Cited 7 times in
Effect of the proximal anastomosis site on mid-term radial artery patency in off-pump coronary artery bypass
DC Field | Value | Language |
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dc.contributor.author | 김도정 | - |
dc.contributor.author | 유경종 | - |
dc.contributor.author | 윤영남 | - |
dc.contributor.author | 이승현 | - |
dc.contributor.author | 주현철 | - |
dc.date.accessioned | 2018-10-11T08:53:45Z | - |
dc.date.available | 2018-10-11T08:53:45Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1010-7940 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/163441 | - |
dc.description.abstract | OBJECTIVES: The purpose of this study was to evaluate mid-term patency and clinical outcomes according to the proximal anastomosis site after off-pump coronary artery bypass using the radial artery (RA). METHODS: From January 2001 to December 2015, 1124 patients who underwent isolated off-pump coronary artery bypass using the RA were reviewed and divided into 2 groups: the composite Y-graft (n = 1014, Y group) and aortocoronary graft (n = 110, Aorta group). Graft patency was assessed by computed tomography or coronary angiography. RESULTS: Patients receiving Y-grafts had a greater number of RA anastomoses (1.79 ± 0.68 per patient vs 1.40 ± 0.51 per patient, P < 0.001), more sequential grafts (55.6% vs 37.3%, P < 0.001) and a higher incidence of total arterial revascularization (77.9% vs 54.5%, P < 0.001). Postoperative graft patency at a mean of 3.1 ± 3.5 years was assessed in 1944 distal RA anastomoses (Y group: 1811, Aorta group: 133). No significant differences were observed in RA graft patency rate (P = 0.705), overall survival (P = 0.987) and major cardiac event-free survival (P = 0.830) between groups. Multivariable analysis demonstrated that the independent predictors of graft occlusion were age [hazard ratio (HR) 1.025, confidence interval (CI) 1.007-1.044; P = 0.007], female gender (HR 1.391, CI 1.007-1.924; P = 0.047), target of the right coronary artery territory (HR 2.135, CI 1.347-3.382; P = 0.001) and target vessel stenosis ≥90% (HR 0.478, CI 0.291-0.785; P = 0.004). The proximal anastomosis site was not significantly associated with graft occlusion (P = 0.705). CONCLUSIONS: When target vessel territory and stenosis are appropriately considered, the RA as a secondary conduit can be effectively used for myocardial revascularization, regardless of the proximal anastomosis site. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier Science | - |
dc.relation.isPartOf | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Effect of the proximal anastomosis site on mid-term radial artery patency in off-pump coronary artery bypass | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Thoracic & Cardiovascular Surgery | - |
dc.contributor.googleauthor | Do Jung Kim | - |
dc.contributor.googleauthor | Seung Hyun Lee | - |
dc.contributor.googleauthor | Hyun-Chel Joo | - |
dc.contributor.googleauthor | Kyung-Jong Yoo | - |
dc.contributor.googleauthor | Young-Nam Youn | - |
dc.identifier.doi | 10.1093/ejcts/ezy059 | - |
dc.contributor.localId | A04519 | - |
dc.contributor.localId | A02453 | - |
dc.contributor.localId | A02576 | - |
dc.contributor.localId | A02935 | - |
dc.contributor.localId | A03960 | - |
dc.relation.journalcode | J00811 | - |
dc.identifier.eissn | 1873-734X | - |
dc.identifier.pmid | 29506024 | - |
dc.identifier.url | https://academic.oup.com/ejcts/article/54/3/475/4915912 | - |
dc.subject.keyword | Coronary artery bypass | - |
dc.subject.keyword | Off-pump | - |
dc.subject.keyword | Radial artery | - |
dc.subject.keyword | Graft occlusion | - |
dc.subject.keyword | Vascular | - |
dc.subject.keyword | Myocardial revascularization | - |
dc.contributor.alternativeName | Kim, Do Jung | - |
dc.contributor.alternativeName | Yoo, Kyung Jong | - |
dc.contributor.alternativeName | Youn, Young Nam | - |
dc.contributor.alternativeName | Lee, Seung Hyun | - |
dc.contributor.alternativeName | Joo, Hyun Chel | - |
dc.contributor.affiliatedAuthor | Kim, Do Jung | - |
dc.contributor.affiliatedAuthor | Yoo, Kyung Jong | - |
dc.contributor.affiliatedAuthor | Youn, Young Nam | - |
dc.contributor.affiliatedAuthor | Lee, Seung Hyun | - |
dc.contributor.affiliatedAuthor | Joo, Hyun Chel | - |
dc.citation.volume | 54 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 475 | - |
dc.citation.endPage | 482 | - |
dc.identifier.bibliographicCitation | EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, Vol.54(3) : 475-482, 2018 | - |
dc.identifier.rimsid | 60391 | - |
dc.type.rims | ART | - |
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