Saphenous vein grafts with multiple versus single distal targets in patients undergoing coronary artery bypass surgery: one-year graft failure and five-year outcomes from the Project of Ex-Vivo Vein Graft Engineering via Transfection (PREVENT) IV trial.

Abstract:

BACKGROUND:Limited information exists on the intermediate-term graft patency and 5-year clinical outcomes of patients receiving saphenous vein grafts with multiple (m-SVG) versus single distal targets (s-SVG) during coronary artery bypass graft (CABG) surgery in the current era. METHODS AND RESULTS:We studied the association of the use of m-SVG versus s-SVG conduits with 1-year SVG failure (defined as ≥75% angiographic stenosis) and 5-year clinical events (death; death or myocardial infarction [MI]; and death, MI, or revascularization) in 3014 patients undergoing their first CABG surgery enrolled in the Project of Ex-vivo Vein Graft Engineering via Transfection (PREVENT) IV. Of 3014 patients enrolled in PREVENT IV, 1045 (34.7%) had ≥1 m-SVGs during CABG. Vein graft failure at 1-year was higher for m-SVG compared with s-SVG (adjusted odds ratio 1.24, 95% confidence interval 1.03 to 1.48). At 5 years, the adjusted composite of death, MI (including perioperative MI), or revascularization (hazard ratio 1.15, 95% confidence interval 1.00 to 1.31) and death or MI (hazard ratio 1.21, 95% confidence interval 1.03 to 1.43) were significantly higher in patients receiving m-SVGs. CONCLUSIONS:In patients undergoing first CABG surgery, the use of m-SVG was associated with a higher 1-year vein graft failure rate and trends toward worse clinical outcomes. Additional studies are needed to better understand the most appropriate conduit to improve long-term graft patency and clinical outcomes of patients undergoing CABG surgery. In the meantime, these data should encourage the use of s-SVG over m-SVG when feasible.

journal_name

Circulation

journal_title

Circulation

authors

Mehta RH,Ferguson TB,Lopes RD,Hafley GE,Mack MJ,Kouchoukos NT,Gibson CM,Harrington RA,Califf RM,Peterson ED,Alexander JH,Project of Ex-vivo Vein Graft Engineering via Transfection (PREVENT) IV Investigators.

doi

10.1161/CIRCULATIONAHA.110.991299

subject

Has Abstract

pub_date

2011-07-19 00:00:00

pages

280-8

issue

3

eissn

0009-7322

issn

1524-4539

pii

CIRCULATIONAHA.110.991299

journal_volume

124

pub_type

杂志文章,多中心研究,随机对照试验
  • Selective augmentation of prostacyclin production by combined prostacyclin synthase and cyclooxygenase-1 gene transfer.

    abstract:BACKGROUND:We tested the hypothesis that combined cyclooxygenase-1 (COX-1) and prostacyclin synthase (PGIS) gene transfer selectively augments prostacyclin production without a concurrent overproduction of other prostanoids. METHODS AND RESULTS:ECV304 cells were transfected with bicistronic pCOX-1/PGIS versus pCOX-1 o...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.103.16.2090

    authors: Shyue SK,Tsai MJ,Liou JY,Willerson JT,Wu KK

    更新日期:2001-04-24 00:00:00

  • Physical training alters the pathogenesis of pacing-induced heart failure through endothelium-mediated mechanisms in awake dogs.

    abstract:BACKGROUND:Beneficial effects of exercise training on cardiovascular function in chronic heart failure (CHF) have been suggested previously, but the underlying mechanisms are unknown. We tested whether daily exercise training improves systemic hemodynamics and preserves endothelium-mediated vasodilator function during ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.8.2683

    authors: Wang J,Yi GH,Knecht M,Cai BL,Poposkis S,Packer M,Burkhoff D

    更新日期:1997-10-21 00:00:00

  • Albuminuria, a therapeutic target for cardiovascular protection in type 2 diabetic patients with nephropathy.

    abstract:BACKGROUND:Albuminuria is an established risk marker for both cardiovascular and renal outcomes. Albuminuria can be reduced with drugs that block the renin-angiotensin system (RAS). We questioned whether the short-term drug-induced change in albuminuria would predict the long-term cardioprotective efficacy of RAS inter...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1161/01.CIR.0000139860.33974.28

    authors: de Zeeuw D,Remuzzi G,Parving HH,Keane WF,Zhang Z,Shahinfar S,Snapinn S,Cooper ME,Mitch WE,Brenner BM

