Evidence map›Paper›PMID 34611327›Full record

ReviewNature reviews. Cardiology2022

Contemporary coronary artery bypass graft surgery and subsequent percutaneous revascularization.

Frans J Beerkens, Bimmer E Claessen, Marielle Mahan, Mario F L Gaudino, Derrick Y Tam, José P S Henriques, Roxana Mehran, George D Dangas

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
14.6field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

46 citing papers in PubMed, 93 citations in OpenAlex.

  1. Ticagrelor with and without aspirin in patients with a prior coronary artery bypass graft undergoing percutaneous coronary intervention: the TWILIGHT-CABG study.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Trial
  2. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
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  13. Non-pulmonary postoperative complications of cardiothoracic surgery.Diagnostic and interventional radiology (Ankara, Turkey) · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Comparison of Fractional Flow Reserve and Myocardial Perfusion Imaging in Saphenous Vein Grafts.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2025
    Article
  20. Observational
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 3 countries.

Frans J BeerkensDepartment of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Bimmer E ClaessenThe Zena and Michael A. Weiner Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-1703-7921
Marielle MahanDepartment of Ophthalmology, MedStar Georgetown University/Washington Hospital Center, Washington, DC, USA.
Mario F L GaudinoDepartment of Cardiothoracic Surgery, Weill Cornell Medicine, New York, NY, USA.
Derrick Y TamDivision of Cardiac Surgery, University of Toronto, Toronto, ON, Canada.
José P S HenriquesDepartment of Cardiology, Amsterdam University Medical Center, Amsterdam, Netherlands.
Roxana MehranThe Zena and Michael A. Weiner Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA.ORCID http://orcid.org/0000-0002-5546-262X
George D DangasThe Zena and Michael A. Weiner Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY, USA. george.dangas@mountsinai.org.
Cardiovascular Institute of the South · USAmsterdam University Medical Centers · NLCornell University · USGeorgetown University · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients who have undergone coronary artery bypass graft (CABG) surgery are susceptible to bypass graft failure and progression of native coronary artery disease. Although the saphenous vein graft (SVG) was traditionally the most-used conduit, arterial grafts (including the left and right internal thoracic arteries and the radial artery) have improved patency rates. However, the need for secondary revascularization remains common, and percutaneous coronary intervention (PCI) has become the most common modality of secondary revascularization after CABG surgery. Procedural characteristics and clinical outcomes differ considerably from those associated with PCI in patients without previous CABG surgery, owing to altered coronary anatomy and differences in conduit pathophysiology. In particular, SVG PCI carries an increased risk of complications, and operators are shifting their focus towards embolic protection strategies and complex native-vessel interventions, increasingly using SVGs as conduits to facilitate native-vessel PCI rather than pursuing SVG PCI. In this Review, we discuss the differences in conduit pathophysiology, changes in CABG surgery techniques, and the latest evidence in terms of PCI in patients with previous CABG surgery, with a particular emphasis on safety and long-term efficacy. We explore the subject of contemporary CABG surgery and subsequent percutaneous revascularization in this complex patient population.

Indexed as

Coronary Artery DiseasePercutaneous Coronary InterventionCoronary Artery BypassHumansSaphenous VeinTreatment Outcome

Identifiers

PMID34611327
OpenAlexW3202635208

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.