Single Versus Bilateral Internal Mammary Artery Grafts: 10-Year Outcome Analysis

Right internal thoracic artery or radial artery? A propensity-matched comparison on the second-best arterial conduit

“…By conducting a single centre 15 years PSM on 764 pairs of patients receiving RITA versus RA as second arterial conduit, we found that the use of the RITA is associated with a significant risk reduction of mortality after 4 years but this benefit is more likely to be relevant only when the RITA is used to graft the left coronary system. These findings are supported by previous studies which suggested that for bilateral ITA grafting to improve long-term outcomes over single ITA-to-LAD grafting, the second ITA should bypass the circumflex artery rather than the right coronary artery [19][20][21].…”

Bilateral Versus Unilateral Internal Mammary Revascularization in Patients With Diabetes

“…The use of arterial grafts in coronary revascularization was not recommended for diabetic patients in previous reports, 3,4,30 because this method was thought to increase complications such as mediastinitis. We recommend skeletonizing the IMA graft, because we found that this method of dissecting IMA graft may lower the risk of complications.…”

“…iabetes, [1][2][3][4] older age, 2,3,5 reduced ejection fraction (EF), 2,3,5 and chronic hemodialysis 6 are significant independent predictors of poor outcome in long-term survival after elective coronary artery bypass grafting (CABG). Diabetes mellitus is an established risk factor for mortality, whereas low EF and chronic dialysis are the worst predictors.…”

Aspectos técnicos na esqueletização da artéria torácica interna com bisturi ultra-sônico

“…Even though used little in this study, the utilization of both ITAs (2.12%) has proved beneficial over the long term when compared to the use of only one ITA, chiefly in young patients [14][15][16]. However, the utilization of both ITAs in diabetic patients has been associated to a higher incidence of sternal infection [17,18].…”