Bilateral internal thoracic artery grafting improves long-term survival in patients with reduced ejection fraction: A propensity-matched study with 30-year follow-up

Galbut, David L.; Kurlansky, Paul; Traad, Ernest A.; Dorman, Malcolm J.; Zucker, Melinda; Ebra, George

doi:10.1016/j.jtcvs.2011.12.026

Cited by 104 publications

(81 citation statements)

References 25 publications

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“…21 Galbut et al reported that, compared with SIMA grafting, BIMA grafting significantly improved late survival of patients with EF ranging from 0.3 to 0.5. 22 The findings from those studies suggest that the use of BIMA grafting may expand in the future. At present, there is no clear consensus among coronary surgeons whether BIMA grafting should be performed in elderly patients.…”

Section: Outcomes Of Cox Proportional Hazards Model For Long-term Outmentioning

confidence: 98%

“…Efficacy of BIMA grafting has been recently reported in patient populations for which it was thought previously to be contraindicated. 20- 22 Kinoshita et al reported that BIMA grafting decreased both all-cause mortality and cardiac-related mortality rates without worsening early outcomes in patients with an estimated glomerular filtration rate <60 ml/min/1.73 m 2 . 21 Galbut et al reported that, compared with SIMA grafting, BIMA grafting significantly improved late survival of patients with EF ranging from 0.3 to 0.5.…”

Section: Outcomes Of Cox Proportional Hazards Model For Long-term Outmentioning

confidence: 99%

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Is Bilateral Internal Mammary Arterial Grafting Beneficial for Patients Aged 75 Years or Older?

Itoh

Kimura

Adachi

et al. 2016

Circ J

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Background: Although bilateral internal mammary artery (BIMA) grafting is performed with increasing regularity in elderly patients, whether it is truly beneficial, and therefore indicated, in these patients remains uncertain. We retrospectively investigated early and late outcomes of BIMA grafting in patients aged ≥75 years. Methods and Results:We identified 460 patients aged ≥75 years from among 2,618 patients who underwent either single internal mammary artery (SIMA) grafting (n=293) or BIMA grafting (n=107). Early outcomes did not differ between the SIMA and BIMA patients (30-day mortality: 1.7% vs. 0%, P=0.39; sternal wound infection: 1.0% vs. 4.7%; P=0.057). Late outcomes, 10-year survival in particular, were improved in the BIMA group (36.6% vs. 48.1%, P=0.033). In the analysis of the results in propensity score-matched groups (196 patients in the SIMA group, 98 patients in the BIMA group), improved 10-year survival was documented in the BIMA group (34.8% vs. 47.6%, P=0.030). Cox proportional regression analysis showed SIMA usage (non-use of BIMA) to be a predictor for late mortality (hazard ratio: 0.65, 95% confidence interval: 0.43-0.98, P=0.042). We further compared outcomes between the total non-elderly patients (n=2,158) and total elderly patients (n=460). BIMA usage was similar, as was 30-day mortality (1.0% vs. 1.3%, respectively). Conclusions:A survival advantage, with no increase in early mortality, can be expected from BIMA grafting in patients aged ≥75 years. (Circ J 2016; 80: 1756 -1763

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Section: Outcomes Of Cox Proportional Hazards Model For Long-term Outmentioning

confidence: 98%

Section: Outcomes Of Cox Proportional Hazards Model For Long-term Outmentioning

confidence: 99%

Is Bilateral Internal Mammary Arterial Grafting Beneficial for Patients Aged 75 Years or Older?

Itoh

Kimura

Adachi

et al. 2016

Circ J

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show abstract

“…Even today, the CABG remains an excellent therapeutic option for treatment of obstructive coronary artery disease, even in diabetic patients [53,54], in elderly patients [55,56] and in patients with low left ventricular ejection fraction [57]. Alternative procedures, such as using laser beams [58], stem cells [59] and even variations in the use of internal thoracic artery [60] have been described, but are part of the treatment of a special group of patients, which is certainly not fit into the daily routine.…”

Section: Coronary Artery Bypass Grafting: Current Considerationsmentioning

confidence: 99%

Myocardial revascularization in the XXI century

Dallan¹,

Jatene²

2013

Revista Brasileira De Cirurgia Cardiovascular

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“…Common vascular conduits used in CABG are internal thoracic artery, saphenous vein, radial artery, right gastroepiploic artery, ulnar artery. And such wide variety of options has caused controversy and no consensus regarding superiority of graft has been fully established [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

Mid Term Patency of Different Conduits in Coronary Artery Bypass Surgery

Satsangi¹

2018

BJSTR

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Bilateral internal thoracic artery grafting improves long-term survival in patients with reduced ejection fraction: A propensity-matched study with 30-year follow-up

Abstract: Broadly applied BITA compared with SITA grafting in propensity-matched patients provides enhanced long-term survival with no increase in operative mortality or morbidity for patients with normal and reduced EF. The expanded use of BITA grafting should be seriously considered.

Cited by 104 publications

References 25 publications

Is Bilateral Internal Mammary Arterial Grafting Beneficial for Patients Aged 75 Years or Older?

Is Bilateral Internal Mammary Arterial Grafting Beneficial for Patients Aged 75 Years or Older?

Myocardial revascularization in the XXI century

Mid Term Patency of Different Conduits in Coronary Artery Bypass Surgery

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