Evidence map›Paper›PMID 11092659›Full record

ArticleJournal of the American College of Cardiology2000

Prognostic factors for atherosclerosis progression in saphenous vein grafts: the postcoronary artery bypass graft (Post-CABG) trial. Post-CABG Trial Investigators.

M J Domanski, C B Borkowf, L Campeau, G L Knatterud, C White, B Hoogwerf, Y Rosenberg, N L Geller

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in Journal of the American College of Cardiology, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT00000463. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00000463 phase3completed

Post Coronary Artery Bypass Graft (CABG) Study

Ran1987Registered outcomes0Posted comparisons0ConditionsCardiovascular Diseases, Coronary Disease, Heart Diseases, Myocardial IschemiaArmscholestyramine, lovastatin, warfarin
Open the trial in the graph
NCT03542110 phase4terminatedstarted 2018, after this paper: background citation

Effect of Alirocumab on Saphenous Vein Graft Atherosclerosis: The Alirocumab for Stopping Atherosclerosis Progression in Saphenous Vein Grafts (ASAP-SVG) Pilot Trial

Ran2018Enrolled46Registered outcomes4Posted comparisons0ConditionsSaphenous Vein Graft AtherosclerosisArmsAlirocumab 150 MG/ML subcutaneous injection, Matching Placebo subcutaneous injection
Open the trial in the graph
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 130 citations in OpenAlex.

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  13. Saphenous vein graft near-infrared spectroscopy imaging insights from the lipid core plaque association with clinical events near-infrared spectroscopy (ORACLE-NIRS) registry.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2017
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  16. Preoperative graft assessment in aortocoronary bypass surgery.Experimental and therapeutic medicine · 2016
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 2 countries.

M J DomanskiClinical Trials Group, National Heart, Lung, and Blood Institute, Bethesda, Maryland 20892, USA.
C B Borkowf
L Campeau
G L Knatterud
C White
B Hoogwerf
Y Rosenberg
N L Geller
National Heart Lung and Blood Institute · USCleveland Clinic · USMaryland Medical Research Institute · USMontreal Heart Institute · CAUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe study was done to assess patients in the Post-Coronary Artery Bypass Graft (Post-CABG) trial to determine prognostic factors for atherosclerosis progression.

backgroundSaphenous vein grafts (SVGs) are effective in relieving angina and, in certain patient subsets, in prolonging life. However, the progression of atherosclerosis in many of these grafts limits their usefulness.

methodsThe Post-CABG trial studied moderate versus aggressive lipid-lowering and low-dose warfarin versus placebo in patients with a history of coronary artery bypass surgery and found that more aggressive lipid lowering was effective in preventing progression of atherosclerosis in SVGs, but warfarin had no effect. Using variables measured at baseline, we sought the independent prognostic factors for atherosclerosis progression in SVGs, employing the statistical method of generalized estimating equations with a logit-link function.

resultsTwelve independent prognostic factors for atherosclerosis progression were found. In the order of their importance they were: maximum stenosis of the graft at baseline angiography, years post-SVG placement; the moderate low-density lipoprotein-cholesterol (LDL-C) lowering strategy; prior myocardial infarction; high triglyceride level; small minimum graft diameter; low high-density lipoprotein-cholesterol (HDL-C); high LDL-C; high mean arterial pressure; low ejection fraction; male gender; and current smoking.

conclusionsThis study identified Post-CABG patient and SVG characteristics associated with saphenous vein graft atherosclerosis progression. These data provide a basis for rational risk factor management to prevent progression of SVG atherosclerosis.

Indexed as

Coronary Artery BypassAgedCoronary Artery DiseaseDisease ProgressionFemaleHumansMaleMiddle AgedOdds RatioPostoperative PeriodPrognosisRandomized Controlled Trials as TopicSaphenous Vein

Identifiers

PMID11092659
OpenAlexW1993195262

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.