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Total Arterial Revascularization: Achievable and Prognostically Effective. A Multicenter Analysis

Tuesday, July 21, 2015

Submitted by

Arie Blitz

Source

Source Name: Annals of Thoracic Surgery

Source URL: http://www.annalsthoracicsurgery.org/article/S0003-4975(15)00608-6/abstract

Author(s)

James Tatoulis, MD, FRACScorrespondenceemail, Rochelle Wynne, PhD, Peter D. Skillington, FRACS, Brian F. Buxton, MS, FRACS

The authors analyzed an audited collaborative multicenter database in Australia of over 34,000 consecutive patients who underwent CABG from 2001 to 2012, and they compared outcomes in those undergoing total arterial revascularization (TAR) vs. those that did not. In their propensity-matched cohort, the operative mortality was 0.9% for TAR patients and 1.2% for non-TAR patients (p<.001). Ten-year survival was 85.4% for the TAR patients and 81.2% for the non-TAR patients (p<0.001). The authors conclude that TAR is associated with a low operative mortality and superior long-term survival and should be used more liberally than it is at present.