Costs and quality of life associated with radial artery and saphenous vein cardiac bypass surgery: results from a Veterans Affairs multisite trial

Am J Surg. 2011 Nov;202(5):532-5. doi: 10.1016/j.amjsurg.2011.06.011. Epub 2011 Aug 26.

Abstract

Background: In coronary artery bypass grafting (CABG) surgery, there is uncertainty about whether the radial artery affects quality of life or costs relative to the saphenous vein. This study compared the cost and quality of life for patients randomized to either radial artery or saphenous vein grafts.

Methods: We analyzed the duration and cost of the index surgery and costs and quality of life (Seattle Angina Questionnaire and Health Utility Index) at 1 year for 726 participants.

Results: The 2 treatment groups had similar baseline characteristics. Using the radial artery added approximately 31 minutes to the surgery (from skin incision to skin closure; P < .001) compared with a saphenous vein graft. There were no significant differences in terms of costs and quality of life after the index hospitalization or at 1 year.

Conclusions: Coronary artery bypass grafting with the radial artery lasts approximately 31 minutes longer than with the saphenous vein. However, costs and the quality of life were not statistically different.

Trial registration: ClinicalTrials.gov NCT00054847.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Blood Transfusion
  • Coronary Artery Bypass / economics*
  • Coronary Artery Bypass / methods
  • Erythrocyte Transfusion
  • Humans
  • Linear Models
  • Plasma
  • Quality of Life*
  • Radial Artery / transplantation*
  • Saphenous Vein / transplantation*
  • Time Factors
  • United States
  • United States Department of Veterans Affairs

Associated data

  • ClinicalTrials.gov/NCT00054847