Off-Pump Bilateral Skeletonized Internal Thoracic Artery Grafting in Octogenarians
被引:1
作者:
Hachiro, Kohei
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机构:
Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, Japan
Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu 5202192, JapanShiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, Japan
Hachiro, Kohei
[1
,2
]
Suzuki, Tomoaki
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机构:
Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, JapanShiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, Japan
Suzuki, Tomoaki
[1
]
Takashima, Noriyuki
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h-index: 0
机构:
Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, JapanShiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, Japan
Takashima, Noriyuki
[1
]
Kamiya, Kenichi
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机构:
Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, JapanShiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, Japan
Kamiya, Kenichi
[1
]
机构:
[1] Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu, Japan
[2] Shiga Univ Med Sci, Dept Surg, Div Cardiovasc Surg, Otsu 5202192, Japan
Background: We compared postoperative outcomes in octogenarians who underwent off-pump isolated coronary artery bypass grafting for multivessel disease using either skeletonized bilateral or single internal thoracic artery (ITA). Methods and Results: Among 1,532 patients who underwent isolated coronary artery bypass grafting between 2002 and 2021, 173 octogenarians were analyzed retrospectively. After inverse probability of treatment weighting, we found no statistically significant difference regarding patients' preoperative characteristics. No patient experienced deep sternal wound infection. More patients in the single than bilateral ITA group died within 30 days after surgery (5.0% vs. 0%, respectively; P=0.003). The mean follow-up duration was 4.2 years. At 5 years, the freedom from overall death following bilateral versus single ITA grafting was 78.2% and 53.7%, respectively (log-rank test, P=0.003), and freedom from major adverse cardiac and cerebrovascular events (MACCE) was 67.9% and 44.8% respectively (log-rank test, P=0.002). In multivariable Cox models, bilateral ITA grafting was significantly associated with a lower risk of overall death (hazard ratio [HR] 0.555; 95% confidence interval [CI] 0.342-0.903; P=0.018) and MACCE (HR 0.586; 95% CI 0.376-0.913; P=0.018). Conclusions: Compared with single ITA grafting, off-pump skeletonized bilateral ITA grafting is associated with lower rates of overall death and MACCE in octogenarians undergoing CABG and does not increase the risk of deep sternal wound infection.
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Gaudino, Mario
Di Franco, Antonino
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Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Di Franco, Antonino
Alexander, John H.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Duke Clin Res Inst, Dept Med, Div Cardiol,Med Ctr, 40 Duke Med Cir, Durham, NC 27710 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Alexander, John H.
Bakaeen, Faisal
论文数: 0引用数: 0
h-index: 0
机构:
Cleveland Clin, Dept Thorac & Cardiovasc Surg, Carnegie Ave, Cleveland, OH 44103 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Bakaeen, Faisal
Egorova, Natalia
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, 1 Gustave Levy Pl, New York, NY 10029 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Egorova, Natalia
Kurlansky, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Ctr Innovat & Outcomes Res, Dept Surg, Med Ctr, 622 W 168th St, New York, NY 10032 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Kurlansky, Paul
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机构:
Boening, Andreas
Chikwe, Joanna
论文数: 0引用数: 0
h-index: 0
机构:
Cedars Sinai Med Ctr, Smidt Heart Inst, Dept Cardiac Surg, 8700 Beverly Blvd 2900A, Los Angeles, CA 90048 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Chikwe, Joanna
Demetres, Michelle
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Samuel J Wood Lib, 525 East 68th St, New York, NY 10065 USA
Weill Cornell Med, CV Starr Biomed Informat Ctr, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Demetres, Michelle
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机构:
Devereaux, Philip J.
Diegeler, Anno
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Ctr Bad Neustadt Saale, Dept Cardiac Surg, Von Guttenberg Str 11, D-97616 Bad Neustadt an der Saale, GermanyWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Diegeler, Anno
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Dimagli, Arnaldo
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机构:
Flather, Marcus
Hameed, Irbaz
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Hameed, Irbaz
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机构:
Lamy, Andre
Lawton, Jennifer S.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Dept Surg, Div Cardiac Surg, Sch Med, 733 N Broadway, Baltimore, MD 21205 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Lawton, Jennifer S.
Reents, Wilko
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Ctr Bad Neustadt Saale, Dept Cardiac Surg, Von Guttenberg Str 11, D-97616 Bad Neustadt an der Saale, GermanyWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Reents, Wilko
Robinson, N. Bryce
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Robinson, N. Bryce
Audisio, Katia
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h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Audisio, Katia
Rahouma, Mohamed
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h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Rahouma, Mohamed
Serruys, Patrick W.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Univ Ireland, Dept Cardiol, Univ Rd, Galway, IrelandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Serruys, Patrick W.