    更新日期:2004-08-24 00:00:00

  • In vivo evidence for nitric oxide-mediated calcium-activated potassium-channel activation during human endotoxemia.

    abstract:BACKGROUND:During septic shock, the vasoconstrictor response to norepinephrine is seriously blunted. Animal experiments suggest that hyperpolarization of smooth muscle cells by opening of potassium (K) channels underlies this phenomenon. In the present study, we examined whether K-channel blockers and/or nitric oxide (...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/CIRCULATIONAHA.105.590232

    authors: Pickkers P,Dorresteijn MJ,Bouw MP,van der Hoeven JG,Smits P

    更新日期:2006-08-01 00:00:00

  • Cardiac tamponade in left ventricular dysfunction.

    abstract::Echocardiographic and hemodynamic data were measured in closed-chest dogs during graded cardiac tamponade (pericardial pressure 5, 10, and 15 mm Hg) before and after production of diffuse ischemic left ventricular dysfunction. Left ventricular dysfunction was produced by intracoronary injection of nonradioactive micro...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.4.1370

    authors: Hoit BD,Gabel M,Fowler NO

    更新日期:1990-10-01 00:00:00

  • Myosin isoenzyme distribution in overloaded human atrial tissue.

    abstract::Using nondenaturing polyacrylamide gel electrophoresis, we have identified two distinct myosin isoenzymes in human atrial tissue that correspond to the V1 and V3 isomyosins found in rat ventricular tissue. Normal left and right atrial appendages have approximately 50% V3. When the left atrium was exposed to hemodynami...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.74.3.477

    authors: Buttrick PM,Malhotra A,Brodman R,McDermott L,Lam L

    更新日期:1986-09-01 00:00:00

  • Determinants and prognostic implications of persistent ST-segment elevation after primary angioplasty for acute myocardial infarction: importance of microvascular reperfusion injury on clinical outcome.

    abstract:BACKGROUND:Despite early recanalization of an occluded infarct artery, reperfusion at the level of the microcirculation may remain impaired owing to a process of microvascular reperfusion injury. METHODS AND RESULTS:Microvascular reperfusion injury was studied in 91 patients with acute myocardial infarction (AMI) by e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.15.1972

    authors: Claeys MJ,Bosmans J,Veenstra L,Jorens P,De RaedtH,Vrints CJ

    更新日期:1999-04-20 00:00:00

  • Vascular endothelial growth factor gene therapy increases survival, promotes lung angiogenesis, and prevents alveolar damage in hyperoxia-induced lung injury: evidence that angiogenesis participates in alveolarization.

    abstract:BACKGROUND:Bronchopulmonary dysplasia (BPD) and pulmonary emphysema, both significant global health problems, are characterized by a loss of alveoli. Vascular endothelial growth factor (VEGF) is a trophic factor required for endothelial cell survival and is abundantly expressed in the lung. METHODS AND RESULTS:We repo...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.541524

    authors: Thébaud B,Ladha F,Michelakis ED,Sawicka M,Thurston G,Eaton F,Hashimoto K,Harry G,Haromy A,Korbutt G,Archer SL

    更新日期:2005-10-18 00:00:00

  • Antiarrhythmic Drugs for Nonshockable-Turned-Shockable Out-of-Hospital Cardiac Arrest: The ALPS Study (Amiodarone, Lidocaine, or Placebo).

    abstract:BACKGROUND:Out-of-hospital cardiac arrest (OHCA) commonly presents with nonshockable rhythms (asystole and pulseless electric activity). It is unknown whether antiarrhythmic drugs are safe and effective when nonshockable rhythms evolve to shockable rhythms (ventricular fibrillation/pulseless ventricular tachycardia [VF...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.117.028624

    authors: Kudenchuk PJ,Leroux BG,Daya M,Rea T,Vaillancourt C,Morrison LJ,Callaway CW,Christenson J,Ornato JP,Dunford JV,Wittwer L,Weisfeldt ML,Aufderheide TP,Vilke GM,Idris AH,Stiell IG,Colella MR,Kayea T,Egan D,Desvigne-Nick

    更新日期:2017-11-28 00:00:00

  • Right Ventricular Fibrosis.

