Single versus multiple arterial coronary artery bypass grafting in men and women: results from Polish National Registry of Cardiac Surgery Procedures.
| Title: | Single versus multiple arterial coronary artery bypass grafting in men and women: results from Polish National Registry of Cardiac Surgery Procedures. |
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| Authors: | Aboul-Hassan SS; Department of Cardiac Surgery, Zbigniew Religa Heart Center 'Medinet', Nowa Sol.; Department of Cardiac Surgery and Interventional Cardiology, Faculty of Medicine and Medical Sciences, University of Zielona Gora, Zielona Gora.; Hirnle G; Department of Cardiac Surgery, Transplantology, Vascular and Endovascular Surgery, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze.; Perek B; Department of Cardiac Surgery and Transplantology, Chair of Cardio-Thoracic Surgery, Poznan University of Medical Sciences, Poznan.; Jemielity M; Department of Cardiac Surgery and Transplantology, Chair of Cardio-Thoracic Surgery, Poznan University of Medical Sciences, Poznan.; Hirnle T; Department of Cardiac Surgery, Medical University of Bialystok, Bialystok.; Brykczynski M; Department of Cardiac Surgery, Zbigniew Religa Heart Center 'Medinet', Nowa Sol.; Department of Cardiac Surgery and Interventional Cardiology, Faculty of Medicine and Medical Sciences, University of Zielona Gora, Zielona Gora.; Deja M; Department of Cardiac Surgery, Medical University of Silesia, Katowice.; Rogowski J; Department of Cardiac and Vascular Surgery, Medical University of Gdansk, Gdansk.; Cisowski M; Department of Cardiac Surgery, University Hospital, Institute of Medical Sciences, University of Opole, Opole.; Krejca M; Department of Cardiac Surgery, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Lodz.; Anisimowicz L; Department of Cardiac Surgery, Collegium Medium, Nicolaus Copernicus University, Bydgoszcz.; Widenka K; Department of Cardiac Surgery, University of Rzeszow, Rzeszow.; Gerber W; Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biała.; Pacholewicz J; Department of Cardiac Surgery, Pomeranian Medical University, Szczecin.; Bugajski P; Department of Cardiac Surgery, J. Strus Hospital.; Faculty of Health Sciences, University of Medical Sciences, Poznan.; Stepinski P; Department of Cardiac Surgery, Chair of Cardiology and Cardiac Surgery, Medical University of Lodz, Lodz.; Maruszewski BJ; Department of Pediatric Cardiothoracic Surgery, The Children's Memorial Health Institute, Warsaw, Poland.; Cichon R; Department of Cardiac Surgery, Zbigniew Religa Heart Center 'Medinet', Nowa Sol.; Department of Cardiac Surgery and Interventional Cardiology, Faculty of Medicine and Medical Sciences, University of Zielona Gora, Zielona Gora.; Hrapkowicz T; Department of Cardiac Surgery, Transplantology, Vascular and Endovascular Surgery, Medical University of Silesia in Katowice, Silesian Centre for Heart Diseases, Zabrze. |
| Corporate Authors: | KROK Investigators |
| Source: | International journal of surgery (London, England) [Int J Surg] 2024 Apr 01; Vol. 110 (4), pp. 2234-2242. Date of Electronic Publication: 2024 Apr 01. |
| Publication Type: | Journal Article; Multicenter Study |
| Language: | English |
| Journal Info: | Publisher: Wolters Kluwer Health, Inc Country of Publication: United States NLM ID: 101228232 Publication Model: Electronic Cited Medium: Internet ISSN: 1743-9159 (Electronic) Linking ISSN: 17439159 NLM ISO Abbreviation: Int J Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: 2023- : [Philadelphia] : Wolters Kluwer Health, Inc.; Original Publication: London : Surgical Associates Ltd., c2004- |
| MeSH Terms: | Coronary Artery Bypass*/mortality ; Coronary Artery Bypass*/statistics & numerical data ; Coronary Artery Bypass*/methods ; Coronary Artery Disease*/surgery ; Coronary Artery Disease*/mortality ; Registries*; Saphenous Vein/transplantation ; Humans ; Male ; Female ; Aged ; Poland ; Middle Aged ; Sex Factors ; Propensity Score ; Retrospective Studies |
| Abstract: | Background: The objective of this multicenter study aimed to investigate the impact of sex on long-term survival among patients with multivessel coronary artery disease undergoing coronary artery bypass grafting (CABG) using multiple arterial grafting (MAG) or a single artery with saphenous vein grafts.; Materials and Methods: Data were obtained from the Polish National Registry of Cardiac Surgery Procedures database. This study included 81 136 patients who underwent CABG for multivessel disease between January 2012 and December 2020 (22.9 were women and 77.1% were men). MAG was performed in 8.3 and 11.7% of female and male patients, respectively. A 1:1 propensity score (PS)-matching was performed. Long-term mortality was compared between matched groups of men and women. Subgroup analyses of patients aged 40% and ≤40%, and with and without diabetes, obesity, peripheral artery disease (PAD), or chronic lung disease (CLD) were performed separately in women and men.; Results: MAG was associated with lower long-term mortality than saphenous vein grafts in 1528 PS-matched female pairs [hazard ratio (HR): 0.74; 95% CI: 0.59-0.92; P =0.007) and 7283 PS-matched male pairs (HR: 0.80; 95% CI: 0.72-0.88; P |
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| Contributed Indexing: | Investigator: B Kapelak; P Kolsut; P Suwalski; M Jasinski; R Przybylski; J Skiba; R Stanislawski; P Kwinecki; R Tomczyk; G Religa; E Pietrzyk; L Gryszko; K Wrobel; L Tulecki; K Jarmoszewicz; K Karpeta; P Zelazny; M Kusmierczyk; M Burysz; J Stazka; M Zembala |
| Entry Date(s): | Date Created: 20240207 Date Completed: 20240426 Latest Revision: 20250824 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11020110 |
| DOI: | 10.1097/JS9.0000000000001133 |
| PMID: | 38324262 |
| Database: | MEDLINE |
Journal Article; Multicenter Study