Document Detail


Long-term results of bilateral internal thoracic artery grafting in dialysis patients.
MedLine Citation:
PMID:  17462376     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Masashi Kai; Hitoshi Okabayashi; Michiya Hanyu; Yoshiharu Soga; Takuya Nomoto; Jota Nakano; Takehiko Matsuo; Eitaro Umehara; Masahide Kawato
Related Documents :
22929826 - Brugada pattern masquerading as st-segment elevation myocardial infarction in flecainid...
17911066 - Coronary artery bypass surgery with on-pump beating-heart technique.
23423816 - High dose intracoronary n-acetylcysteine in a porcine model of st-elevation myocardial ...
3492976 - Atheroembolic perioperative infarction during repeat coronary bypass surgery: angiograp...
6540256 - Hypertropic cardiomyopathy and hyperthyroidism in the cat.
17124186 - Successful management of patients with a drug-eluting coronary stent presenting for ele...
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    
Affiliation:
Department of Cardiovascular Surgery, Kokura Memorial Hospital, Kitakyusyu City, Fukuoka, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Coronary Stenosis / complications,  surgery*
Female
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*
Kidney Failure, Chronic / complications,  therapy
Male
Middle Aged
Renal Dialysis*
Treatment Outcome
Comments/Corrections
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


Previous Document:  A simplified approach to degenerative disease: triangular resections of the mitral valve.
Next Document:  Bypass graft and native postanastomotic coronary artery patency: assessment with computed tomography...