    abstract::The role of right ventricular (RV) fibrosis in pulmonary hypertension (PH) remains a subject of ongoing discussion. Alterations of the collagen network of the extracellular matrix may help prevent ventricular dilatation in the pressure-overloaded RV. At the same time, fibrosis impairs cardiac function, and a growing b...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.118.035326

    authors: Andersen S,Nielsen-Kudsk JE,Vonk Noordegraaf A,de Man FS

    更新日期:2019-01-08 00:00:00

  • Molecular magnetic resonance imaging of atrial clots in a swine model.

    abstract:BACKGROUND:The detection and differentiation of intracardiac masses is still challenging and may include neoplasms and thrombi. The aim of this study was the investigation of a targeted, fibrin-specific contrast agent (EP-2104R) for molecular targeted magnetic resonance imaging (MRI) of left atrial clots. METHODS AND ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.529941

    authors: Spuentrup E,Fausten B,Kinzel S,Wiethoff AJ,Botnar RM,Graham PB,Haller S,Katoh M,Parsons EC Jr,Manning WJ,Busch T,Günther RW,Buecker A

    更新日期:2005-07-19 00:00:00

  • Single LDL apheresis improves endothelium-dependent vasodilatation in hypercholesterolemic humans.

    abstract:BACKGROUND:Although long-term lipid-lowering therapy improves endothelium-dependent vasodilatation in humans, it remains unknown whether the short-term removal of LDL per se ameliorates endothelial dysfunction. METHODS AND RESULTS:To examine the effects of a single session of LDL apheresis on endothelial function in p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.95.1.76

    authors: Tamai O,Matsuoka H,Itabe H,Wada Y,Kohno K,Imaizumi T

    更新日期:1997-01-07 00:00:00

  • Role of endogenous atrial natriuretic peptide in DOCA-salt hypertensive rats. Effects of a novel nonpeptide antagonist for atrial natriuretic peptide receptor.

    abstract:BACKGROUND:To explore roles of endogenous atrial natriuretic peptide (ANP) in blood pressure and volume regulation, we examined the effects of a newly developed ANP antagonist, HS-142-1 (HS) in deoxycorticosterone acetate (DOCA)-salt hypertensive rats. METHODS AND RESULTS:We examined 1) the effects of HS on ANP- or br...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.87.2.554

    authors: Hirata Y,Matsuoka H,Suzuki E,Hayakawa H,Sugimoto T,Matsuda Y,Morishita Y,Kangawa K,Minamino N,Matsuo H

    更新日期:1993-02-01 00:00:00

  • Platelet accumulation in experimental angioplasty: time course and relation to vascular injury.

    abstract::Since platelet accumulation may be an important determinant of restenosis after angioplasty, the time course of 51Cr-labeled platelet accumulation after experimental angioplasty was evaluated in a deendothelialized, hypercholesterolemic rabbit preparation of atherosclerosis. Marked platelet accumulation (39.5 +/- 8.7 ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.75.3.636

    authors: Wilentz JR,Sanborn TA,Haudenschild CC,Valeri CR,Ryan TJ,Faxon DP

    更新日期:1987-03-01 00:00:00

  • Coronary vasodilation induced by angiotensin-converting enzyme inhibition in vivo: differential contribution of nitric oxide and bradykinin in conductance and resistance arteries.

    abstract:BACKGROUND:We studied in coronary conductance and resistance arteries the coronary vasodilator effects of the angiotensin-converting enzyme inhibitor ramiprilat and the contribution of nitric oxide, bradykinin, and prostaglandins to this vasodilation. METHODS AND RESEARCH:In seven anesthetized dogs, a Doppler guidewir...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.9.1734

    authors: Sudhir K,Chou TM,Hutchison SJ,Chatterjee K

    更新日期:1996-05-01 00:00:00

  • Additional lead improves defibrillation efficacy with an abdominal 'hot can' electrode system.

    abstract:BACKGROUND:Although the left prepectoral site is preferred for "hot can" placement, this site is unavailable in some patients. We evaluated the influence of electrode location on defibrillation thresholds with alternative hot can and transvenous lead configurations. METHODS AND RESULTS:Three interrelated studies were ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.12.4400

    authors: Yamanouchi Y,Mowrey KA,Niebauer MJ,Tchou PJ,Wilkoff BL

    更新日期:1997-12-16 00:00:00

  • Increased morning incidence of myocardial infarction in the ISAM Study: absence with prior beta-adrenergic blockade. ISAM Study Group.

