Can we discuss bilateral internal thoracic artery grafts without embracing skeletonization?
نویسندگان
چکیده
منابع مشابه
Bilateral Versus Single Internal Thoracic Artery Grafts
PURPOSE OF REVIEW Several advances have been made in recent years to improve outcome for patients with coronary artery disease. One of the most debated topics regarding surgical treatment with coronary artery bypass grafting (CABG) is graft selection. This review aims to present the current status and scientific evidence for bilateral internal thoracic artery (BITA) grafting. RECENT FINDINGS ...
متن کاملRandomized Trial of Bilateral versus Single Internal-Thoracic-Artery Grafts.
BACKGROUND The use of bilateral internal thoracic (mammary) arteries for coronary-artery bypass grafting (CABG) may improve long-term outcomes as compared with the use of a single internal-thoracic-artery plus vein grafts. METHODS We randomly assigned patients scheduled for CABG to undergo single or bilateral internal-thoracic-artery grafting in 28 cardiac surgical centers in seven countries....
متن کاملCoronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
Substantial evidence exists to support a long-term survival benefit with bilateral internal thoracic artery (BITA) revascularization in coronary artery bypass grafting. However, this technique remains grossly underutilized worldwide and especially in the United States. In this review, we discuss evidence for the advantages of BITA grafting as well as the associated the risk of sternal wound com...
متن کاملSkeletonization of internal thoracic artery affects its innervation and reactivity.
OBJECTIVE The studies showing the superior characteristics of ITA graft and its impact on the clinical results of coronary artery surgery were performed with ITA harvested almost exclusively as a pedicle. This study assesses the impact of ITA skeletonization on its innervation and reactivity. METHODS Segments of skeletonized and non-skeletonized ITA were stained with antibodies against protei...
متن کاملOff-pump Bilateral Internal Thoracic Artery Grafting.
BACKGROUND The long-term benefit of bilateral internal thoracic grafts (BITA) is well established. BITA grafting is often avoided in diabetic, female, obese, elderly and other high-risk patients because of concerns for deep sternal wound infection. The objective of this study is to analyse early results of our BITA grafting and to establish the safety of BITA use in all patients. METHODS All ...
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ژورنال
عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery
سال: 2015
ISSN: 0022-5223
DOI: 10.1016/j.jtcvs.2014.11.062