Document Detail


Thirty-year experience with bilateral internal thoracic artery grafting: where have we been and where are we going?
MedLine Citation:
PMID:  19823908     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As a profession, surgery is well into its fourth decade of experience with bilateral internal thoracic artery (BITA) grafting for the treatment of ischemic cardiovascular disease. Numerous compelling retrospective analyses appear to have documented a clear benefit for BITA grafting over the use of a single internal thoracic artery (SITA) graft in reducing the long-term risk of mortality, cardiac mortality, and cardiac events. Despite this wealth of literature and scientific as well as clinical investigation, the chilling fact remains that the STS database reports that less than 4% of coronary bypass (CABG) operations involve the use of BITA grafting. The historic, physiologic, and clinical aspects of BITA grafting are reviewed. Clinical challenges and technical advances are addressed. The future of BITA grafting is explored, both from a research perspective and from a clinical point of view.
Authors:
Paul Kurlansky
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  World journal of surgery     Volume:  34     ISSN:  1432-2323     ISO Abbreviation:  World J Surg     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-05     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  646-51     Citation Subset:  IM    
Affiliation:
Florida Heart Research Institute, 4770 Biscayne Blvd., Suite 500, Miami, Florida, 33137, USA. doctorwu18@aol.com
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass / methods*
Decision Making
Humans
Mammary Arteries / surgery*
Postoperative Complications
Risk Factors

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


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