    abstract::The time of acute myocardial infarction was determined in all 1,741 patients of the ISAM (Intravenous Streptokinase in Acute Myocardial Infarction) Study, based on onset of clinical symptoms and evaluation of plasma CK-MB enzyme time-activity curves. The incidence of myocardial infarction was markedly increased betwee...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.80.4.853

    authors: Willich SN,Linderer T,Wegscheider K,Leizorovicz A,Alamercery I,Schröder R

    更新日期:1989-10-01 00:00:00

  • Effects of dietary omega 3 fatty acids on vascular contractility in preanoxic and postanoxic aortic rings.

    abstract:BACKGROUND:Vasomotor reactivity may contribute to the pathophysiology of ischemic injury. The atherosclerotic vessel may be particularly susceptible to vasoconstriction because of the damaged endothelial layer with resultant loss of vasodilatory factors. While dietary omega 3 fatty acids have been proposed to protect a...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.3.1393

    authors: Malis CD,Leaf A,Varadarajan GS,Newell JB,Weber PC,Force T,Bonventre JV

    更新日期:1991-09-01 00:00:00

  • Preservation of donor heart function and high-energy stores by continuous perfusion with synthetic plasma at 22 degrees C.

    abstract::We evaluated high-energy phosphate (HEP) levels and the ability to perform work in rat hearts preserved by standard techniques (0.9% NaCl arrest and storage at 4 degrees C) and by continuous coronary perfusion at 22 degrees C, pH 7.25, and 55 mm Hg for 4 or 8 hr with Krebs-Henseleit buffer (KHB), modified Morgan's sol...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Novick WM,Wallace HW,Root KL,Rozanski DJ,Fuller EO

    更新日期:1986-11-01 00:00:00

  • Impact of salusin-alpha and -beta on human macrophage foam cell formation and coronary atherosclerosis.

    abstract:BACKGROUND:Human salusins, related bioactive polypeptides with mitogenic effects on vascular smooth muscle cells and fibroblasts and roles in hemodynamic homeostasis, may be involved in the origin of coronary atherosclerosis. Macrophage foam cell formation, characterized by cholesterol ester accumulation, is modulated ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.107.712539

    authors: Watanabe T,Nishio K,Kanome T,Matsuyama TA,Koba S,Sakai T,Sato K,Hongo S,Nose K,Ota H,Kobayashi Y,Katagiri T,Shichiri M,Miyazaki A

    更新日期:2008-02-05 00:00:00

  • SIRT2 Acts as a Cardioprotective Deacetylase in Pathological Cardiac Hypertrophy.

    abstract:BACKGROUND:Pathological cardiac hypertrophy induced by stresses such as aging and neurohumoral activation is an independent risk factor for heart failure and is considered a target for the treatment of heart failure. However, the mechanisms underlying pathological cardiac hypertrophy remain largely unknown. We aimed to...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.028728

    authors: Tang X,Chen XF,Wang NY,Wang XM,Liang ST,Zheng W,Lu YB,Zhao X,Hao DL,Zhang ZQ,Zou MH,Liu DP,Chen HZ

    更新日期:2017-11-21 00:00:00

  • Novel MRI contrast agent for molecular imaging of fibrin: implications for detecting vulnerable plaques.

    abstract:BACKGROUND:Molecular imaging of thrombus within fissures of vulnerable atherosclerotic plaques requires sensitive detection of a robust thrombus-specific contrast agent. In this study, we report the development and characterization of a novel ligand-targeted paramagnetic molecular imaging agent with high avidity for fi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc3601.094303

    authors: Flacke S,Fischer S,Scott MJ,Fuhrhop RJ,Allen JS,McLean M,Winter P,Sicard GA,Gaffney PJ,Wickline SA,Lanza GM

    更新日期:2001-09-11 00:00:00

  • Single-gene mutations and increased left ventricular wall thickness in the community: the Framingham Heart Study.

    abstract:BACKGROUND:Mutations in sarcomere protein, PRKAG2, LAMP2, alpha-galactosidase A (GLA), and several mitochondrial genes can cause rare familial cardiomyopathies, but their contribution to increased left ventricular wall thickness (LVWT) in the community is unknown. METHODS AND RESULTS:We studied 1862 unrelated particip...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.593558

    authors: Morita H,Larson MG,Barr SC,Vasan RS,O'Donnell CJ,Hirschhorn JN,Levy D,Corey D,Seidman CE,Seidman JG,Benjamin EJ

