ArticleThe international journal of cardiovascular imaging2026
The impact of epicardial adipose tissue quantification by computed tomography on predicting postoperative outcomes in coronary artery bypass grafting surgery.
Article in The international journal of cardiovascular imaging, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeEpicardial adipose tissue (EAT) modulates cardiovascular risk, but its surgical implications remain unclear. We investigated whether CT-quantified EAT predicts postoperative outcomes in isolated coronary artery bypass grafting (CABG) patients.
methodsThis retrospective study analysed isolated CABG patients (2017-2024) with preoperative CT. EAT volume and thickness were measured using semi-automated segmentation. Primary endpoints were correlation of EAT with postoperative clinical outcomes; sternal wound infection, renal insufficiency, cerebrovascular events, postoperative atrial fibrillation (POAF) and other cardiac arrhythmias, and short- and medium-term mortality.
resultsThe study included 325 patients. EAT volume > 108 cm³ predicted sternal wound infection (AUC = 0.632, 62.5% sensitivity, 63.5% specificity; p = 0.0135). EAT thickness > 30.5 mm correlated with 30-day mortality (AUC = 0.650, p = 0.0428). No association with POAF was observed (p = 0.21).
conclusionsQuantification of EAT in CABG patients may be a prognostic marker, especially providing risk assessment regarding postoperative sternal infection and short- term mortality.
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