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Gaudino M, Bakaeen FG, Sandner S, Aldea GS, Arai H, Chikwe J, Firestone S, Fremes SE, Gomes WJ, Bong-Kim K, Kisson K, Kurlansky P, Lawton J, Navia D, Puskas JD, Ruel M, Sabik JF, Schwann TA, Taggart DP, Tatoulis J, Wyler von Ballmoos M. Expert systematic review on the choice of conduits for coronary artery bypass grafting: endorsed by the European Association for Cardio-Thoracic Surgery (EACTS) and The Society of Thoracic Surgeons (STS). J Thorac Cardiovasc Surg 2023; 166:1099-1114. [PMID: 37542480 DOI: 10.1016/j.jtcvs.2023.06.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 03/10/2023] [Accepted: 04/20/2023] [Indexed: 08/07/2023]
Affiliation(s)
- Mario Gaudino
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, NY.
| | - Faisal G Bakaeen
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio
| | - Sigrid Sandner
- Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria
| | - Gabriel S Aldea
- Division of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, Wash
| | - Hirokuni Arai
- Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Joanna Chikwe
- Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, Calif
| | | | - Stephen E Fremes
- Schulich Heart Centre, Sunnybrook Health Sciences Centre, and the Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
| | - Walter J Gomes
- Cardiology and Cardiovascular Surgery Disciplines, São Paulo Hospital, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, Brazil
| | - Ki Bong-Kim
- Cardiovascular Center, Myong-ji Hospital, Gyeong-gi-do, Republic of Korea
| | | | - Paul Kurlansky
- Division of Cardiac Surgery, Department of Surgery, Columbia University, New York, NY
| | - Jennifer Lawton
- Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Md
| | - Daniel Navia
- Department of Cardiac Surgery, ICBA Instituto Cardiovascular, Buenos Aires, Argentina
| | - John D Puskas
- Department of Cardiovascular Surgery, Mount Sinai Saint Luke's, New York, NY
| | - Marc Ruel
- Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
| | - Joseph F Sabik
- Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | | | - David P Taggart
- Department of Cardiac Surgery, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
| | - James Tatoulis
- Department of Cardiothoracic Surgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia
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3
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Gaudino M, Bakaeen FG, Sandner S, Aldea GS, Arai H, Chikwe J, Firestone S, Fremes SE, Gomes WJ, Bong-Kim K, Kisson K, Kurlansky P, Lawton J, Navia D, Puskas JD, Ruel M, Sabik JF, Schwann TA, Taggart DP, Tatoulis J, Wyler von Ballmoos M. Expert Systematic Review on the Choice of Conduits for Coronary Artery Bypass Grafting: Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS) and The Society of Thoracic Surgeons (STS). Ann Thorac Surg 2023; 116:659-674. [PMID: 37542509 DOI: 10.1016/j.athoracsur.2023.06.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/20/2023] [Indexed: 08/07/2023]
Affiliation(s)
- Mario Gaudino
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, New York.
