Document Detail


Are two internal thoracic artery grafts as safe as one? Experience from Green Lane Hospital.
MedLine Citation:
PMID:  22595922     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
AIM: To compare short-term mortality and major morbidity between patients undergoing elective primary isolated CABG with bilateral internal thoracic artery (BITA) or single internal thoracic artery (SITA) grafts at Green Lane Hospital (Auckland, New Zealand). MeETHODS: We conducted a retrospective study of short-term outcomes in 5955 patients receiving SITA and 637 patients receiving BITA grafts between 1990 and 2004. Only patients undergoing elective primary isolated coronary artery surgery were included. The primary outcome was a composite end-point (early death, perioperative MI, reoperation for sternal wound complications or significantly prolonged hospital stay). Patients receiving BITA grafts were case-matched with patients receiving SITA grafts for confounding factors and comparison was made between perioperative outcomes in the two groups.
RESULTS: After case-matching, no statistically significant difference was found in the incidence of our primary endpoint between patients receiving BITA versus SITA grafts [odds ratio 0.84 (95% CI 0.59, 1.21)]. Furthermore, there was no difference in rates of reoperation for sternal wound complications between the two groups [odds ratio 1.00 (95% CI 0.29, 3.44)].
CONCLUSIONS: Given the potential long-term clinical advantages of BITA grafting, our results support the increased use of BITA grafts in selected patients.
Authors:
Arul Baradi; Paget F Milsom; Alan F Merry; Lynnette R Ferguson
Publication Detail:
Type:  Journal Article     Date:  2012-05-11
Journal Detail:
Title:  The New Zealand medical journal     Volume:  125     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2012  
Date Detail:
Created Date:  2012-05-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  36-41     Citation Subset:  IM    
Affiliation:
Head of Department, Anaesthesiology, University of Auckland, Private Bag 92019, Auckland, New Zealand. a.merry@auckland.ac.nz.
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