دورية أكاديمية
أعرض في EDS

Skeletonized Versus Pedicled Harvesting of the Internal Thoracic Artery and Long-Term Clinical Outcomes in Coronary Artery Bypass Surgery.

التفاصيل البيبلوغرافية
العنوان: Skeletonized Versus Pedicled Harvesting of the Internal Thoracic Artery and Long-Term Clinical Outcomes in Coronary Artery Bypass Surgery.
المؤلفون: Dalén M; Department of Cardiothoracic Surgery Karolinska University Hospital Stockholm Sweden.; Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden., Dismorr M; Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden., Glaser N; Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden.; Department of Cardiology Stockholm South General Hospital Stockholm Sweden., Sartipy U; Department of Cardiothoracic Surgery Karolinska University Hospital Stockholm Sweden.; Department of Molecular Medicine and Surgery Karolinska Institutet Stockholm Sweden.
المصدر: Journal of the American Heart Association [J Am Heart Assoc] 2024 Jun 18; Vol. 13 (12), pp. e034354. Date of Electronic Publication: 2024 Jun 11.
نوع المنشور: Journal Article; Observational Study; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: England NLM ID: 101580524 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2047-9980 (Electronic) Linking ISSN: 20479980 NLM ISO Abbreviation: J Am Heart Assoc Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Oxford : Wiley-Blackwell
مواضيع طبية MeSH: Mammary Arteries*/transplantation , Coronary Artery Disease*/surgery , Coronary Artery Disease*/mortality , Tissue and Organ Harvesting*/methods , Tissue and Organ Harvesting*/adverse effects , Coronary Artery Bypass*/methods , Coronary Artery Bypass*/adverse effects , Coronary Artery Bypass*/mortality, Humans ; Female ; Male ; Aged ; Middle Aged ; Treatment Outcome ; Sweden/epidemiology ; Time Factors ; Registries ; Postoperative Complications/epidemiology ; Postoperative Complications/mortality ; Risk Factors
مستخلص: Background: The internal thoracic artery (ITA) is the most important conduit for coronary artery bypass grafting. Recent evidence suggests that skeletonized ITA harvesting yields long-term outcomes inferior to those of pedicled harvesting. The aim was to investigate the impact of the ITA harvesting method on 10-year mortality and major adverse cardiovascular events.
Methods and Results: In this observational cohort study, we identified all patients from the SWEDEHEART (Swedish Web-System for Enhancement and Development of Evidence-Based Care in Heart Disease Evaluated According to Recommended Therapies) register who underwent isolated coronary artery bypass grafting using at least 1 ITA at Karolinska University Hospital from 2012 to 2021. The main outcome was all-cause mortality, and the secondary outcomes were a combination of myocardial infarction, repeat revascularization, heart failure, and stroke. Outcomes were ascertained using national health data registers and compared between the skeletonized and pedicled groups using weighted flexible parametric survival models. Among 3267 patients, 1657 (51%) underwent pedicled ITA harvesting and 1610 (49%) underwent skeletonized ITA harvesting. The patients' mean age was 66 years, and 15% were women. The weighted all-cause mortality incidence rate in the pedicled versus skeletonized ITA group was 2.6% (95CI, 2.2%-3.0%) versus 2.6% (95% CI, 2.2%-3.1%), respectively (hazard ratio (HR), 1.01 [95% CI, 0.81-1.27]). The weighted major adverse cardiovascular events incidence rate was 7.8% (95% CI, 7.1%-8.6%) versus 7.5% (95% CI, 6.7%-8.4%), respectively (HR, 0.94 [95% CI, 0.82-1.08]).
Conclusions: We found no significant differences in all-cause mortality or major adverse cardiovascular events rates between the 2 ITA harvesting methods.
References: Interact Cardiovasc Thorac Surg. 2018 Jul 1;27(1):67-74. (PMID: 29452368)
N Engl J Med. 2016 Sep 8;375(10):e22. (PMID: 27602683)
Eur J Epidemiol. 2009;24(11):659-67. (PMID: 19504049)
Interact Cardiovasc Thorac Surg. 2013 Jun;16(6):849-57. (PMID: 23446674)
Int J Surg. 2014;12(7):666-72. (PMID: 24880018)
Stat Med. 2017 Apr 30;36(9):1429-1446. (PMID: 28008649)
PLoS Med. 2015 Oct 06;12(10):e1001885. (PMID: 26440803)
Ann Thorac Surg. 1999 Nov;68(5):1623-7. (PMID: 10585031)
Ann Thorac Surg. 2016 Feb;101(2):801-9. (PMID: 26680310)
Circulation. 2023 Oct 24;148(17):1305-1315. (PMID: 37417248)
J Clin Epidemiol. 2008 Apr;61(4):344-9. (PMID: 18313558)
Int J Surg. 2015 Apr;16(Pt B):146-52. (PMID: 25448641)
Eur J Epidemiol. 2016 Feb;31(2):125-36. (PMID: 26769609)
Thorac Cardiovasc Surg. 1993 Feb;41(1):16-20. (PMID: 8103610)
Nucl Med Commun. 2002 Jan;23(1):47-52. (PMID: 11748437)
N Engl J Med. 1986 Jan 2;314(1):1-6. (PMID: 3484393)
J Thorac Cardiovasc Surg. 2008 Jan;135(1):32-7. (PMID: 18179915)
Semin Thorac Cardiovasc Surg. 2021 Spring;33(1):10-18. (PMID: 32979482)
JAMA Cardiol. 2021 Sep 1;6(9):1042-1049. (PMID: 34132753)
Ann Thorac Surg. 1999 Dec;68(6):2164-8. (PMID: 10616995)
Asian Cardiovasc Thorac Ann. 2021 Jul;29(6):490-497. (PMID: 33334128)
Eur J Heart Fail. 2005 Aug;7(5):787-91. (PMID: 15916919)
Heart. 2010 Oct;96(20):1617-21. (PMID: 20801780)
N Engl J Med. 2009 Nov 5;361(19):1827-37. (PMID: 19890125)
Curr Opin Cardiol. 2009 Nov;24(6):559-66. (PMID: 19696665)
J Thorac Cardiovasc Surg. 2003 Mar;125(3):638-41. (PMID: 12658207)
J Am Coll Cardiol. 2021 Jul 27;78(4):365-383. (PMID: 34294272)
Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):97-104. (PMID: 19854791)
BMC Public Health. 2011 Jun 09;11:450. (PMID: 21658213)
N Engl J Med. 2017 Oct 5;377(14):1319-1330. (PMID: 28844192)
Thorac Cardiovasc Surg. 2003 Oct;51(5):255-9. (PMID: 14571341)
Circulation. 2021 Oct 5;144(14):1120-1129. (PMID: 34510911)
Circulation. 2006 Aug 22;114(8):766-73. (PMID: 16908767)
JAMA Cardiol. 2021 Dec 1;6(12):1380-1386. (PMID: 34586338)
J Thorac Cardiovasc Surg. 2016 Jul;152(1):270-6. (PMID: 27112712)
فهرسة مساهمة: Keywords: cardiac surgery; coronary artery bypass grafting; epidemiology; internal thoracic artery; survival
تواريخ الأحداث: Date Created: 20240611 Date Completed: 20240618 Latest Revision: 20240720
رمز التحديث: 20240720
مُعرف محوري في PubMed: PMC11255766
DOI: 10.1161/JAHA.124.034354
PMID: 38860397
قاعدة البيانات: MEDLINE
الوصف
تدمد:2047-9980
DOI:10.1161/JAHA.124.034354