{"created":"2023-06-19T10:44:03.463761+00:00","id":4430,"links":{},"metadata":{"_buckets":{"deposit":"9e9ff459-7cfe-46c1-a2ed-ccbae4b19428"},"_deposit":{"created_by":11,"id":"4430","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4430"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004430","sets":["30:229:230"]},"author_link":["3183","7951","6087","8752"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-01-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"319","bibliographicPageStart":"312","bibliographicVolumeNumber":"87","bibliographic_titles":[{},{"bibliographic_title":"Circulation journal : official journal of the Japanese Circulation Society","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鉢呂, 康平"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"鈴木, 友彰"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"髙島, 範之"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"神谷, 賢一"}],"nameIdentifiers":[{}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background:\nWe compared postoperative outcomes in octogenarians who underwent off-pump isolated coronary artery bypass grafting for multivessel disease using either skeletonized bilateral or single internal thoracic artery (ITA).Methods and Results: Among 1,532 patients who underwent isolated coronary artery bypass grafting between 2002 and 2021, 173 octogenarians were analyzed retrospectively. After inverse probability of treatment weighting, we found no statistically significant difference regarding patients' preoperative characteristics. No patient experienced deep sternal wound infection. More patients in the single than bilateral ITA group died within 30 days after surgery (5.0% vs. 0%, respectively; P=0.003). The mean follow-up duration was 4.2 years. At 5 years, the freedom from overall death following bilateral versus single ITA grafting was 78.2% and 53.7%, respectively (log-rank test, P=0.003), and freedom from major adverse cardiac and cerebrovascular events (MACCE) was 67.9% and 44.8% respectively (log-rank test, P=0.002). In multivariable Cox models, bilateral ITA grafting was significantly associated with a lower risk of overall death (hazard ratio [HR] 0.555; 95% confidence interval [CI] 0.342-0.903; P=0.018) and MACCE (HR 0.586; 95% CI 0.376-0.913; P=0.018). ","subitem_description_type":"Abstract"},{"subitem_description":"Conclusions:\nCompared with single ITA grafting, off-pump skeletonized bilateral ITA grafting is associated with lower rates of overall death and MACCE in octogenarians undergoing CABG and does not increase the risk of deep sternal wound infection. ","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Japanese Circulation Society"}]},"item_4_publisher_34":{"attribute_name":"別言語の出版者","attribute_value_mlt":[{"subitem_publisher":"日本循環器学会"}]},"item_4_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"36476828","subitem_relation_type_select":"PMID"}}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.1253/circj.cj-22-0443"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1253/circj.cj-22-0443","subitem_relation_type_select":"DOI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2023, THE JAPANESE CIRCULATION SOCIETY "}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1347-4820","subitem_source_identifier_type":"ISSN"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"HACHIRO, Kohei"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"SUZUKI, Tomoaki"}],"nameIdentifiers":[{},{},{}]},{"creatorNames":[{"creatorName":"TAKASHIMA, Noriyuki"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"KAMIYA, Kenichi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-03-03"}],"displaytype":"detail","filename":"circj.CJ-22-0443.pdf","filesize":[{"value":"937.3 kB"}],"format":"application/pdf","license_note":"This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license.\nhttps://creativecommons.org/licenses/by-nc-nd/4.0/","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"circj.CJ-22-0443","url":"https://shiga-med.repo.nii.ac.jp/record/4430/files/circj.CJ-22-0443.pdf"},"version_id":"8528f17c-da74-4227-b488-e819d6c5ffb6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Coronary artery bypass grafting","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Deep sternal wound infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Octogenarian","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Off-Pump Bilateral Skeletonized Internal Thoracic Artery Grafting in Octogenarians.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Off-Pump Bilateral Skeletonized Internal Thoracic Artery Grafting in Octogenarians."}]},"item_type_id":"4","owner":"11","path":["230"],"pubdate":{"attribute_name":"公開日","attribute_value":"2023-03-03"},"publish_date":"2023-03-03","publish_status":"0","recid":"4430","relation_version_is_last":true,"title":["Off-Pump Bilateral Skeletonized Internal Thoracic Artery Grafting in Octogenarians."],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:08:12.791148+00:00"}