Bilateral internal mammary arteries are enough for total coronary revascularization

Malik, Lalitaditya; Yadav, Jatin; Qadri, Syed Asrar; Mishra, Yugal

doi:10.1007/s12055-017-0575-1

Cited by 3 publications

(4 citation statements)

References 26 publications

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“…However, Malik et al showed a significantly lower occurrence of neurological complications in the TAG arm (0.5% vs 3.7%, P=0.017). 20 This evidence was supported by Hassanein et al, in which a similar trend was observed (0.0% in TAG vs 1.5% in SVG, P=0.0111). 21 Muneretto et al reported significantly lower incidence of cardiac events in the TAG arm (recurrent MI, 7% vs 18%, P=0.03; late MI, 2% vs 10%, P=0.03; need for coronary intervention, 1% vs 12%, P=0.004).…”

Section: Resultssupporting

confidence: 70%

“…Most studies described MACCEs either as a group of events 11 or as individual cardiac/cerebrovascular events (myocardial infarction, atrial fibrillation, arrhythmias, stroke, neurological complications, angina recurrence, repeat PCI or need for coronary reintervention). 9 , 10 , 12 - 15 , 20 , 21 Most showed no statistically significant difference between the two groups. However, Malik et al showed a significantly lower occurrence of neurological complications in the TAG arm (0.5% vs 3.7%, P=0.017).…”

Section: Resultsmentioning

confidence: 79%

“…Overall, total arterial technique was shown to reduce the occurrence of MACCEs. Seven studies reported deep sternal wound infection (DSWI) as a separate value 9 , 11 , 13 - 15 , 20 , 21 while in Garatti et al, DSWI was included in post-operative complications. 12 All showed no statistical difference between the two groups.…”

Section: Resultsmentioning

confidence: 99%

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Outcomes of total arterial revascularization vs conventional revascularization in patients undergoing coronary artery bypass graft surgery: A narrative review of major studies

Dominici

Chello²,

Saeed³

2022

Pak J Med Sci

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Coronary artery bypass grafting (CABG) is a widely used surgical procedure which improves clinical outcomes in appropriately selected patients. Conventionally, the greater saphenous vein is often used in CABG. However, due to their higher long-term patency rates, arterial conduits are routinely used, with the left internal thoracic artery (LITA) on left anterior descending (LAD) being the gold standard in CABG. Our aim in the present work was to investigate the outcomes of a total arterial grafting (TAG) on the whole heart, with no use of venous grafts, compared to mixed conduits in real-world data. A literature search was conducted in the bibliographic databases PubMed and Web of Science. Only studies comparing TAG with conventional CABG (at least one venous graft plus one or more arterial grafts), with at least one hundred patients in each group were included in this review. After study selection, a total of 15 relevant studies were evaluated and discussed in the present review. Results indicated that TAG is a highly efficient technique, and multiple arterial grafts can be used to reliably revascularize all coronary artery territories. TAG was more beneficial in terms of both short and long-term outcomes and its use should be encouraged. Large randomized clinical trials are needed to confirm the superiority of total arterial grafting with regard to long-term outcomes. doi: https://doi.org/10.12669/pjms.38.5.5674 How to cite this:Dominici C, Chello M, Saeed S. Outcomes of total arterial revascularization vs conventional revascularization in patients undergoing coronary artery bypass graft surgery: A narrative review of major studies. Pak J Med Sci. 2022;38(5):---------. doi: https://doi.org/10.12669/pjms.38.5.5674 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Resultssupporting

confidence: 70%

Section: Resultsmentioning

confidence: 79%

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Outcomes of total arterial revascularization vs conventional revascularization in patients undergoing coronary artery bypass graft surgery: A narrative review of major studies

Dominici

Chello²,

Saeed³

2022

Pak J Med Sci

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“…In a retrospective study titled Bilateral internal mamary arteries (BIMA) are enough for total coronary revascularization published later in this issue [1], the authors have presented their experience of multiple arterial grafting and proposed that bilateral internal mammary arteries alone are adequate to revascularize the myocardium.…”

mentioning

confidence: 99%

Bilateral internal mammary arteries—are they really enough?

Narayan

2017

Indian J Thorac Cardiovasc Surg

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Beneficios inmediatos de la utilización de un separador pulmonar flexible durante la disección esqueletizada de la arteria mamaria interna

Cruz¹,

Pedraza-González²,

Quintero-Fleites³

et al. 2019

Cirugía Cardiovascular

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Bilateral internal mammary arteries are enough for total coronary revascularization

Cited by 3 publications

References 26 publications

Outcomes of total arterial revascularization vs conventional revascularization in patients undergoing coronary artery bypass graft surgery: A narrative review of major studies

Outcomes of total arterial revascularization vs conventional revascularization in patients undergoing coronary artery bypass graft surgery: A narrative review of major studies

Bilateral internal mammary arteries—are they really enough?

Beneficios inmediatos de la utilización de un separador pulmonar flexible durante la disección esqueletizada de la arteria mamaria interna

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