Commentary: Prevention of saphenous vein graft disease remains elusive
- PMID: 34981862
- DOI: 10.1111/jocs.16192
Commentary: Prevention of saphenous vein graft disease remains elusive
Abstract
One-year outcomes of Ticagrelor Antiplatelet Therapy to Reduce Graft Events and Thrombosis (TARGET), a randomized double-blinded clinical trial comparing post-coronary artery bypass surgery antiplatelet therapy with ticagrelor versus aspirin are published in this issue of the Journal. Although the authors did not detect statistically significant differences in their primary outcome (saphenous vein graft patency at 1 year) and major adverse cardiovascular events, their findings must be interpreted with caution given important limitations in the design and execution of the trial.
Keywords: antiplatelet agents; aspirin; clinical trial; coronary artery bypass grafting; coronary artery disease; ticagrelor.
© 2022 Wiley Periodicals LLC.
References
REFERENCES
-
- Chesebro JH, Clements IP, Fuster V, et al. A platelet-inhibitor-drug trial in coronary-artery bypass operations. N Engl J Med. 1982;307(2):73-78. doi:10.1056/NEJM198207083070201
-
- Kulik A, Ruel M, Jneid H, et al. Secondary prevention after coronary artery bypass graft surgery: a scientific statement from the American Heart Association. Circulation. 2015;131(10):927-964. doi:10.1161/CIR.0000000000000182
-
- Lim E, Ali Z, Ali A, et al. Indirect comparison meta-analysis of aspirin therapy after coronary surgery. BMJ. 2003;327(7427):1309. doi:10.1136/BMJ.327.7427.1309
-
- Yusuf S, Zhao F, Mehta SR, Chrolavicius S, Tognoni G, Fox KK. Effects of clopidogrel in addition to aspirin in patients with acute coronary syndromes without ST-segment elevation. N Engl J Med. 2009;345(7):494-502. doi:10.1056/NEJMOA010746
-
- Steinhubl SR, Berger PB, Mann JT III, et al. Early and sustained dual oral antiplatelet therapy following percutaneous coronary intervention: a randomized controlled trial. JAMA. 2002;288(19):2411-2420. doi:10.1001/JAMA.288.19.2411
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