Total arterial revascularization with internal thoracic and radial artery grafts in triple-vessel coronary artery disease is associated with improved survival

Abstract

Objectives: We sought to evaluate our experience with total arterial revascularization and compare it with the traditional approach of a single internal thoracic artery supplemented by saphenous veins.Results: Patients undergoing total arterial revascularization were younger (65.0 ± 10.4 years vs 71.3 ± 7.9 years, P 001) and less likely to have diabetes, cerebrovascular disease, recent myocardial infarction, and severe left ventricular impairment. At 15 years, patients who underwent total arterial revascularization experienced superior unadjusted survival (62% ± 1.1% vs 35% ± 1.9%, P < .001). Multivariable Cox regression in the entire study cohort showed the total arterial group had improved..