The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 1 , Pages 60-67 , January 2010

Comparable patencies of the radial artery and right internal thoracic artery or saphenous vein beyond 5 years: Results from the Radial Artery Patency and Clinical Outcomes trial

  • Philip A.R. Hayward, MRCP, FRCS

      Affiliations

    • Department of Cardiac Surgery, Austin Hospital and University of Melbourne, Melbourne, Victoria, Australia
  • ,
  • Ian R. Gordon, MSc, PhD, AStat

      Affiliations

    • Statistical Consulting Centre, University of Melbourne, Parkville, Victoria, Australia
  • ,
  • David L. Hare, DPM, FRACP

      Affiliations

    • Department of Cardiology, Austin Hospital and University of Melbourne, Melbourne, Victoria, Australia
  • ,
  • George Matalanis, FRACS

      Affiliations

    • Department of Cardiac Surgery, Austin Hospital and University of Melbourne, Melbourne, Victoria, Australia
  • ,
  • Mark L. Horrigan, FRACP

      Affiliations

    • Department of Cardiology, Austin Hospital and University of Melbourne, Melbourne, Victoria, Australia
  • ,
  • Alexander Rosalion, FRACS

      Affiliations

    • Department of Cardiac Surgery, Austin Hospital and University of Melbourne, Melbourne, Victoria, Australia
  • ,
  • Brian F. Buxton, FRACS, FRCS, FRCS(C)

      Affiliations

    • Department of Cardiac Surgery, Austin Hospital and University of Melbourne, Melbourne, Victoria, Australia
    • Corresponding Author InformationAddress for reprints: Brian F. Buxton, FRACS, FRCS, FRCS(C), Victorian Heart Centre, Epworth Hospital, Bridge Road, Richmond, Victoria, Australia.

Received 6 May 2008 ,Revised 2 September 2009 ,Accepted 28 September 2009.

References 

  1. Serruys PW, Ong AL, van Herwerden LA, Sousa JE, Jatyene A, Unger F, et al. Five-year outcomes after coronary stenting versus bypass surgery for the treatment of multivessel disease. The final analysis of the Arterial Revascularization Therapies (ARTS) randomized trial. J Am Coll Cardiol. 2005;46:575–581
  2. SoS Investigators. Coronary artery bypass surgery versus percutaneous coronary intervention with stent implantation in patients with multivessel coronary artery disease (the Stent or Surgery trial): a randomized controlled trial. Lancet. 2002;360:965–970
  3. Hayward PAR, Moten S, Gordon I, Matalanis GM, Hare D, Buxton BF. Does choice of arterial graft influence long-term clinical outcomes after coronary revascularisation? Results of a radial artery versus right internal thoracic artery trial. Ann Thorac Surg. 2007;84:493–497
  4. Hayward PAR, Hare DL, Gordon I, Buxton BF. Does use of an arterial or venous conduit for the second graft alter long term clinical outcome after CABG? Results of a randomized trial of radial artery versus saphenous vein. Eur J Cardiothorac Surg. 2008;34:113–117
  5. Buxton BF, Raman JS, Ruengsakulrach P, Gordon I, Rosalion A, Bellomo R, et al. Radial artery patency and clinical outcomes: five-year interim results of a randomized trial. J Thorac Cardiovasc Surg. 2003;125:1363–1371
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  8. Finkelstein DM. A proportional hazards model for interval censored failure time data. Biometrics. 1986;42:845–854
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  10. Lytle BW, Blackstone EH, Loop FD, Houghtaling PL, Arnold JH, Cosgrove DM, et al. Two internal thoracic arteries are better than one. J Thorac Cardiovasc Surg. 1999;117:855–872
  11. Taggart DP, D'Amico R, Altman DG. Effect of arterial revascularization on survival: a systemic review of studies comparing bilateral and single internal mammary arteries. Lancet. 2001;358:870–875
  12. Goldman S, Zadina K, Moritz T, Ovitt T, Sethi G, Copeland JG, et al. Long-term patency of saphenous vein and left internal mammary artery grafts after coronary artery bypass surgery: results from a Department of Veterans Affairs Cooperative Study. J Am Coll Cardiol. 2004;44:2149–2156
  13. Fitzgibbon GM, Kafka HP, Leach AJ, Keon WJ, Hooper D, Burton JR. Coronary bypass fate and patient outcome: angiographic follow up of 5,065 grafts related to survival and reoperation in 1,388 patients during 25 years. J Am Coll Cardiol. 1996;28616–28626
  14. Campeau L, Enjalbert M, Leasperance J, Bourassa MG, Kwiterovich P, Wacholder S, et al. The relation of risk factors to the development of atherosclerosis in saphenous vein bypass grafts and the progression of disease in native circulation: a study 10 years after aortocoronary bypass surgery. N Engl J Med. 1984;311:1329–1332
  15. Hayward PAR, Buxton BF. Angiographic patency of coronary artery grafts: 5-year observational data from the randomized controlled Radial Artery Patency and Clinical Outcomes (RAPCO) Study. Ann Thorac Surg. 2007;84:795–799

 Read at the Eighty-eighth Annual Meeting of The American Association for Thoracic Surgery, San Diego, Calif, May 10–14, 2008.

PII: S0022-5223(09)01277-X

doi: 10.1016/j.jtcvs.2009.09.043

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 1 , Pages 60-67 , January 2010