Hara, Hironori
论文数: 0引用数: 0
h-index: 0
机构:
Natl Univ Ireland, Dept Cardiol, Univ Rd, Galway, IrelandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Hara, Hironori
Taggart, David P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oxford, John Radcliffe Hosp, Nuffield Dept Surg Sci, Oxford OX1 2JD, EnglandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Taggart, David P.
Girardi, Leonard N.
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h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Girardi, Leonard N.
Fremes, Stephen E.
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h-index: 0
机构:
Univ Toronto, Schulich Heart Ctr Sunnybrook Hlth Sci Ctr, Hosp Rd, Toronto, ON M4N 3M5, CanadaWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Fremes, Stephen E.
Benedetto, Umberto
论文数: 0引用数: 0
h-index: 0
机构:
Univ Bristol, Bristol Heart Inst, Terrell St, Bristol BS2 8ED, Avon, EnglandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Gaudino, Mario
Di Franco, Antonino
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Di Franco, Antonino
Alexander, John H.
论文数: 0引用数: 0
h-index: 0
机构:
Duke Univ, Duke Clin Res Inst, Dept Med, Div Cardiol,Med Ctr, 40 Duke Med Cir, Durham, NC 27710 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Alexander, John H.
Bakaeen, Faisal
论文数: 0引用数: 0
h-index: 0
机构:
Cleveland Clin, Dept Thorac & Cardiovasc Surg, Carnegie Ave, Cleveland, OH 44103 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Bakaeen, Faisal
Egorova, Natalia
论文数: 0引用数: 0
h-index: 0
机构:
Icahn Sch Med Mt Sinai, Dept Populat Hlth Sci & Policy, 1 Gustave Levy Pl, New York, NY 10029 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Egorova, Natalia
Kurlansky, Paul
论文数: 0引用数: 0
h-index: 0
机构:
Columbia Univ, Ctr Innovat & Outcomes Res, Dept Surg, Med Ctr, 622 W 168th St, New York, NY 10032 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Kurlansky, Paul
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h-index:
机构:
Boening, Andreas
Chikwe, Joanna
论文数: 0引用数: 0
h-index: 0
机构:
Cedars Sinai Med Ctr, Smidt Heart Inst, Dept Cardiac Surg, 8700 Beverly Blvd 2900A, Los Angeles, CA 90048 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Chikwe, Joanna
Demetres, Michelle
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Samuel J Wood Lib, 525 East 68th St, New York, NY 10065 USA
Weill Cornell Med, CV Starr Biomed Informat Ctr, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Demetres, Michelle
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h-index:
机构:
Devereaux, Philip J.
Diegeler, Anno
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Ctr Bad Neustadt Saale, Dept Cardiac Surg, Von Guttenberg Str 11, D-97616 Bad Neustadt an der Saale, GermanyWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Diegeler, Anno
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h-index:
机构:
Dimagli, Arnaldo
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h-index:
机构:
Flather, Marcus
Hameed, Irbaz
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Hameed, Irbaz
论文数: 引用数:
h-index:
机构:
Lamy, Andre
Lawton, Jennifer S.
论文数: 0引用数: 0
h-index: 0
机构:
Johns Hopkins Univ, Dept Surg, Div Cardiac Surg, Sch Med, 733 N Broadway, Baltimore, MD 21205 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Lawton, Jennifer S.
Reents, Wilko
论文数: 0引用数: 0
h-index: 0
机构:
Cardiovasc Ctr Bad Neustadt Saale, Dept Cardiac Surg, Von Guttenberg Str 11, D-97616 Bad Neustadt an der Saale, GermanyWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Reents, Wilko
Robinson, N. Bryce
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Robinson, N. Bryce
Audisio, Katia
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Audisio, Katia
Rahouma, Mohamed
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Rahouma, Mohamed
Serruys, Patrick W.
论文数: 0引用数: 0
h-index: 0
机构:
Natl Univ Ireland, Dept Cardiol, Univ Rd, Galway, IrelandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Serruys, Patrick W.
Hara, Hironori
论文数: 0引用数: 0
h-index: 0
机构:
Natl Univ Ireland, Dept Cardiol, Univ Rd, Galway, IrelandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Hara, Hironori
Taggart, David P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Oxford, John Radcliffe Hosp, Nuffield Dept Surg Sci, Oxford OX1 2JD, EnglandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Taggart, David P.
Girardi, Leonard N.
论文数: 0引用数: 0
h-index: 0
机构:
Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USAWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Girardi, Leonard N.
Fremes, Stephen E.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Toronto, Schulich Heart Ctr Sunnybrook Hlth Sci Ctr, Hosp Rd, Toronto, ON M4N 3M5, CanadaWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA
Fremes, Stephen E.
Benedetto, Umberto
论文数: 0引用数: 0
h-index: 0
机构:
Univ Bristol, Bristol Heart Inst, Terrell St, Bristol BS2 8ED, Avon, EnglandWeill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St, New York, NY 10065 USA