Comparing Single vs. Multiple Arterial Grafts in Women for Heart Disease

This study, called ROMA:Women, is looking at how different surgical approaches for coronary artery bypass grafting (CABG) affect women with heart disease. CABG is a surgery to improve blood flow to the heart. Researchers want to see if using multiple arterial grafts (where more than one artery is used to bypass blockages) leads to better outcomes and quality of life compared to using a single arterial graft (where one artery and other veins are used). You might be able to join if you are a woman aged 18 or older, having your first heart surgery for isolated coronary artery bypass grafting, and have significant disease in certain heart arteries. The study will measure things like death, stroke, heart attacks, repeat surgeries, and hospital readmissions, as well as your quality of life, for at least 2.5 years after surgery.

Study design
This is an interventional study that plans to enroll 2,300 women. Participants will be randomly assigned to receive either a single arterial graft or multiple arterial grafts.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for at least 2.5 years after their surgery to assess outcomes and quality of life.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT04124120

Comparison of the Outcomes of Single vs Multiple Arterial Grafts in Women

Recruiting
NAAges 18+InterventionalTreatment
Weill Medical College of Cornell University
~2,300 participants
Updated 2026-04-01 on ClinicalTrials.gov
What's tested:Single arterial graftMultiple arterial grafting

At a glance

Recruiting sites
116 of 146 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Primary outcome for aim 1: Death from any cause, any stroke, non-procedural myocardial infarction, repeat revascularization and hospital readmission for acute coronary syndrome or heart failure.
Measured over Postoperatively, minimum 2.5 year follow-up
+1 more outcome measured
Heart Diseases
Coronary Artery Disease
Coronary Artery Bypass Grafting
146 sites across 62 states
Germany15
United Kingdom15
Italy8
Ontario6
New York5
Austria5
Texas4
Quebec4
  • Mario Gaudino, Prof/PhD/MD · PRINCIPAL_INVESTIGATOR · Weill Medical College of Cornell University
  • Stephen Fremes, MD · PRINCIPAL_INVESTIGATOR · Sunnybrook Health Sciences Centre
  • Ruth Masterson Creber, RN, PhD · PRINCIPAL_INVESTIGATOR · Columbia University
  • C. Noel Bairey Merz, MD · PRINCIPAL_INVESTIGATOR · Cedars-Sinai
  • Karla Ballman, PhD · PRINCIPAL_INVESTIGATOR · Weill Medical College of Cornell University
  • Sean O'Brien, PhD · PRINCIPAL_INVESTIGATOR · Duke University

Opens a ready-to-send draft in your own email app — review before sending.

Do you actually qualify for this trial?

Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.

Check eligibility for this trial ~2 min · HIPAA-protected · delete anytime
Eligibility criteria

Exclusion

Male gender
Single graft
Emergency operation
Myocardial infarction within 72 hours of surgery
Left ventricular ejection fraction \< 35%
Any concomitant cardiac or non-cardiac procedure
Previous cardiac surgery
Preoperative severe end-organ dysfunction (dialysis, liver failure, respiratory failure), cancer or any co-morbidity that reduces life expectancy to less than 5 years.
Inability to use the saphenous vein or to use both radial and right internal thoracic arteries
Anticipated need for coronary thrombo-endarterectomy
Planned hybrid revascularization
  • Primary outcome for aim 1: Death from any cause, any stroke, non-procedural myocardial infarction, repeat revascularization and hospital readmission for acute coronary syndrome or heart failure.Postoperatively, minimum 2.5 year follow-up

    The primary outcome for aim 1 will be a composite of the first occurrence of death from any cause, any stroke, non-procedural myocardial infarction (\>48 hours after surgery), repeat revascularization and hospital readmission for acute coronary syndrome or heart failure.

  • Primary outcome for aim 2: Disease-specific quality of lifePostoperatively, minimum 2.5 year follow-up

    Assessed using the Seattle Angina Questionnaire (SAQ), a validated 19-item questionnaire that measures five domains related to coronary disease: angina frequency, physical limitations, quality of life, angina stability, and treatment satisfaction. Scores range from 0 to 100 with higher scores indicating fewer symptoms and better health status. The minimum clinically important difference on the SAQ is 5 points. The primary endpoint for aim 2 is the absolute change in the Seattle Angina Questionnaire (SAQ) at 12 months compared to baseline.