ArticleJTCVS open2025
Coronary endarterectomy as an adjunct to coronary artery bypass grafting: Real-world outcomes from a decade-long experience.
Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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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.
The trial behind it
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Short-Term Outcomes of Coronary Endarterectomy as an Adjunct to Coronary Artery Bypass Grafting: A Systematic Review and Meta-Analysis of Over 100 000 Patients.Interdisciplinary cardiovascular and thoracic surgery · 2026Pooled it
- Impact of Coronary Endarterectomy on Mid-Term Left Ventricular Functional Recovery in Diffuse Coronary Artery Disease.Reviews in cardiovascular medicine · 2026Article
- Selective coronary venous bypass grafting for diffuse right coronary artery disease: early safety, uncertain durability.Journal of thoracic disease · 2026Article
- Early outcome of coronary endarterectomy combined with coronary artery bypass grafting among patients with coronary artery disease.Pakistan journal of medical sciences · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To compare the short- and long-term outcomes of coronary endarterectomy (CE) as an adjunct to coronary artery bypass grafting (CABG) with CABG alone in patients with diffuse coronary artery disease (CAD). Methods: Postoperative complications, in-hospital and long-term mortality, and major adverse cardiovascular and cerebrovascular events (MACCE) were compared between 702 patients undergoing CE + CABG and 2808 propensity score-matched patients undergoing CABG alone at Tehran Heart Center between 2007 and 2016 and during a median follow-up of 98.6 months (96% confidence interval [CI], 97-99.9 months). Results: Preoperative risk factors were perfectly balanced between the 2 groups. Compared to the CABG-only group, patients in the CE + CABG group had longer median aortic cross-clamp time (53.5 [interquartile range (IQR), 43-66.3] minutes versus 45 [IQR, 35-55] minutes; Conclusions: Despite higher rates of short-term morbidity and mortality, CE + CABG, if performed after meticulous patient selection and by experienced surgeons, could be an acceptable approach with favorable long-term outcomes in patients with diffuse CAD.
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Registered trials
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