Bilateral internal thoracic artery grafting: midterm results of composite versus in situ crossover graft

Lev‐Ran, Oren; Paz, Yosef; Pevni, Dmitry; Kramer, Achim; Shapira, Itzhak; Locker, Chaim; Mohr, Rephael

doi:10.1016/s0003-4975(02)03791-8

Cited by 58 publications

(63 citation statements)

References 15 publications

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“…The high percentage of in situ bilateral use of the mammary artery in the study group (76%) is one of the advantages of the longer skeletonized internal mammary artery (thus reaching to the LAD) and may represent long term advantage [17].…”

Section: Discussionmentioning

confidence: 99%

The potential advantage of “no-touch” aortic technique in off-pump complete arterial revascularization

Bolotin

Shapira

Gotler

et al. 2007

International Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

The potential advantage of “no-touch” aortic technique in off-pump complete arterial revascularization

Bolotin

Shapira

Gotler

et al. 2007

International Journal of Cardiology

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“…The choice of configuration was determined by previously detailed technical considerations. 15,16 We prefer to use BITAs as in situ grafts for myocardial revascularization. The 2 ITAs, combined with a right gastroepiploic artery, SVG, or radial artery, provide 3 sources of blood supply.…”

Section: Surgical Techniquementioning

confidence: 99%

Routine Use of Bilateral Skeletonized Internal Thoracic Artery Grafting

et al. 2008

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“…5 The native ITA bifurcation was preserved, and both postbifurcation branches, the superior epigastric artery and musculophrenic artery, were further mobilized approximately 2 to 2.5 cm distal to the bifurcation (Fig. 5 The native ITA bifurcation was preserved, and both postbifurcation branches, the superior epigastric artery and musculophrenic artery, were further mobilized approximately 2 to 2.5 cm distal to the bifurcation (Fig.…”

Section: Surgical Techniquementioning

confidence: 99%

“…5 An additional advantage is the reduction in postoperative sternal wound infections, which contributes to a wider use of bilateral ITA (BITA), with less rigorous patient selection. The additional length obtained by skeletonized harvesting increases ITA accessibility and enables better selection of the anastomotic site.…”

mentioning

confidence: 99%

Concomitant Grafting of Both Postbifurcation Internal Thoracic Artery Branches

Sahar

Wolak

Matsa

et al. 2015

Innovations�(Phila)

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Objective We aimed to assess the clinical outcome and graft patency after concomitant grafting of both postbifurcation internal thoracic artery (ITA) branches. Methods Between 2007 and 2013, 17 patients (14 men; mean [SD] age, 60 [9.3] years) underwent skeletonized bifurcated ITA grafting. Respective targets were restricted to non–left anterior descending (LAD) area. in all patients, a complementary standard ITA was used to graft the LAD artery. Graft patency was assessed by standard coronary angiography or serial multidetector computed tomography. Results Of the bifurcated conduits, 94% were right ITA. Respective right ITA target sets were first and second obtuse marginal arteries (M1-M2) (n = 12), ramus-M1 (n = 2), and distal right coronary artery–posterior descending artery (n = 2). Right ITAs were mobilized retroaortic (via the transverse sinus) in 14 patients (82%) (to circumflex artery targets). Circumflex artery targets comprised 88.2% of all anastomoses (30/34). There were no early mortalities, myocardial infarctions, or hypoperfusion syndromes. During median follow-up of 44 months (range, 3–63), there was no late mortality. Overall reintervention rate was 11.7%, and bifurcated ITA–related reintervention rate was 5.8%. At 5 years, freedom from major adverse cardiac or cerebrovascular event related to bifurcated ITA respective territory was 87% (Kaplan-Meier). Coronary imaging was achieved in 76% of the patients (elective multidetector computed tomography, n = 9; symptoms-directed coronary catheterization, n = 4). Bifurcation branch patency rate was 88.4% (23/26) at a median of 3.5 years. Conclusions Grafting both postbifurcation ITA branches is technically feasible and may be selectively considered. Current observations are valid for skeletonized conduits and limited to non-LAD targets. These preliminary findings should be corroborated by larger data sets.

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Bilateral internal thoracic artery grafting: midterm results of composite versus in situ crossover graft

Cited by 58 publications

References 15 publications

The potential advantage of “no-touch” aortic technique in off-pump complete arterial revascularization

The potential advantage of “no-touch” aortic technique in off-pump complete arterial revascularization

Routine Use of Bilateral Skeletonized Internal Thoracic Artery Grafting

Concomitant Grafting of Both Postbifurcation Internal Thoracic Artery Branches

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