Coronary disease & ACSCohort study

Multiple arterial vs. single arterial coronary artery bypass grafting: sex-related differences in outcomes

Eur Heart JPublished

  • Retrospective cohort study
  • inverse probability weighted
  • sex-stratified

Authors' conclusion

Compared to single arterial grafting, multiple arterial revascularization is associated with improved long-term survival for women as well as men.

Study context

Population
Adults receiving at least two grafts in primary isolated CABG, Australian and New Zealand Society of Cardiothoracic Surgical Database, 2001–202010,693 (19.7%) female
Participants
54,275 adults
Exposure
Multiple arterial grafting vs Single arterial grafting
  • Multiple arterial graftingn = 29,711
Outcome
All-cause mortality

Main finding

As reported in the abstract

All-cause mortality, by sex (sex-stratified, IPW Cox)

Interaction: insignificant subgroup effect from sex on the survival advantage

P = .08

Observational data: associations, not effects.

Further findings

Sex-stratified subgroups

Survival benefit consistent across all sex-stratified subgroups except women with left main coronary disease

Original publication

Multiple arterial vs. single arterial coronary artery bypass grafting: sex-related differences in outcomes. Eur Heart J. Published 31 May 2024. doi:10.1093/eurheartj/ehae294

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