Heart bypass upgrade: which Artery-Harvesting technique works best?
NCT ID NCT07720661
First seen Jul 22, 2026 · Last updated Jul 29, 2026 · Updated 3 times
Summary
This trial tests two methods of harvesting the left internal mammary artery for heart bypass surgery. One method strips the artery clean of surrounding tissue; the other leaves the tissue intact. Researchers want to know which approach keeps the graft open longer and reduces the risk of infection and chronic chest pain. About 1,100 adults undergoing planned bypass surgery will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- skeletonized or non-skeletonized harvesting of the left internal mammary artery during coronary artery bypass surgery
- What this could lead to
- If one technique proves superior, it could reduce graft failure, infections, and chronic chest pain after bypass surgery.
- What could go wrong
- This is a surgical technique comparison, not a new drug or device, so improvements may be modest. Results depend on surgeon skill and patient factors.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Expected to start
-
Sep 2026
An estimate. Start dates often move.
- Expected to finish
-
Apr 2029
An estimate. End dates often move.
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age 18 years or older 2. Undergoing isolated CABG surgery with median sternotomy and a planned LIMA-LAD graft 3. Provision of written informed consent Exclusion Criteria: 1. Non-sternotomy surgical approach (e.g., minimally invasive, thoracotomy) 2. Emergency surgery (defined as surgery required within 24 hours of presentation) 3. History of prior sternotomy 4. Currently receiving systemic antibiotics or with an active bacterial infection at the time of surgery 5. History of chronic sternal pain prior to the index surgery 6. Known left subclavian artery stenosis (\>50%) 7. Previous radiation therapy to the chest 8. Known allergy or contraindication to iodinated contrast media that cannot be managed with premedication 9. Estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73m² at baseline (relative contraindication to CTA contrast) as determined based on each centre's laboratory standard. 10. Known pregnancy or plans for pregnancy during the study period 11. Life expectancy less than 1.5 years due to non-cardiac conditions 12. Inability or unwillingness to comply with follow-up procedures including CTA at 1.5 years
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Coronary artery bypass grafting are added.
By submitting, you agree to our Terms of use
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- SMART-I: SiroMax™ Multi-Center coronary artery lesion treatment - safety and feasibility study of SiroMax SCB in ISR and DNSV
- Hospital-to-Home transitional cardiac rehabilitation as a transition from Centre-Based cardiac rehabilitation after cardiac surgery: a Single-Blind randomised controlled trial
- Opportunistic screening of coronary artery calcium on Non-Gated routine chest CT using artificial intelligence: retrospective external validation and clinical risk stratification
- AI heart scan software aims to spot dangerous blockages without invasive probes
- A shot of nicorandil before stenting might keep blood flowing
- Can personalized breathing settings protect lungs during heart surgery?