J Thorac Cardiovasc Surg. 2002;123:8–15
  12. Harrell FE. Regression modeling strategies: with application to linear models, logistic regression, and survival analysis. New York: Springer-Verlag; 2001;
  13. Myers WO, Blackstone EH, Davis K, Foster ED, Kaiser GC. CASS Registry long-term surgical survival. Coronary Artery Surgery Study. J Am Coll Cardiol. 1999;33:488–498
  14. Domanski MJ, Borkowf CB, Campeau L, et al. Prognostic factors for atherosclerosis progression in saphenous vein grafts. J Am Coll Cardiol. 2000;36:1877–1883
  15. Christenson JT, Schmuziger M, Simonet F. Reoperative coronary artery bypass procedures: risk factors for early mortality and late survival. Eur J Cardiothorac Surg. 1997;11:129–133
  16. Alexander JH, Hafley G, Harrington RA, et al. Efficacy and safety of edifoligide, an E2F transcription factor decoy, for prevention of vein graft failure following coronary artery bypass graft surgery: PREVENT IV: a randomized controlled trial. JAMA. 2005;294:2446–2454
  17. Mishra YK, Collison SP, Malhotra R, et al. Ten-year experience with single-vessel and multivessel reoperative off-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2008;135:527–532
  18. Possati G, Gaudino M, Alessandrini F, et al. Midterm clinical and angiographic results of radial artery grafts used for myocardial revascularization. J Thorac Cardiovasc Surg. 1998;116:1015–1021
  19. Desai ND, Cohen EA, Naylor D, Fremes SE. A randomized comparison of radial-artery and saphenous-vein coronary bypass grafts. N Engl J Med. 2004;351:2302–2309
  20. Buxton BF, Raman JS, Ruengsakulrach P, et al. Radial artery patency and clinical outcomes: five-year interim results of a randomized trial. J Thorac Cardiovasc Surg. 2003;125:1363–1371
  21. Collins P, Webb CM, Chong CF, Moat NE for the Radial Artery Versus Saphenous Vein Patency (RSVP) Trial Investigators. Radial artery versus saphenous vein patency randomized trial: five-year angiographic follow-up. Circulation. 2008;117:2859–2864
  22. Loop FD, Lytle BW, Cosgrove DM, et al. Reoperation for coronary atherosclerosis. Changing practice in 2509 consecutive patients. Ann Surg. 1990;212:378–385
  23. Kaul TK, Fields BL, Wyatt DA, Jones CR, Kahn DR. Reoperative coronary artery bypass surgery: early and late results and management in 1300 patients. J Cardiovasc Surg. 1995;36:303–312
  24. Weintraub WS, Jones EL, Craver JM, et al. In-hospital and long-term outcome after reoperative coronary artery bypass graft surgery. Circulation. 1995;92(suppl II):II50
  25. Dougenis D, Brown AH. Long term results of reoperations for recurrent angina with internal mammary artery versus saphenous vein grafts. Heart. 1998;80:9–13
  26. Tatoulis J, Buxton BF, Fuller JA. The radial artery in reoperative coronary bypass surgery: a 5-year experience. J Card Surg. 2004;19:296–302
  27. Taggart DP. Arterial or venous conduits for redo coronary artery bypass grafting?. Heart. 1998;80:1–2

 This research is supported by departmental and institutional funds.

 Disclosures: None.

PII: S0022-5223(09)01054-X

doi: 10.1016/j.jtcvs.2009.07.068

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages 1511-1518.e4 , June 2010