    更新日期:2006-06-13 00:00:00

  • Parvovirus B19 infection mimicking acute myocardial infarction.

    abstract:BACKGROUND:Enteroviruses (EVs) and adenoviruses (ADVs) have been considered common causes of myocarditis and dilated cardiomyopathy. In the present study, we report on the association of parvovirus B19 (PVB19) genomes in the clinical setting of acute myocarditis. METHODS AND RESULTS:This study included 24 consecutive ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000085168.02782.2C

    authors: Kühl U,Pauschinger M,Bock T,Klingel K,Schwimmbeck CP,Seeberg B,Krautwurm L,Poller W,Schultheiss HP,Kandolf R

    更新日期:2003-08-26 00:00:00

  • Current perspectives on statins.

    abstract::Statins (HMG-CoA reductase inhibitors) are used widely for the treatment of hypercholesterolemia. They inhibit HMG-CoA reductase competitively, reduce LDL levels more than other cholesterol-lowering drugs, and lower triglyceride levels in hypertriglyceridemic patients. Statins are well tolerated and have an excellent ...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.101.2.207

    authors: Maron DJ,Fazio S,Linton MF

    更新日期:2000-01-18 00:00:00

  • Prevalence of and risk factors for peripheral arterial disease in the United States: results from the National Health and Nutrition Examination Survey, 1999-2000.

    abstract:BACKGROUND:Peripheral arterial disease (PAD) is associated with significant morbidity and mortality and is an important marker of subclinical coronary heart disease. However, estimates of PAD prevalence in the general US population have varied widely. METHODS AND RESULTS:We analyzed data from 2174 participants aged 40...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000137913.26087.F0

    authors: Selvin E,Erlinger TP

    更新日期:2004-08-10 00:00:00

  • Efficacy of antiarrhythmic drugs in patients with arrhythmogenic right ventricular disease. Results in patients with inducible and noninducible ventricular tachycardia.

    abstract:BACKGROUND:Ventricular tachyarrhythmias are the major clinical manifestation of arrhythmogenic right ventricular disease. Although antiarrhythmic therapy has been widely advocated, there is only limited information available on the efficacy of antiarrhythmic drugs in these patients. METHODS AND RESULTS:The short- and ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.1.29

    authors: Wichter T,Borggrefe M,Haverkamp W,Chen X,Breithardt G

    更新日期:1992-07-01 00:00:00

  • Alterations in left ventricular geometry, wall stress, and ejection performance after correction of congenital aortic stenosis.

    abstract::Children with congenital aortic stenosis have "excessive" left ventricular hypertrophy with reduced resting systolic wall stress that allows for supernormal ejection performance. If aortic stenosis is uncorrected, this pattern persists until adulthood. The effect of removing the aortic pressure gradient on left ventri...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.78.6.1358

    authors: Dorn GW 2nd,Donner R,Assey ME,Spann JF Jr,Wiles HB,Carabello BA

    更新日期:1988-12-01 00:00:00

  • Cardiac Implantable Electronic Device Interrogation at Forensic Autopsy: An Underestimated Resource?

    abstract:BACKGROUND:Postmortem interrogations of cardiac implantable electronic devices (CIEDs), recommended at autopsy in suspected cases of sudden cardiac death, are rarely performed, and data on systematic postmortem CIED analysis in the forensic pathology are missing. The aim of the study was to determine whether nonselecti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.117.032367

    authors: Lacour P,Buschmann C,Storm C,Nee J,Parwani AS,Huemer M,Attanasio P,Boldt LH,Rauch G,Kucher A,Pieske B,Haverkamp W,Blaschke F

    更新日期:2018-06-19 00:00:00

  • Influence of the pericardium and ventricular interdependence on left ventricular diastolic and systolic function in patients with heart failure.

    abstract::The pericardium, because of the nature of its pressure-volume relation, can influence left ventricular diastolic and systolic pump function. During an acute increase in heart size that results in the stretching of the pericardium, the elastic properties of the pericardium restrict further cardiac dilatation and curtai...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Janicki JS

    更新日期:1990-02-01 00:00:00