Blaise Pascal and the evidence on the use of multiple arterial grafts for coronary artery bypass surgery after the interim analysis of the Arterial Revascularization Trial

PURPOSE OF REVIEW: After the publication of the interim analysis of the ART, we review the contradiction between the large numbers of observational studies published on the course of over 25 years and the randomized trials comparing the use of single versus multiple arterial grafts for coronary bypass surgery.

RECENT FINDINGS: The Arterial Revascularization Trial (ART) found no difference in survival and event-free survival at 5 years between patients randomized to receive one or two internal thoracic arteries at the time of surgery.

SUMMARY: At the moment, there is evidence that arterial grafts have higher patency rate than venous grafts and a possible protective effect on the coronary circulation. Arterial grafts are still a reasonable choice, especially in patients with long life expectancy. Further studies and the final results of ART are needed.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Current opinion in cardiology - 33(2018), 2 vom: 02. März, Seite 245-248

Sprache:

Englisch

Beteiligte Personen:

Gaudino, Mario F L [VerfasserIn]
Ruel, Marc [VerfasserIn]
Taggart, David P [VerfasserIn]
ATLANTIC (ArTeriaL grAftiNg inTernatIonal Consortium) Alliance [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Research Support, Non-U.S. Gov't
Review

Anmerkungen:

Date Completed 25.04.2019

Date Revised 18.03.2022

published: Print

Citation Status MEDLINE

doi:

10.1097/HCO.0000000000000492

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM278921671