Coronary disease & ACSMeta-analysis

Bayesian Network Meta-Analysis of Long-Term Survival

JACC AdvPublished

  • systematic review and Bayesian network meta-analysis
  • random-effects

Authors' conclusion

Increasing use of arterial conduits during CABG is associated with progressively improved long-term survival, with TAR demonstrating the greatest benefit.

Study context

Population
Adults undergoing isolated coronary artery bypass grafting (CABG) with single arterial grafting (SAG), multiple arterial grafting (MAG), or total arterial revascularization (TAR)
Participants
560,723 Fifty-four studies
Comparison
SAG, MAG, and TAR compared for long-term all-cause mortality

Pooled result

As reported in the abstract

Long-term mortality
Hazard ratio (95% CI)
MAG vs SAGcredible interval (CrI)
0.83(0.79–0.85)
TAR vs SAGcredible interval (CrI)
0.75(0.70–0.79)
TAR vs MAGindirect comparison within the network; credible interval (CrI)
0.90(0.85–0.96)

Further pooled results

Treatment ranking (surface under the cumulative ranking curve)

TAR was associated with superior survival, followed by MAG and SAG

Original publication

Bayesian Network Meta-Analysis of Long-Term Survival. JACC Adv. Published 9 August 2026. doi:10.1016/j.jacadv.2026.103178

Summarised from the published abstract; every number is checked against it