4 293

Cited 0 times in

Off-pump bilateral internal thoracic artery grafting in right internal thoracic artery to right coronary system

Authors
 Hyun-Chel Joo  ;  Young-Nam Youn  ;  Gijong Yi  ;  Byung-Chul Chang  ;  Kyung-Jong Yoo 
Citation
 ANNALS OF THORACIC SURGERY, Vol.94(3) : 717-724, 2012 
Journal Title
 ANNALS OF THORACIC SURGERY 
ISSN
 0003-4975 
Issue Date
2012
MeSH
Analysis of Variance ; Cohort Studies ; Coronary Artery Bypass, Off-Pump/methods* ; Coronary Artery Bypass, Off-Pump/mortality* ; Coronary Disease/diagnostic imaging ; Coronary Disease/mortality ; Coronary Disease/surgery ; Female ; Follow-Up Studies ; Graft Rejection ; Graft Survival ; Hospital Mortality/trends ; Humans ; Internal Mammary-Coronary Artery Anastomosis/methods* ; Internal Mammary-Coronary Artery Anastomosis/mortality* ; Kaplan-Meier Estimate ; Male ; Mammary Arteries/surgery ; Mammary Arteries/transplantation* ; Middle Aged ; Multivariate Analysis ; Proportional Hazards Models ; Radiography ; Retrospective Studies ; Survival Analysis ; Time Factors ; Treatment Outcome
Keywords
Analysis of Variance ; Cohort Studies ; Coronary Artery Bypass, Off-Pump/methods* ; Coronary Artery Bypass, Off-Pump/mortality* ; Coronary Disease/diagnostic imaging ; Coronary Disease/mortality ; Coronary Disease/surgery ; Female ; Follow-Up Studies ; Graft Rejection ; Graft Survival ; Hospital Mortality/trends ; Humans ; Internal Mammary-Coronary Artery Anastomosis/methods* ; Internal Mammary-Coronary Artery Anastomosis/mortality* ; Kaplan-Meier Estimate ; Male ; Mammary Arteries/surgery ; Mammary Arteries/transplantation* ; Middle Aged ; Multivariate Analysis ; Proportional Hazards Models ; Radiography ; Retrospective Studies ; Survival Analysis ; Time Factors ; Treatment Outcome
Abstract
BACKGROUND: Despite many large-volume studies on the use of bilateral internal thoracic artery (ITA) grafts, the benefits of a bilateral (B)ITA graft over a single (S)ITA graft for CABG remain controversial. This study compared midterm outcomes of BITA to SITA grafting in off-pump coronary artery bypass (OPCAB), focusing primarily on the right (R)ITA to right coronary artery (RCA) system. METHODS: From January 2000 to December 2009, 1,749 patients underwent isolated OPCAB with ITA grafts. Using propensity score matching, 366 BITA patients could be pairwise propensity matched to a SITA patient. We compared midterm survival and major adverse cardiac and cerebrovascular event (MACCE) between the 2 groups. All patients in the BITA group underwent bilateral ITA grafting with the RITA anastomosed to the RCA system. Mean follow-up was 84.46±24.47 months (range, 5 to 120 months). RESULTS: Overall survival at 10 years was not significantly different between the 2 groups (84.6% vs 84.1%; p=0.955). The 10-year cardiac-related death-free rate also did not significantly differ between the groups (90.0% vs 90.9%; p=0.871). The 10-year MACCE-free rate did not significantly differ between the 2 groups (79.7% vs 74.6%; p=0.303). CONCLUSIONS: At 10-year follow-up, BITA grafting did not offer advantages over SITA grafting in midterm outcomes, at least in the RITA to RCA system. The BITA grafting was similar to SITA grafting in overall and cardiac survival, and MACCE rates.
Full Text
http://www.sciencedirect.com/science/article/pii/S0003497512009381
DOI
22795885
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Yoo, Kyung Jong(유경종) ORCID logo https://orcid.org/0000-0002-9858-140X
Youn, Young Nam(윤영남)
Yi, Gi Jong(이기종)
Chang, Byung Chul(장병철)
Joo, Hyun Chel(주현철) ORCID logo https://orcid.org/0000-0002-6842-2942
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/89570
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links