SynthesisEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2019
Improving coronary artery bypass grafting: a systematic review and meta-analysis on the impact of adopting transit-time flow measurement.
Synthesis in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed.
- Ten Commandments of Off-Pump Coronary Artery Bypass Surgery.Annals of thoracic surgery short reports · 2026Article
- Learning Curve of Cardiac Surgery Residents in Transit-Time Flow Measurement and High-Resolution Epicardial Ultrasonography During Coronary Surgery.Journal of clinical medicine · 2026Article
- Comparison of the effects of indocyanine fluorescence imaging and transit-time flow measurement on early outcomes in coronary artery bypass grafting.Turk gogus kalp damar cerrahisi dergisi · 2025Article
- Flow-Based Coronary Artery Bypass Graft Patency Metrics: Uncertainty Quantification Simulations to Guide Development.Cardiovascular engineering and technology · 2025Article
- A laboratory feasibility study using a computer algorithm for anastomosis segmentation of epicardial ultrasonography images from distal coronary artery bypass anastomoses.Journal of cardiothoracic surgery · 2025Article
- Understanding Surgeons' Reluctance to Adopt Intraoperative Coronary Graft Verification Procedures: A Literature Review Combined to AI-Driven Insights Under Human Supervision.Journal of clinical medicine · 2024Article
- Intraoperative Prediction of Coronary Graft Failure Based on Transit Time Flow Measurement: A PRELIMINARY STUDY.Diagnostics (Basel, Switzerland) · 2024Article
- Clipless internal mammary artery harvesting for minimally invasive coronary artery bypass grafting using the shear-tip harmonic scalpel.Journal of thoracic disease · 2024Article
- How to harvest the left internal mammary artery-a randomized controlled trial.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Transient time flow measurement in arterial grafts.Journal of cardiothoracic surgery · 2024Review
- Identification of a Dissection Site in the Internal Thoracic Artery Using Fluorescence Imaging: A Case Report.Cureus · 2024Article
- Analysis of a multicenter registry on evaluation of transit-time flow in coronary artery disease surgery.JTCVS open · 2023Article
- Graft flow evaluation with intraoperative transit-time flow measurement in off-pump versus on-pump coronary artery bypass grafting.JTCVS techniques · 2022Article
- Impact of transit-time flow measurement on early postoperative outcomes in total arterial coronary revascularization with internal thoracic arteries: a propensity score analysis on 910 patients.Interactive cardiovascular and thoracic surgery · 2022Article
- Transit time flow measurement and outcome in coronary artery bypass grafting for surgeon and trainee.Journal of thoracic disease · 2022Article
- Newly Developed Graft Failure Detected Using Computed Tomography Within 1 Year After Coronary Artery Bypass Grafting Surgery: One Single-Center Experience.Frontiers in cardiovascular medicine · 2022Article
- Intraoperative Assessment of Coronary Resistances: A New Quality Marker and Potential Tool to Predict Early Graft Failure after Coronary Artery Bypass Grafting?Journal of cardiovascular development and disease · 2021Article
- Transit time flow measurement predicts graft patency in off-pump coronary artery bypass grafting upon 5-year angiographic follow-up.Journal of cardiothoracic surgery · 2021Article
- Commentary: Intraoperative graft patency assessment: Just do it!JTCVS techniques · 2021Article
- Commentary: Transit time flow measurements for coronary artery bypass graft: Go with the flow.JTCVS techniques · 2021Article
Corrections and comments
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Authors and funding
10 authors.
Funding
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Abstract
Despite there being numerous studies of intraoperative graft flow assessment by transit-time flow measurement (TTFM) on outcomes after coronary artery bypass grafting (CABG), the adoption of contemporary TTFM is low. Therefore, on 31 January 2018, a systematic literature search was performed to identify articles that reported (i) the amount of grafts classified as abnormal or which were revised or (ii) an association between TTFM and outcomes during follow-up. Random-effects models were used to create pooled estimates with 95% confidence intervals (CI) of (i) the rate of graft revision per patient, (ii) the rate of graft revision per graft and (iii) the rate of graft revision among grafts deemed abnormal based on TTFM parameters. The search yielded 242 articles, and 66 original articles were included in the systematic review. Of those articles, 35 studies reported on abnormal grafts or graft revisions (8943 patients, 15 673 grafts) and were included in the meta-analysis. In 4.3% of patients (95% CI 3.3-5.7%, I2 = 73.9) a revision was required and 2.0% of grafts (95% CI 1.5-2.5%; I2 = 66.0) were revised. The pooled rate of graft revisions among abnormal grafts was 25.1% (95% CI 15.5-37.9%; I2 = 80.2). Studies reported sensitivity ranging from 0.250 to 0.457 and the specificity from 0.939 to 0.984. Reported negative predictive values ranged from 0.719 to 0.980 and reported positive predictive values ranged from 0.100 to 0.840. This systematic review and meta-analysis showed that TTFM could improve CABG procedures. However, due to heterogeneous data, drawing uniform conclusions appeared challenging. Future studies should focus on determining the optimal use of TTFM and assessing its diagnostic accuracy.
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