Similar Outcomes in Diabetes Patients After Coronary Artery Bypass Grafting With Single Internal Thoracic Artery Plus Radial Artery Grafting and Bilateral Internal Thoracic Artery Grafting

Raza, Sajjad; Blackstone, Eugene H.; Houghtaling, Penny L.; Koprivanac, Marijan; Ravichandren, Kirthi; Javadikasgari, Hoda; Bakaeen, Faisal G.; Svensson, Lars; Sabik, Joseph F.

doi:10.1016/j.athoracsur.2017.05.050

Cited by 31 publications

(19 citation statements)

References 18 publications

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“…Hence in this series, eliminating highrisk patients, and not the technique of ITA harvesting, was responsible for the decrease in sternal wound infections. Raza et al studied the incidence of DSWI in patients with SITA plus radial artery (RA) grafting vs. BITA grafting in over 1,300 patients with perioperative glycemic control (45). The incidence of DSWI was 1.4% in both groups.…”

Section: Skeletonized Itas and The Incidence Of Dswimentioning

confidence: 99%

The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries

Lazar

2018

Ann. Cardiothorac. Surg.

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Bilateral internal thoracic artery (BITA) grafting may prolong survival in coronary artery bypass graft (CABG) patients, but its use has been curtailed due to concerns of deep sternal wound infections (DSWI) resulting in mediastinitis. This article examines the association of single internal thoracic artery (SITA) and BITA grafting and the role of harvesting techniques with the development of DSWI in CABG patients. The development of DSWI following BITA grafting is multifactorial and is independent of the harvesting technique.

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Section: Skeletonized Itas and The Incidence Of Dswimentioning

confidence: 99%

The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries

Lazar

2018

Ann. Cardiothorac. Surg.

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“…1325 patients (SITA + RA 965, BITA 360) were followed for a median follow-up of 7.4 years. In the propensity score-matched cohort, the 14-year survival was 58 vs. 64% ( P = 0.2) for SITA + radial artery and BITA, respectively [ 40 ]. This supports the idea that radial artery is a reasonable alternative to RITA in diabetic patients in regards of survival.…”

Section: Bita Grafting In Diabetic Patientsmentioning

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: Bita Grafting In Diabetic Patientsmentioning

confidence: 94%

Bilateral versus Single Internal-Thoracic-Artery Grafts

2017

N Engl J Med

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Purpose of Review Several 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 Findings Observational 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. Summary CABG 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.

show abstract

Similar Outcomes in Diabetes Patients After Coronary Artery Bypass Grafting With Single Internal Thoracic Artery Plus Radial Artery Grafting and Bilateral Internal Thoracic Artery Grafting

Cited by 31 publications

References 18 publications

The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries

The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries

Bilateral Versus Single Internal Thoracic Artery Grafts

Bilateral versus Single Internal-Thoracic-Artery Grafts

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