Coronary Artery Disease
Conditions
Keywords
Coronary artery bypass surgery, Arteries, Veins, Conduits
Brief summary
During coronary bypass surgery, veins are taken from the leg and applied to the heart and aorta to 'bypass' narrowings in the coronary arteries. However using an artery in the chest, the internal mammary artery, means that the bypass lasts longer than using veins. The investigators recently showed that using an artery from the arm as a bypass vessel, the radial artery, also had less furring up than veins 5 years after surgery. Now the investigators would like to ask patients to come back for an angiogram 10 years following surgery.
Interventions
Use of radial artery as a bypass conduit/graft to the left circumflex coronary artery region of the heart in CABG surgery
Use of long saphenous vein as a graft/conduit vessel to the left circumflex coronary artery region of the heart in CABG surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Included in the RSVP study * Willing to attend for coronary angiography * Willing to give written informed consent
Exclusion criteria
* Contraindication to coronary angiography * participation in research project within previous 60 days * unwilling to give written informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of radial artery and saphenous vein grafts patent at 10 years | 10 years post surgery | Comparison of the patency of radial artery and long saphenous aorto-coronary bypass grafts at 10 years, assessed by an independent observer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Angiographic visual grading | 10 years post surgery | Compare secondary angiographic visual grading in radial artery and long saphenous vein grafts |
| Patency (patent or complete occlusion, and secondary visual grading) of radial artery and internal mammary artery coronary bypass grafts | 10 years post surgery | Compare the patency (patent or complete occlusion, and secondary visual grading) of radial artery and internal mammary artery coronary bypass grafts |
Countries
United Kingdom