| | - Faisal G Bakaeen
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio
| | - Sigrid Sandner
- Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria
| | - Gabriel S Aldea
- Division of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, Washington
| | - Hirokuni Arai
- Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Joanna Chikwe
- Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, California
| | | | - Stephen E Fremes
- Schulich Heart Centre, Sunnybrook Health Sciences Centre, and the Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Walter J Gomes
- Cardiology and Cardiovascular Surgery Disciplines, São Paulo Hospital, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil
| | - Ki Bong-Kim
- Cardiovascular Center, Myong-ji Hospital, Gyeong-gi-do, Republic of Korea
| | - Kalie Kisson
- The Society of Thoracic Surgeons, Chicago, Illinois
| | - Paul Kurlansky
- Division of Cardiac Surgery, Department of Surgery, Columbia University, New York, New York
| | - Jennifer Lawton
- Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Maryland
| | - Daniel Navia
- Department of Cardiac Surgery, ICBA Instituto Cardiovascular, Buenos Aires, Argentina
| | - John D Puskas
- Department of Cardiovascular Surgery, Mount Sinai Saint Luke's, New York, New York
| | - Marc Ruel
- Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Joseph F Sabik
- Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | - Thomas A Schwann
- Division of Cardiac Surgery, Baystate Health, Springfield, Massachusetts
| | - David P Taggart
- Department of Cardiac Surgery, John Radcliffe Hospital, University of Oxford, Oxford, United Kingdom
| | - James Tatoulis
- Department of Cardiothoracic Surgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia
| | - Moritz Wyler von Ballmoos
- Division of Cardiothoracic Surgery, Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas
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4
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Gaudino M, Bakaeen FG, Sandner S, Aldea GS, Arai H, Chikwe J, Firestone S, Fremes SE, Gomes WJ, Bong-Kim K, Kisson K, Kurlansky P, Lawton J, Navia D, Puskas JD, Ruel M, Sabik JF, Schwann TA, Taggart DP, Tatoulis J, Wyler von Ballmoos M. Expert systematic review on the choice of conduits for coronary artery bypass grafting: endorsed by the European Association for Cardio-Thoracic Surgery (EACTS) and The Society of Thoracic Surgeons (STS). Eur J Cardiothorac Surg 2023; 64:ezad163. [PMID: 37535847 DOI: 10.1093/ejcts/ezad163] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 03/10/2023] [Accepted: 04/20/2023] [Indexed: 08/05/2023] Open
Abstract
PREAMBLE The finalized document was endorsed by the EACTS Council and STS Executive Committee before being simultaneously published in the European Journal of Cardio-thoracic Surgery (EJCTS) and The Annals of Thoracic Surgery (The Annals) and the Journal of Thoracic and Cardiovascular Surgery (JTCVS).
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Affiliation(s)
- Mario Gaudino
- Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York-Presbyterian Hospital, New York, NY, USA
| | - Faisal G Bakaeen
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH, USA
| | - Sigrid Sandner
- Department of Cardiac Surgery, Medical University of Vienna, Vienna, Austria
| | - Gabriel S Aldea
- Division of Cardiothoracic Surgery, University of Washington School of Medicine, Seattle, WA, USA
| | - Hirokuni Arai
- Department of Cardiovascular Surgery, Graduate School of Medical and Dental Science, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - Joanna Chikwe
- Department of Cardiac Surgery, Smidt Heart Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA
| | | | - Stephen E Fremes
- Schulich Heart Centre, Sunnybrook Health Sciences Centre, and the Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Walter J Gomes
- Cardiology and Cardiovascular Surgery Disciplines, São Paulo Hospital, Escola Paulista de Medicina, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil
| | - Ki Bong-Kim
- Cardiovascular Center, Myong-ji Hospital, Gyeong-gi-do, Republic of Korea
| | - Kalie Kisson
- The Society of Thoracic Surgeons, Chicago, IL, USA
| | - Paul Kurlansky
- Division of Cardiac Surgery, Department of Surgery, Columbia University, New York, NY, USA
| | - Jennifer Lawton
- Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Baltimore, MD, USA
| | - Daniel Navia
- Department of Cardiac Surgery, ICBA Instituto Cardiovascular, Buenos Aires, Argentina
| | - John D Puskas
- Department of Cardiovascular Surgery, Mount Sinai Saint Luke's, New York, NY, USA
| | - Marc Ruel
- Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, ON, Canada
| | - Joseph F Sabik
- Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, OH, USA
| | - Thomas A Schwann
- Division of Cardiac Surgery, Baystate Health, Springfield, MA, USA
| | - David P Taggart
- Department of Cardiac Surgery, John Radcliffe Hospital, University of Oxford, Oxford, UK
| | - James Tatoulis
- Department of Cardiothoracic Surgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia
| | - Moritz Wyler von Ballmoos
