Pulse Brain · Growing Health Evidence Index
Peer-reviewed

Radial Artery Versus Right Internal Thoracic Artery Versus Saphenous Vein as the Second Conduit for Coronary Artery Bypass Surgery: A Network Meta‐Analysis of Clinical Outcomes

Mario Gaudino, Roberto Lorusso, Mohamed Rahouma, Ahmed Abouarab, Derrick Y. Tam, Cristiano Spadaccio, Gaëlle Saint‐Hilary, Jeremy R. Leonard, Mario Iannaccone, Fabrizio D’Ascenzo, Antonino Di Franco, Giovanni Soletti, Mohamed Kamel, Christopher Lau, Leonard N. Girardi, Thomas A. Schwann, Umberto Benedetto, David P. Taggart, Stephen E. Fremes

Journal of the American Heart Association · 2019

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Summary

Background There remains uncertainty regarding the second-best conduit after the internal thoracic artery in coronary artery bypass grafting. Few studies directly compared the clinical results of the radial artery ( RA ), right internal thoracic artery ( RITA ), and saphenous vein ( SV ). No network meta-analysis has compared these 3 strategies. Methods and Results MEDLINE and EMBASE were searched for adjusted observational studies and randomized controlled trials comparing the RA , SV , and/or RITA as the second conduit for coronary artery bypass grafting. The primary end point was all-cause long-term mortality. Secondary end points were operative mortality, perioperative stroke, perioperative myocardial infarction, and deep sternal wound infection ( DSWI ). Pairwise and network meta-anal

Subject
Other / interdisciplinary
Source type
Peer-reviewed study
System type
Other
DOI
10.1161/jaha.118.010839
Catalogue ID
SNmojj1z9q-712umz
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