Sequential mammary grafting

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Bilateral internal mammary artery grafting: are BIMA better?

The clinical and prognostic benefits of coronary artery bypass grafting (CABG) are well accepted for certain subgroups of patients with ischaemic heart disease, and as many as one million patients undergo this operation annually on a worldwide basis. Most CABG patients require grafting of the three main native coronary arteries; for the last 15 years the “standard” operation has achieved this u...

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Skeletonized bilateral internal mammary artery grafting for patients with diabetes.

To minimize sternal ischemia, skeletonized internal mammary artery (IMA) harvesting has been performed in the last few years. The benefits of skeletonization in high risk patients, such as diabetic patients undergoing bilateral IMA grafting, are unknown. A total of 99 patients underwent isolated coronary artery bypass grafting (CABG) using a pedicled bilateral IMA between 6/1/1997 and 5/31/2000...

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Bilateral skeletonized internal mammary versus single-pedicled internal mammary grafting in the elderly.

BACKGROUND The use of the bilateral internal mammary arteries has been reserved mainly for younger and low risk patients. AIM To assess the safety and efficacy of BIMA grafting in older patients (> or = 70 years). METHODS We reviewed the records of all consecutive patients > or = 70 years old who underwent coronary artery bypass surgery with a BIMA graft in our institute over a 2 year perio...

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The impact of sequential grafting on clinical outcomes following coronary artery bypass grafting.

OBJECTIVES Sequential anastomoses in coronary artery bypass grafting (CABG) offer theoretical advantages including increased graft flow and more complete revascularisation. However, published studies concerning the safety and efficacy of this technique are not definitive. The objective of this study was to assess the effect of sequential anastomoses on outcomes following CABG. METHODS Periope...

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Long-term outcome of revascularization with composite T-grafts: Is bilateral mammary grafting better than single mammary and radial artery grafting?

OBJECTIVE Bilateral internal mammary artery (BIMA) grafting is associated with improved survival. However, many surgeons are reluctant to use this technique, owing to the potentially increased risk of sternal infection. The composite T-graft with radial artery (RA) attached end-to-side to the left internal mammary artery (IMA) provides complete arterial revascularization without increased risk ...

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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1989

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)34464-2