- Division of Cardiothoracic Surgery, Houston Methodist DeBakey Heart & Vascular Center, Houston, TX, USA
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6
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Tian M, Wang X, Sun H, Feng W, Song Y, Lu F, Wang L, Wang Y, Xu B, Wang H, Liu S, Liu Z, Chen Y, Miao Q, Su P, Yang Y, Guo S, Lu B, Sun Z, Liu K, Zhang C, Wu Y, Xu H, Zhao W, Han C, Zhou X, Wang E, Huo X, Hu S. No-Touch Versus Conventional Vein Harvesting Techniques at 12 Months After Coronary Artery Bypass Grafting Surgery: Multicenter Randomized, Controlled Trial. Circulation 2021; 144:1120-1129. [PMID: 34510911 DOI: 10.1161/circulationaha.121.055525] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Vein graft occlusion is deemed a major challenge in coronary artery bypass grafting. Previous studies implied that the no-touch technique for vein graft harvesting could reduce occlusion rate compared with the conventional approach; however, evidence on the clinical benefit and generalizability of the no-touch technique is scare. METHODS From April 2017 to June 2019, we randomly assigned 2655 patients undergoing coronary artery bypass grafting at 7 hospitals in a 1:1 ratio to receive no-touch technique or conventional approach for vein harvesting. The primary outcome was vein graft occlusion on computed tomography angiography at 3 months and the secondary outcomes included 12-month vein graft occlusion, recurrence of angina, and major adverse cardiac and cerebrovascular events. The generalized estimate equation model was used to account for the cluster effect of grafts from the same patient. RESULTS During the follow-up, 2533 (96.0%) participants received computed tomography angiography at 3 months after coronary artery bypass grafting and 2434 (92.2%) received it at 12 months. The no-touch group had significantly lower rates of vein graft occlusion than the conventional group both at 3 months (2.8% versus 4.8%; odds ratio, 0.57 [95% CI, 0.41-0.80]; P<0.001) and 12 months (3.7% versus 6.5%; odds ratio, 0.56 [95% CI, 0.41-0.76]; P<0.001). Recurrence of angina was also less common in the no-touch group at 12 months (2.3% versus 4.1%; odds ratio, 0.55 [95% CI, 0.35-0.85]; P<0.01). Rates of major adverse cardiac and cerebrovascular events were of no significant difference between the 2 groups. The no-touch technique was associated with higher rates of leg wound surgical interventions at 3-month follow-up (10.3% versus 4.3%; odds ratio, 2.55 [95% CI, 1.85-3.52]; P<0.001). CONCLUSIONS Compared with the conventional vein harvesting approach in coronary artery bypass grafting, the no-touch technique significantly reduced the risk of vein graft occlusion and improved patient prognosis. Registration: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03126409.
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Affiliation(s)
- Meice Tian
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xianqiang Wang
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Hansong Sun
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wei Feng
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yunhu Song
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Feng Lu
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Liqing Wang
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yang Wang
- Medical Research & Biometrics Center (Yang Wang), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Bo Xu
- Department of Cardiology (B.X.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | | | - Su Liu
- The Second Hospital of Hebei Medical University, China (S.L.)
| | - Zhigang Liu
- TEDA International Cardiovascular Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, China (Z.L.)
| | - Yu Chen
- Peking University People's Hospital, Beijing, China (Y.C.)
| | - Qi Miao
- National Center for Cardiovascular Disease, China & Fuwai Hospital, and Peking Union Medical College Hospital (Q.M.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Pixiong Su
- Beijing Chaoyang Hospital, Capital Medical University, China (P.S.)
| | - Yan Yang
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Shaoxian Guo
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Bin Lu
- Department of Radiology (B.L.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Zhiqiang Sun
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Kaiyang Liu
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Changwei Zhang
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Yue Wu
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Haitao Xu
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Wei Zhao
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Chao Han
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xingtong Zhou
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Enshi Wang
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Xiaoning Huo
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Shengshou Hu
- Department of Surgery (M.T., X.W., H.S., W.F., Y.S., F.L., L.W., Y.Y., S.G., Z.S., K.L., C.Z., Yue Wu, H.X., W.Z., C.H., X.Z., E.W., X.H., S.H.), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
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