Evidence map›Paper›PMID 40346403›Full record

ArticleGeroScience2025

Predictors of graft patency following coronary artery bypass graft surgery: the role of nebivolol therapy.

Tímea Balla, Tamás Maros, Gábor Csató, Nóra Erdei, Beatrix Ványai, Noel Johny Nellamkuzhi, Riko Shima, Dániel Czuriga, Zoltán Csanádi, Andrea Molnár and 5 more

Abstract read
In one paragraph

Article in GeroScience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Tímea Balla *Department of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Tamás Maros *Department of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Gábor CsatóDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Nóra ErdeiDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Beatrix VányaiDepartment of Dermatology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Noel Johny NellamkuzhiDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Riko ShimaDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Dániel CzurigaDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Zoltán CsanádiDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Andrea MolnárDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Nóra HomoródiDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Zsolt KőszegiDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Attila KissCenter for Biomedical Research and Translational Surgery, Medical University of Vienna, Vienna, Austria.
István ÉdesDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.
Gábor Tamás SzabóDepartment of Cardiology and Cardiac Surgery, Faculty of Medicine, University of Debrecen, Debrecen, Hungary. nszgt@med.unideb.hu.ORCID 0000-0001-9880-0425

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The long-term postoperative occlusion of venous or arterial grafts following coronary artery bypass graft surgery (CABG) is a constant and unresolved problem, with a negative impact on clinical outcome. In our study, we aimed to find predictors that influence graft patency. The data of 202 patients who underwent CABG and had control coronary angiography on an average of 8.55 ± 4.56 years were analyzed retrospectively. Based on the presence of graft occlusion ascertained at control coronary angiography, patients were divided into two groups: 81 in the graft occlusion group (with 89 grafts degeneration: 64 saphenous vein [SVG] and 25 arterial graft) and 121 in the control group with patent grafts. The two groups were considerably well-matched regarding patient characteristics. Among medical conditions, peripheral artery disease has been found to be an independent predictor of increased graft occlusion, but only in SVG patients (OR 3.64, CI 1.21-11.03, p = 0.021). When evaluating medical therapy, significantly more patients were on nebivolol in the control group, compared to the graft occlusion group (p = 0.032). Moreover, nebivolol has been found to be an independent predictor of a lower degree of graft occlusion development (OR 0.36, CI 0.14-0.94, p = 0.036). Nebivolol has been found especially effective in preventing SVG graft occlusion (OR 0.24, CI 0.07-0.76, p = 0.015). Nebivolol has been found to reduce the frequency of graft occlusion following CABG, especially in case of SVG grafts. The vasodilatory properties of nebivolol may, at least in part, be responsible for the favorable effects of the drug to prevent graft occlusion.

Indexed as

Adrenergic beta-1 Receptor AntagonistsCoronary Artery BypassGraft Occlusion, VascularNebivololVascular PatencyAgedCoronary AngiographyFemaleHumansMaleMiddle AgedRetrospective StudiesSaphenous VeinAdrenergic beta-1 Receptor AntagonistsNebivololCoronary artery bypass graft surgeryGraft patencyGrafts degenerationNebivolol

Identifiers

PMID40346403
PMCPMC12638593

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.