Bilateral internal mammary artery grafting:<i>in situ</i>versus Y-graft. Similar 20-year outcome

Mauro, Michele Di; Iacò, Angela L.; Allam, Ahmed A.; Awadi, Mohammed O.; Osman, A.; Clemente, Daniela; Calafiore, Antonio M.

doi:10.1093/ejcts/ezw100

Cited by 32 publications

(24 citation statements)

References 25 publications

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“…Although previous studies have shown no difference in long-term survival or freedom from repeat revascularization between different BITA configurations [12][13][14][15][16][17][18][19][20], and although those studies have also shown that no particular configuration is associated with relatively favorable clinical outcomes, our study revealed that certain aspects of the configuration must be considered. The selection of the ideal BITA configuration should be based on technical factors associated with the individual patient.…”

Section: Kjtcvscontrasting

confidence: 83%

Outcomes and Patency of Complex Configurations of Composite Grafts Using Bilateral Internal Thoracic Arteries

Shih

Chung

Kim

et al. 2020

Korean J Thorac Cardiovasc Surg

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Background: It is generally agreed that using a bilateral internal thoracic artery (BITA) composite graft improves long-term survival after coronary artery bypass grafting (CABG). Although the left internal thoracic artery (LITA)-based Y-composite graft is widely adopted, technical or anatomical difficulties necessitate complex configurations. We aimed to investigate whether BITA configuration impacts survival or patency in patients undergoing coronary revascularization.

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Section: Kjtcvscontrasting

confidence: 83%

Outcomes and Patency of Complex Configurations of Composite Grafts Using Bilateral Internal Thoracic Arteries

Shih

Chung

Kim

et al. 2020

Korean J Thorac Cardiovasc Surg

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“…Also, BIMA could be performed using two different configurations, in situ versus Y-graft. A recent study evaluated whether graft configuration might affect long-term outcomes in 2150 patients using a propensityscore approach [18] . Late mortality and incidence of MACCES were similar between groups, and therefore the clinical outcome of BIMA grafting is independent of surgical configuration.…”

Section: Discussionmentioning

confidence: 99%

“…Late mortality and incidence of MACCES were similar between groups, and therefore the clinical outcome of BIMA grafting is independent of surgical configuration. However, Y-grafting increases the flexibility of BIMA grafting and should be taken into account when a surgical strategy for myocardial revascularization needs to be planned [18] .…”

Section: Discussionmentioning

confidence: 99%

Advantages and disadvantages of total arterial coronary artery bypass graft as compared to venous coronary artery bypass graft

Dewantoro¹,

Nenna²,

Satriano³

et al. 2018

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Considering the plethora of literature about surgical revascularization, this review aims to discuss the most recent studies about the effects of total arterial coronary artery bypass graft (TACABG) compared with CABG that involves venous graft (VCABG) in patients with multivessel coronary artery disease. Patients were sampled from published papers that studied various aspects involving TACABG or VCABG. Resulting samples were used to compare the complexity and 5 years' outcomes of TACABG to VCABG in the revascularization of coronary arteries. TACABG provides a better prognosis with average all-cause mortality within 5 years of 5.35% as compared to VACABG with average of all-cause mortality within 5 years of 9.1%. Furthermore, assumption of deep sternal wound infection from TACABG, especially when bilateral internal thoracic arteries were used, is very technique-dependent, as reports have been showing that the rate of such infection to occur is less than 1%. TACABG was concluded to wield a better prognosis within both short-and long-terms, although more research need to be done to prove its use in left main disease.

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“…Tatoulis et al [24] declared that the entire of perfusion time and cross clamp time needed in VCABG is longer than in TACABG. Di Mauro et al [25] stated that, graft configuration can influence the long-term outcomes by the use of a propensity-score approach. They also found that, the rate of MACCES and sudden mortality was not difference between studied groups, and also, configuration of the surgery doesn’t affect BIMA grafting.…”

Section: Discussionmentioning

confidence: 99%

A comparative review of the outcomes of using arterial versus venous conduits in coronary artery bypass graft (CABG)

Jannati

Navaei

Ronizi

2019

J Family Med Prim Care

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Nowadays one of the most frequent reasons of death in the world is coronary artery disease. CABG is a portion of a common revascularization mediation that is done to supervise CAD by applying vessels that are grafted to revascularize vessels distal from the blockage. Different sources of grafts are included veins (specifically saphenous) and arteries (include mammary and radial arteries). Multiple conduits are used to this end, but the most suitable is left internal mammary artery (LIMA) to the left anterior descending artery (LAD) as a golden standard. Saphenous vein grafts were the guiding approach applied by the vast majority of cardiac surgeons in the 1970s, even though all approaches were supported by doctors. Although the radial artery graft was introduced simultaneously, this approach due to its complications was not as prevalent. This article is aimed to define the pros and cons of applying each kind of grafts according to the results furnished by existent studies. It has also examined the benefits provided by total arterial coronary artery bypass graft against CABG including venous graft for patients with CAD from the perspective of surgeons.

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Bilateral internal mammary artery grafting:in situversus Y-graft. Similar 20-year outcome

Abstract: The clinical outcome of BIMA grafting is independent of surgical configuration. Y-grafting increases the flexibility of BIMA grafting and should be taken into account when a surgical strategy for myocardial revascularization needs to be planned.

Cited by 32 publications

References 25 publications

Outcomes and Patency of Complex Configurations of Composite Grafts Using Bilateral Internal Thoracic Arteries

Outcomes and Patency of Complex Configurations of Composite Grafts Using Bilateral Internal Thoracic Arteries

Advantages and disadvantages of total arterial coronary artery bypass graft as compared to venous coronary artery bypass graft

A comparative review of the outcomes of using arterial versus venous conduits in coronary artery bypass graft (CABG)

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