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Bilateral Versus Single Internal Thoracic Artery Grafts
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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780539/ https://www.ncbi.nlm.nih.gov/pubmed/29362968 http://dx.doi.org/10.1007/s11886-018-0947-1 |
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author | Persson, Michael Sartipy, Ulrik |
author_facet | Persson, Michael Sartipy, Ulrik |
author_sort | Persson, Michael |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5780539 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-57805392018-02-01 Bilateral Versus Single Internal Thoracic Artery Grafts Persson, Michael Sartipy, Ulrik Curr Cardiol Rep Ischemic Heart Disease (D Mukherjee, Section Editor) 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. Springer US 2018-01-23 2018 /pmc/articles/PMC5780539/ /pubmed/29362968 http://dx.doi.org/10.1007/s11886-018-0947-1 Text en © The Author(s) 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Ischemic Heart Disease (D Mukherjee, Section Editor) Persson, Michael Sartipy, Ulrik Bilateral Versus Single Internal Thoracic Artery Grafts |
title | Bilateral Versus Single Internal Thoracic Artery Grafts |
title_full | Bilateral Versus Single Internal Thoracic Artery Grafts |
title_fullStr | Bilateral Versus Single Internal Thoracic Artery Grafts |
title_full_unstemmed | Bilateral Versus Single Internal Thoracic Artery Grafts |
title_short | Bilateral Versus Single Internal Thoracic Artery Grafts |
title_sort | bilateral versus single internal thoracic artery grafts |
topic | Ischemic Heart Disease (D Mukherjee, Section Editor) |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780539/ https://www.ncbi.nlm.nih.gov/pubmed/29362968 http://dx.doi.org/10.1007/s11886-018-0947-1 |
work_keys_str_mv | AT perssonmichael bilateralversussingleinternalthoracicarterygrafts AT sartipyulrik bilateralversussingleinternalthoracicarterygrafts |