{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T01:25:20Z","timestamp":1792891520817,"version":"4.5.0"},"reference-count":27,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Coronary artery bypass grafting (CABG) using bilateral internal thoracic artery (BITA) conduits can achieve good outcomes for multivessel lesions. This study evaluated early angiographic patency and outcomes following off-pump CABG (OPCAB) using only in situ BITA and right gastroepiploic artery (rGEA) grafts.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective analysis included patients undergoing OPCAB using only in situ skeletonized BITA and rGEA grafts (July 2007 to March 2019). The primary outcome was all-cause mortality. Secondary outcomes were early graft patency and major adverse cardiac and cerebral events (MACCE).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the study period, OPCAB using only in situ skeletonized BITA\/rGEA grafts was performed in 302 of 1034 patients with triple-vessel disease (29.2%). The number of reconstructed branches was 4 [3-4] per patient. Median follow-up duration was 9.3 [6.6-11.8] years. No deaths occurred during the 30-day postoperative period, whereas 43 deaths (14.3%), including 11 cardiovascular-related deaths (3.6%), occurred during long-term follow-up. MACCE occurred in only 1 patient during the 30-day postoperative period and in 62 patients (20.2%) during long-term follow-up. Early graft patency rate after surgery was 98.9%. Estimated overall survival rates at 5, 10, and 12 years of follow-up were 92.6%, 85.7%, and 77.7%, respectively. Corresponding values for MACCE-free survival were 89.6%, 79.9%, and 69.2%. Diabetes mellitus was not significantly associated with all-cause mortality or MACCE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>OPCAB using only in situ skeletonized BITA and rGEA grafts achieved excellent early angiographic patency and long-term outcomes, suggesting that applying our criteria for rGEA use might help improve the long-term outcomes of CABG.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf289","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T15:43:06Z","timestamp":1757346186000},"source":"Crossref","is-referenced-by-count":1,"title":["Long-Term Outcomes Following Off-pump Coronary Artery Bypass Grafting Using Only 3 <i>In situ<\/i> Arterial Grafts"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9647-5734","authenticated-orcid":false,"given":"Hiroshi","family":"Niinami","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Tokyo Women\u2019s Medical University Hospital , Tokyo 162-8666,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2784-9904","authenticated-orcid":false,"given":"Yuki","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tokyo Women\u2019s Medical University Hospital , Tokyo 162-8666,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kozo","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tokyo Women\u2019s Medical University Hospital , Tokyo 162-8666,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Hattori","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tokyo Women\u2019s Medical University Hospital , Tokyo 162-8666,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoru","family":"Domoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tokyo Women\u2019s Medical University Hospital , Tokyo 162-8666,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0013-5373","authenticated-orcid":false,"given":"Yuki","family":"Ichihara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tokyo Women\u2019s Medical University Hospital , Tokyo 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