2012
DOI: 10.1016/j.athoracsur.2012.03.082
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Bilateral Internal Thoracic Artery Grafting Is Associated With Significantly Improved Long-Term Survival, Even Among Diabetic Patients

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Cited by 188 publications
(153 citation statements)
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“…Previous studies have revealed excellent short- and long-term outcomes of internal thoracic artery (ITA) grafting in terms of survival, the patency of the graft, and relief of symptoms [3]. Moreover, bilateral ITA grafting has been shown to have better short- and long-term outcomes compared to single ITA grafting [4,5,6,7]. This appears to be particularly important in diabetic patients suffering from coronary artery disease.…”
Section: Introductionmentioning
confidence: 99%
“…Previous studies have revealed excellent short- and long-term outcomes of internal thoracic artery (ITA) grafting in terms of survival, the patency of the graft, and relief of symptoms [3]. Moreover, bilateral ITA grafting has been shown to have better short- and long-term outcomes compared to single ITA grafting [4,5,6,7]. This appears to be particularly important in diabetic patients suffering from coronary artery disease.…”
Section: Introductionmentioning
confidence: 99%
“…Although observational evidence suggests that using bilateral ITA conduits improves patient outcome without compromising sternal stability, the use of bilateral ITA conduits is still debatable, given the higher prevalence of wound infection and mediastinitis with DM. 259 A recent meta-analysis has shown that ITA harvesting by skeletonization (without the satellite veins and fascia) reduces the risk of sterna wound infection in DM patients undergoing bilateral ITA grafting, 260 although there are no randomized studies on this subject.…”
Section: Specific Aspects Of Percutaneous and Surgical Revascularizatmentioning
confidence: 99%
“…Nie ma dowodów z bezpośrednich randomizowanych porównań stosowania jednej lub obu tętnic piersiowych wewnętrznych (ITA) u pacjentów z cukrzycą. Mimo że dane obserwacyjne wskazują na to, że stosowanie obu pomostów tętniczych poprawia wyniki leczenia, nie zagrażając stabilności mostka, nadal trwają dyskusje dotyczące ich stosowania ze względu na częstsze wystę-powanie zakażenia rany pooperacyjnej i zapalenia śródpiersia u chorych na cukrzycę [365]. W przeprowadzonej ostatnio metaanalizie wykazano, że pobieranie ITA metodą szkieletowania (bez żył satelitarnych i powięzi) powoduje zmniejszenie ryzyka zakażenia rany mostka, zwłaszcza u chorych na cukrzycę z obustronnymi pomostami ITA [366], jednak brakuje badań RCT na ten temat.…”
Section: S 363unclassified