One-artery versus multiple-artery bypass and thinking/memory after heart surgery

Randomized Comparison of the Clinical Outcome of Single Versus Multiple Arterial Grafts: Cognition (ROMA:Cog)

NIH-funded research Columbia University Health Sciences · NIH-11419912

This compares whether using one artery or multiple arteries during coronary bypass surgery changes thinking and memory in adults having the operation.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionColumbia University Health Sciences NIH-funded
Lab location1 site (New York, United States)
Project IDNIH-11419912 on NIH RePORTER

What this research studies

If you're an adult scheduled for coronary artery bypass (CABG), researchers randomly assign about 2,000 people to receive either multiple arterial grafts or a single arterial graft and follow them over time. The team will use cognitive tests and imaging to see how surgery affects thinking, memory, and new tiny brain infarcts. They will pay special attention to groups like women and people with diabetes to see if effects differ. The study also looks at whether surgical techniques that limit aortic handling reduce the risk of brain emboli and later cognitive problems.

Who could benefit from this research

Good fit: Adults (typically 21 and older) who are scheduled for planned coronary artery bypass grafting and can complete follow-up testing are the ideal candidates.

Not a fit: People who do not need CABG, are under 21, require emergency surgery, or cannot participate in follow-up visits or testing are unlikely to benefit from joining.

Why it matters

Potential benefit: If successful, findings could help surgeons choose a bypass technique that lowers the chance of memory loss, stroke, or other thinking problems after surgery.

How similar studies have performed: Prior studies link aortic manipulation to brain emboli and cognitive decline, but randomized comparisons of single versus multiple arterial grafts focused on cognition are limited, so this approach is relatively novel.

Where this research is happening

New York, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.