Complete revascularization of triple-vessel disease in coronary artery bypass grafting reduces postoperative major adverse event rates: A retrospective cohort study
- VernacularTitle:冠状动脉旁路移植术中完全再血管化三支病变患者术后主要不良事件发生率的回顾性队列研究
- Author:
Mingzhen QIN
1
;
Xiankun LIU
1
;
Shaobo GAO
1
;
Lianqun WANG
1
;
Qiang WANG
1
;
Zhigang GUO
1
;
Yunpeng BAI
1
Author Information
1. Department of Cardiac Surgery, Tianjin Chest Hospital, Tianjin, 300222, P. R. China
- Publication Type:Journal Article
- Keywords:
Coronary artery bypass grafting;
complete revascularization;
major adverse cardiac and cerebrovascular events;
inverse probability of treatment weighting
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2026;33(10):1664-1669
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare postoperative major adverse events in patients with triple-vessel disease undergoing complete versus incomplete revascularization during coronary artery bypass grafting (CABG). Methods A retrospective analysis was conducted on patient data from Tianjin Chest Hospital who underwent primary isolated CABG surgery between 2019 and 2020. Patients were divided into a complete revascularization group and an incomplete revascularization group based on the revascularization status. Inverse probability of treatment weighting (IPTW) was used for risk adjustment. Results A total of 1 419 patients were included in the study, with 1 086 (76.5%) undergoing complete revascularization. IPTW analysis showed that complete revascularization could reduce the incidence of major adverse cardiovascular and cerebrovascular events [HR=0.596, 95%CI (0.404, 0.880), P=0.010] and angina [HR=0.560, 95%CI (0.377, 0.823), P=0.004]. Conclusion In patients with multivessel coronary artery disease, complete revascularization may be associated with improved patient outcomes.
