CHA2DS2-Vasc score and saphenous vein graft disease in patients with coronary artery bypass graft surgery. Issue 3 (May 2020)

• Record Type: Journal Article
• Authors: Yarlioglues, Mikail; Oksuz, Fatih; Yalcinkaya, Damla; Duran, Mustafa; Murat, Sani Namik
• Is Part Of: Coronary artery disease. Volume 31:Issue 3(2020:May)
• Publication Date: 2020-05
• Subjects: CHA2DS2-VASc score -- coronary artery bypass graft surgery -- saphenous vein graft disease; Coronary heart disease -- Periodicals; Coronary Disease -- Indexes; Coronary Disease -- Periodicals; 616.123005
• DOI: 10.1097/MCA.0000000000000809
• Languages: English
• ISSNs: 0954-6928

Abstract

Abstract : Background: Saphenous vein grafts (SVGs) are still frequently used in coronary artery bypass graft surgery (CABG). However, the patency rate of SVGs is lower than arterial grafts. CHA2DS2-VASc score gives important information about the prognosis of various cardiovascular diseases. In this study, we aimed to investigate the association between CHA2DS2-VASc score and saphenous vein graft disease (SVGD) in patients with history of CABG surgery. Methods: A total of 241 patients who had undergone CABG surgery and who underwent coronary angiography due to stable angina pectoris symptoms were reviewed retrospectively. SVGD was defined as ≥50% stenosis in at least one SVG. Patients were divided into two groups according to the presence or absence of SVGD. Results: It was found that CHA2DS2-VASc scores were significantly higher in SVGD group. In multivariate logistic regression analysis, time interval after CABG [odds ratio (OR) = 1.077, 95% confidence interval (CI) 1.004–1.155; P = 0.037], and CHA2DS2-VASc score ≥ 4 (OR = 10.10, 95% CI 4.739–21.276; P < 0.001) were found to be independent predictors of SVGD. Conclusion: For the first time, our results have suggested that CHA2DS2-VASc score, which is commonly used in daily clinical practice and easy to calculate, can provide useful information for the risk assessment of patients with SVGs.