Trial Outcomes & Findings for A Prospective Randomized Study for Comparison of Y-Composite Grafts (NCT NCT01051986)

NCT ID: NCT01051986

Last Updated: 2014-01-10

Results Overview

1 year graft patency of second limb conduits measured by 1 year coronary angiography

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

224 participants

Primary outcome timeframe

one year

Results posted on

2014-01-10

Participant Flow

Patients, 40 to 75 years of age, who were scheduled to between September 2008 and October 2011 patients who undergo off-pump CABG (OPCAB) for multivessel coronary artery disease using a Y-composite graft based on the in situ left ITA were evaluated for eligibility

Exclusion criteria included patients with ineligible Y-composite graft revascularization, unavailable RITA or SV, left ventricular dysfunction, chronic renal failure requiring renal replacement therapy, a history of previous cardiac operation, emergency, or a medical history that might limit the possibility of mid-term follow-up

Participant milestones

Participant milestones
Measure
RITA Group
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Overall Study
STARTED
112
112
Overall Study
COMPLETED
107
108
Overall Study
NOT COMPLETED
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
RITA Group
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Overall Study
Death
1
0
Overall Study
Withdrawal by Subject
2
1
Overall Study
Protocol Violation
2
3

Baseline Characteristics

A Prospective Randomized Study for Comparison of Y-Composite Grafts

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RITA Group
n=112 Participants
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=112 Participants
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Total
n=224 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
63 Participants
n=5 Participants
58 Participants
n=7 Participants
121 Participants
n=5 Participants
Age, Categorical
>=65 years
49 Participants
n=5 Participants
54 Participants
n=7 Participants
103 Participants
n=5 Participants
Age, Continuous
62.8 years
STANDARD_DEVIATION 8.0 • n=5 Participants
63.3 years
STANDARD_DEVIATION 7.8 • n=7 Participants
63.0 years
STANDARD_DEVIATION 7.9 • n=5 Participants
Sex: Female, Male
Female
21 Participants
n=5 Participants
30 Participants
n=7 Participants
51 Participants
n=5 Participants
Sex: Female, Male
Male
91 Participants
n=5 Participants
82 Participants
n=7 Participants
173 Participants
n=5 Participants
Region of Enrollment
Korea, Republic of
112 participants
n=5 Participants
112 participants
n=7 Participants
224 participants
n=5 Participants

PRIMARY outcome

Timeframe: one year

1 year graft patency of second limb conduits measured by 1 year coronary angiography

Outcome measures

Outcome measures
Measure
RITA Group
n=204 distal anastomosis
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=245 distal anastomosis
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
1 Year Graft Patency Rates
97.1 percentage of distal anastomoses
97.1 percentage of distal anastomoses

SECONDARY outcome

Timeframe: 4 years

Overall survival rate at 4 years

Outcome measures

Outcome measures
Measure
RITA Group
n=112 Participants
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=112 Participants
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Overall Survival
97.8 percentage of participiciants
97.6 percentage of participiciants

SECONDARY outcome

Timeframe: 4 years

Freedom rate from cardiac death at 4 years

Outcome measures

Outcome measures
Measure
RITA Group
n=112 Participants
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=112 Participants
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Freedom From Cardiac Death
100 percentage of participants
99.1 percentage of participants

SECONDARY outcome

Timeframe: 4 years

freedom from MACCE(major adverse cardiac and cerebrovascular events)at 4 years

Outcome measures

Outcome measures
Measure
RITA Group
n=112 Participants
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=112 Participants
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Freedom From MACCE(Major Adverse Cardiac and Cerebrovascular Events)
91.1 percentage of participants
94.4 percentage of participants

SECONDARY outcome

Timeframe: 1.4days

The patency rate of the SV side-arm composite graft evaluated with coronary angiograms early after CABG

Outcome measures

Outcome measures
Measure
RITA Group
n=208 number of distal anastomoses
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=248 number of distal anastomoses
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Early Angiographic Patency Rates
99.5 percentage of distal anastomoses
98.8 percentage of distal anastomoses

Adverse Events

RITA Group

Serious events: 8 serious events
Other events: 0 other events
Deaths: 0 deaths

SVG Group

Serious events: 6 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
RITA Group
n=112 participants at risk
patient who underwent off-pump coronary artery bypass using right internal thoracic artery composite graft based on the left internal thoracic artery use right internal thoracic artery as a composite graft connected to the left internal thoracic artery right internal thoracic artery composite grafting : right internal thoracic artery is used as a composite graft connected to the left internal thoracic artery
SVG Group
n=112 participants at risk
patients who underwent off-pump coronary artery bypass using saphenous vein composite graft based on the left internal thoracic artery use saphenous vein as a composite graft connected to the left internal thoracic artery saphenous vein composite grafting : use saphenous vein as a composite graft connected to the left internal thoracic artery
Cardiac disorders
Early death
0.89%
1/112 • Number of events 1
0.00%
0/112
Cardiac disorders
Recurrent angina
7.1%
8/112 • Number of events 8
3.6%
4/112 • Number of events 4
Cardiac disorders
Reintervefntion
3.6%
4/112 • Number of events 4
0.89%
1/112 • Number of events 1
Cardiac disorders
Late death
0.89%
1/112 • Number of events 1
1.8%
2/112 • Number of events 2

Other adverse events

Adverse event data not reported

Additional Information

Ki-Bong Kim

Seoul National University Hospital

Phone: +82-2-2072-3482

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place