Bilateral versus Single Internal-Thoracic-Artery Grafts

doi:10.1056/nejmc1703358

Cited by 17 publications

(6 citation statements)

References 26 publications

(24 reference statements)

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“…Concerns have been raised regarding that a large number of patients randomized to BITA received SITA grafts, and to a lesser extent, were lost to follow-up. Consequently, this could decrease the power of the study so that it no longer will be able to detect a difference at 10-year follow-up [ 25 ]. At the 1-year interim report, 30-day mortality was 1.2% in both groups and the rate of MACCE were < 2%.…”

Section: The Art Trialmentioning

confidence: 99%

Bilateral Versus Single Internal Thoracic Artery Grafts

Persson

Sartipy

2018

Curr Cardiol Rep

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Purpose of ReviewSeveral advances have been made in recent years to improve outcome for patients with coronary artery disease. One of the most debated topics regarding surgical treatment with coronary artery bypass grafting (CABG) is graft selection. This review aims to present the current status and scientific evidence for bilateral internal thoracic artery (BITA) grafting.Recent FindingsObservational studies and pooled analyses suggest that BITA grafting is associated with improved survival. Early results from a large randomized controlled trial report safety and efficacy of the method. The improved survival might be amplified in select groups, but with an increase in sternal wound-related complications. The benefit of BITA grafts seems to remain to an approximate age of 69 years at surgery.SummaryCABG with BITA grafts is likely associated with improved long-term survival at a cost of an increase in sternal wound infections. Ten-year results from the Arterial Revascularization Trial are expected in 2018, providing the best evidence regarding the method yet. Early results show it is a safe method in most patient categories considerable for CABG.

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Section: The Art Trialmentioning

confidence: 99%

Bilateral Versus Single Internal Thoracic Artery Grafts

Persson

Sartipy

2018

Curr Cardiol Rep

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“…При отсутствии высокого риска стернальных осложнений (ожирения, декомпенсированного сахарного диабета) рекомендуется использование правой внутренней грудной артерии. В дополнение к внутренним грудным артериям при стенозах КА более 80% и/или их окклюзиях рекомендовано применение лучевой артерии в качестве аортокоронарных шунтов, реваскуляризация остальных ветвей проводится аутовенозными трансплантатами [194][195][196][197][198][199]. EOK I B Таблица 10.…”

Section: тактика операций коронарного шунтированияunclassified

“…Операции КШ с искусственным кровообращением обеспечивают полную реваскуляризацию миокарда, и в большинстве наблюдений отдаленные результаты лучше, чем без искусственного кровообращения. Широкое применение аутоартериальных трансплантатов приводит к лучшей отдаленной проходимости шунтов и снижению числа рецидивов стенокардии [194][195][196][197][198][199].…”

Section: тактика операций коронарного шунтированияunclassified

Eurasian Guidelines for the diagnostics and management of stable coronary artery disease (2020-2021)

Karpov

Барбараш

Boschenko

et al. 2021

Evrazijskij kardiologičeskij žurnal

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Disclaimer The EAC Guidelines represent the views of the EAC, and were produced after careful consideration of the scientific and medical knowledge, and the evidence available at the time of their publication. The EAC is not responsible in the event of any contradiction, discrepancy, and/or ambiguity between the EAC Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies. Health professionals are encouraged to take the EAC Guidelines fully into account when exercising their clinical judgment, as well as in the determination and the implementation of preventive, diagnostic, or therapeutic medical strategies; however, the EAC Guidelines do not override, in any way whatsoever, the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient’s health condition and in consultation with that patient and, where appropriate and/or necessary, the patient’s caregiver. Nor do the EAC Guidelines exempt health professionals from taking into full and careful consideration the relevant official updated recommendations or guidelines issued by the competent public health authorities, in order to manage each patient’s case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations. It is also the health professional’s responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription.Members of the Working Group confirmed the lack of financial support / conflict of interest. In the event of a conflict of interest being reported, the member (s) of the Working Group was (were) excluded from the discussion of sections related to the area of conflict of interest.

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“…При отсутствии высокого риска стернальных осложнений (ожирения, декомпенсированного СД) рекомендуется использование правой внутренней грудной артерии. В дополнение к внутренним грудным артериям при стенозах коронарных сосудов более 80% и/или их окклюзиях рекомендовано применение лучевой артерии в качестве аортокоронарных шунтов, реваскуляризация остальных ветвей проводится аутовенозными трансплантатами [191][192][193][194][195][196].…”

Section: выбор сосудистого доступаunclassified

“…Операции КШ с искусственным кровообращением обеспечивают полную реваскуляризацию миокарда, и в большинстве наблюдений отдаленные результаты лучше, чем без искусственного кровообращения. Широкое применение аутоартериальных трансплантатов обеспечивает лучшую отдаленную проходимость шунтов и снижение количества рецидивов стенокардии [191][192][193][194][195][196].…”

Section: выбор сосудистого доступаunclassified