Pure Bilateral Internal Thoracic Artery Grafting in Diabetic Patients With Triple-Vessel Disease

Jeong, Dong Seop; Sung, Kiick; Lee, Young Tak; Ahn, Joonghyun; Carrière, Keumhee C.; Kim, Wook Sung; Park, Pyo Won

doi:10.1016/j.athoracsur.2015.06.013

Cited by 9 publications

(10 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Bypass Angioplasty Revascularization Investigation trial [19] and a retrospective study [16] showed that diabetes did not affect the ITA patency. A recent retrospective study reported that the patency of BITAs applied as Y-grafts was not affected by diabetes [17]. Our findings in relation to the patency of BITAs were basically consistent with these studies.…”

Section: Commentsupporting

confidence: 92%

“…Diabetes contributes to the faster progression of coronary atherosclerosis and negative artery remodeling [13][14][15]. However, patients with diabetes who received BITA or total arterial grafting had similar rates of cardiac death, rerevascularization, and myocardial infarction to patients without diabetes [16][17][18]. Although these results appear to reflect the good patency of the ITA, few reports have compared the ITA graft patency between patients with diabetes and patients without diabetes.…”

Section: Commentmentioning

confidence: 99%

See 1 more Smart Citation

Left-Sided Complete Revascularization With Bilateral Internal Thoracic Arteries in Patients With Diabetes

Hayashi

Maekawa²,

Sawaki³

et al. 2019

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

Background. Reports are few on the long-term patency of bilateral internal thoracic artery (BITA) grafts in patients with diabetes. We evaluated the relationship between the long-term patency of BITAs and the clinical outcomes in diabetes.Methods. We retrospectively identified 569 patients (321 with diabetes, 248 without diabetes) who underwent isolated BITA grafting for left-sided complete revascularization at our institution from 2000 to 2015. The primary end point was the incidence of major adverse cardiovascular events comprising death, re-revascularization, and myocardial infarction. The secondary end point was the patency of the BITAs.Results. No differences were found in the major adverse cardiovascular event rate (10-year: diabetic group, 33.7%; nondiabetic group, 22.3%; p [ 0.15) or overall mortality rate (24.0% versus 12.2%, p [ 0.066) between the patients with and without diabetes. The incidence of cardiac death (3.3% versus 1.8%, p [ 0.80) or rerevascularization and myocardial infarction (11.4% versus 11.8%, p [ 0.67) was similar between the groups. The patency of free internal thoracic artery (ITA) grafts to the left circumflex artery was associated with greater patency in patients with diabetes than in patients without diabetes (4 years: 99.3% versus 95.5%, p [ 0.049); the patency of other ITA grafts did not differ between the groups.Conclusions. All-cause death, re-revascularization, and myocardial infarction showed no differences between patients with and without diabetes who underwent leftsided revascularization with the BITAs. Although diabetes did not affect the patency of the ITA, free ITA grafts to the left circumflex artery showed good long-term patency in patients with diabetes.

show abstract

Section: Commentsupporting

confidence: 92%

Section: Commentmentioning

confidence: 99%

Left-Sided Complete Revascularization With Bilateral Internal Thoracic Arteries in Patients With Diabetes

Hayashi

Maekawa²,

Sawaki³

et al. 2019

The Annals of Thoracic Surgery

View full text Add to dashboard Cite

show abstract

“…Grossi et al [7] highlighted the risk of devascularizing the sternum as an independent risk factor for sternal wound infection development [7] . With improving techniques of skeletonising the internal thoracic arteries however, many other studies have shown that there is no increased risk of BITA over single internal thoracic artery even in diabetic patients regardless of whether the surgery was on-pump or off-pump [8][9][10][11] .…”

Section: Discussionmentioning

confidence: 99%

Sternal malunion fixation using a Titanium Sternal Fixation System in a diabetic patient. The first of its kind in Scotland

Singh¹,

Capoccia²,

Deep³

et al. 2017

View full text Add to dashboard Cite

How to cite this article: Singh SSA, Capoccia M, Deep K, Al-Attar N. Sternal malunion fixation using a titanium sternal fixation system in a diabetic patient. The first of its kind in Scotland. Vessel Plus 2017;1:242-5.Sternal non-union is a rare but serious complication post-sternotomy. It is defined as sternal pain with clicking, instability, or both for more than 6 months in the absence of infection and usually presents in an outpatient setting. It may result in multiple admissions to the hospital for surgical debridement and wound care therapies. Several risk factors have been identified in the literature but treatment options are limited. Proven benefits of increased stability and decreased incidence of non-union using the principles of rigid fixation have been described in other surgical specialties such as orthopaedic surgery. Employing this, the authors describe the first successful sternal non-union fixation using the Titanium Sternal Fixation System (DepuySynthes) in Scotland. Key words:Sternal fixation, sternal dehiscence, diabetes, bilateral internal thoracic artery ABSTRACTArticle history:

show abstract

“…There is much evidence available in the literature that the long-term outcome of BITA grafts is better than that of pure venous grafts and even better than SITA combine with saphenous vein grafts in the general population as well as in diabetic patients [ [4] , [5] , [6] , [7] , [8] , [9] , [10] ]. The benefits of BITA grafting are also evident in high-risk patients compare to SITA grafting, such as patients with low EF, female, recent myocardial infarction, emergency surgeries, obese, old age, end-stage renal disease (ESRD), on hemodialysis, with PVD, and patients with COPD [ [21] , [22] , [23] , [24] , [25] , [26] , [27] , [28] , [29] , [30] , [31] , [32] , [33] ].…”

Section: Comparison Of Bita Vs Sita Grafting From Dswi Perspective In Diabetic Patientsmentioning

confidence: 99%

“…The use of BITA grafting during myocardial revascularization reportedly provides a survival benefit over SITA grafting [ [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] ]. However, BITA grafting in diabetes mellitus patients is controversial because, it is believed to be a high risk for sternal infection.…”

Section: Introductionmentioning

confidence: 99%

Effect of bilateral internal thoracic artery harvesting on deep sternal wound infection in diabetic patients: Review of literature

Masroor

Khan

et al. 2021

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Instead of its documented superiority of patency and long-term outcomes, the bilateral internal thoracic artery grafts are underused in the general population, and its use is controversial and debatable in diabetic patients due to long surgery duration, post-surgical bleeding, and sternal wound complications such as sternal wound infection, mediastinitis, and sternal wound dehiscence. This review article is particularly focused on deep sternal wound infection (DSWI) of bilateral internal thoracic artery (BITA) grafts in diabetic patients with comparison to single internal thoracic artery (SITA) graft.

show abstract

Pure Bilateral Internal Thoracic Artery Grafting in Diabetic Patients With Triple-Vessel Disease

Cited by 9 publications

References 21 publications

Left-Sided Complete Revascularization With Bilateral Internal Thoracic Arteries in Patients With Diabetes

Left-Sided Complete Revascularization With Bilateral Internal Thoracic Arteries in Patients With Diabetes

Sternal malunion fixation using a Titanium Sternal Fixation System in a diabetic patient. The first of its kind in Scotland

Effect of bilateral internal thoracic artery harvesting on deep sternal wound infection in diabetic patients: Review of literature

Contact Info

Product

Resources

About