Document Detail

Long-term results of bilateral internal thoracic artery grafting in dialysis patients.
MedLine Citation:
PMID:  17462376     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: We evaluated the perioperative and long-term results of bilateral internal thoracic artery grafting in dialysis patients. METHODS: One hundred one consecutive patients on chronic dialysis who underwent isolated coronary artery bypass grafting were retrospectively compared according to the surgical technique, bilateral internal thoracic artery (BITA) grafting (n = 76) or single internal thoracic artery (SITA) grafting (n = 25). RESULTS: Hospital mortality was 5.3% in the BITA group and 8.0% in the SITA group (p = not significant). The incidence of mediastinitis was not different (7.9% in the BITA group and 8.0% in the SITA group). The median duration of follow-up was 3.1 years (range, 0.1 to 10.9). Survival and freedom from cardiac mortality were not different between the two groups, but the BITA group had a trend toward better results. Freedom from cardiac events (including cardiac-related death, myocardial infarction, percutaneous coronary intervention, redo coronary artery bypass grafting, and congestive heart failure) was superior in the BITA group (p = 0.03). Calcification of the ascending aorta, peripheral vascular disease, insulin-dependent diabetes mellitis, and age were the independent risk factors of late death. CONCLUSIONS: Perioperative results of BITA grafting in dialysis patients were not different from the results of SITA grafting. However, the long-term results of BITA grafting in dialysis patients were better than the results of SITA grafting. Overall, our results support the continued use of BITA grafting in dialysis patients.
Masashi Kai; Hitoshi Okabayashi; Michiya Hanyu; Yoshiharu Soga; Takuya Nomoto; Jota Nakano; Takehiko Matsuo; Eitaro Umehara; Masahide Kawato
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  83     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2007 May 
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-05-16     Revised Date:  2007-11-08    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1666-71     Citation Subset:  AIM; IM    
Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyusyu City, Fukuoka, Japan.
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MeSH Terms
Coronary Stenosis / complications,  surgery*
Internal Mammary-Coronary Artery Anastomosis / methods*
Kidney Failure, Chronic / complications,  therapy
Middle Aged
Renal Dialysis*
Treatment Outcome
Comment In:
Ann Thorac Surg. 2007 Nov;84(5):1797   [PMID:  17954130 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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