Patency of Internal Thoracic Artery Compared to Vein Grafts - Postoperative Angiographic Findings in 1189 Symptomatic Patients in 12 Years

Abstract

The superior patency of ITA-grafts could be documented angiographically in a negatively selected, symptomatic population. Graft occlusion was at least twofold higher for SVG.

Randomized Trial of Bilateral versus Single Internal-Thoracic-Artery Grafts

“…33 Bilateral internal-thoracic-artery grafting may provide better long-term outcomes than single internal-thoracic-artery grafting plus vein grafts because of the superior long-term patency of arterial grafts, as compared with vein grafts. 8,10 At 5 years, observational and randomized studies indicate that patency rates of both left and right internal-thoracic-artery grafts and of radial-artery grafts exceed 90%. 13,[34][35][36][37] Vein-graft pa- T h e ne w e ngl a nd jou r na l o f m e dicine tency may also be improving over time, which may be related in part to better control of risk factors after CABG.…”

“…3,4 The single internal-thoracic-artery graft has a 10-year rate of angiographic patency exceeding 90%, as compared with 50% for vein grafts. [5][6][7][8][9][10] The excellent long-term outcomes of single internal-thoracic-artery grafts 11,12 have stimulated the use of a bilateral internal-thoracic-artery approach that uses both the left and right internal thoracic arteries. [13][14][15][16] Pooled analyses of observational studies suggest that, at 10 years, there are approximately 20% fewer deaths from any cause with bilateral internal-thoracic-artery grafting than with single internal-thoracic-artery grafting.…”

Management of Traumatic Coronary Artery Injuries: Advantages of Off-Pump Coronary Artery Bypass

“…Due to superior long-term patency rates when directly compared with other conduit options, the left internal mammary artery (LIMA) should be considered the first choice among options for CABG inflow conduit and should be used whenever feasible [16,17]. However, given the common context of the critically ill, multiply injured trauma patient, the use of LIMA is often made difficult.…”

Stem Cell Sources for Vascular Tissue Engineering and Regeneration

“…1 Surgically harvested autologous grafts, such as the left internal mammary and radial arteries or the greater saphenous vein, from patients are considered the gold standard for CABG procedures. [2][3][4][5] Other autologous arterial/venous grafts, cryopreserved cadaveric grafts, umbilical vein grafts, and arterial allografts have also been tried but with limited success because of associated complications. [6][7][8][9][10][11] Although autologous vessels from patients remain the grafts of choice, in many cases, previous harvest, morbidity at the donor site, or disease progression limit the availability of native grafts.…”