Original Investigation

Sex Differences in Arterial Grafting in Patients Undergoing Dialysis and Coronary Artery Bypass Grafting

JAMA Surgery 10.1001/jamasurg.2026.0637

April 01, 2026 at 11:00 AM EDT

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Do men and women with kidney failure undergoing dialysis experience similar survival benefit from arterial grafting?In this cohort study of 15 215 patients in a US national database, men with kidney failure undergoing dialysis were associated with better long-term survival with left internal mammary artery (LIMA) grafting and multiarterial grafting (MAG) than women with kidney failure undergoing dialysis, although neither were associated with significant survival benefit from MAG over LIMA grafting.In patients with kidney failure undergoing dialysis, sex was associated with differences in survival, although MAG may not be associated with significant survival benefit for either men or women.

Corresponding Author: Paul Kurlansky, MD, Division of Cardiac Surgery, Department of Surgery, Columbia University College of Physicians and Surgeons/New York-Presbyterian Hospital, 177 Fort Washington Ave, New York, NY 10032 (pk2245@cumc.columbia.edu).

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