Document Detail


Off-pump bilateral internal thoracic artery grafting in patients with left main disease.
MedLine Citation:
PMID:  20189194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study assessed the safety and efficacy of off-pump bilateral internal thoracic artery grafting in patients with left main disease. METHODS: We reviewed the records of 768 patients who underwent off-pump bilateral internal thoracic artery grafting between September 2004 and June 2009. Bilateral internal thoracic artery grafts were used for the left coronary system in all patients, of whom 268 had left main disease and 500 did not. We compared operative and postoperative variables and early and 1-year angiographic patency rates of the bilateral internal thoracic artery between the 2 groups. RESULTS: The perioperative mortality and incidence of postoperative complications were not significantly different between groups. In patients without left main disease, the left and right internal thoracic arteries were used for the left anterior descending artery in 87.4% and 12.2% of patients, respectively. In patients with left main disease, the left and right internal thoracic arteries were used for the left anterior descending artery in 70.5% and 29.1% of patients, respectively. In patients with left main disease, the patency rates for the left and right internal thoracic arteries at 1-year postoperative follow-up were 97.0% and 93.2%, respectively. In patients without left main disease, the patency rates for the left and right internal thoracic arteries at 1-year follow-up were 97.6% and 91.6%, respectively. The patency rates of the left and right internal thoracic arteries did not differ significantly in patients with or without left main disease (P = .9803 and P = .7205 in left and right internal thoracic arteries, respectively). CONCLUSIONS: Off-pump bilateral internal thoracic artery grafting was safe and effective in patients with left main disease. The patency rates of both grafts were comparable to those of patients without left main disease.
Authors:
Toshihiro Fukui; Minoru Tabata; Susumu Manabe; Tomoki Shimokawa; Jun Shimizu; Satoshi Morita; Shuichiro Takanashi
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2010-02-26
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  140     ISSN:  1097-685X     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-18     Completed Date:  2010-11-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1040-5     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.
Affiliation:
Department of Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu City, Tokyo, Japan. tfukui-cvs@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Chi-Square Distribution
Coronary Angiography
Coronary Artery Bypass, Off-Pump* / adverse effects,  mortality
Coronary Stenosis / mortality,  radiography,  surgery*
Female
Humans
Internal Mammary-Coronary Artery Anastomosis* / adverse effects,  mortality
Japan
Kaplan-Meiers Estimate
Male
Mammary Arteries / radiography,  surgery*
Middle Aged
Retrospective Studies
Risk Assessment
Risk Factors
Severity of Illness Index
Time Factors
Treatment Outcome
Vascular Patency

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


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