Open AccessBilateral internal thoracic artery use in coronary bypass surgery: is there a benefit?
Author(s) -
Jeremy R. Leonard,
Ahmed Abouarab,
David P. Taggart,
Mario Gaudino
Publication year - 2018
Publication title -
indian journal of thoracic and cardiovascular surgery/indian journal of thoracic and cardiovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.114
H-Index - 9
eISSN - 0973-7723
pISSN - 0970-9134
DOI - 10.1007/s12055-018-0693-4
Subject(s) - medicine , internal thoracic artery , randomized controlled trial , cardiothoracic surgery , observational study , cardiac surgery , coronary artery bypass surgery , vascular surgery , surgery , meta analysis , artery , bypass grafting
Over the past three decades, there have been a plethora of retrospective observational data and meta-analyses which support the hypothesis of improved clinical outcomes using bilateral internal thoracic arteries (BITA) when compared to saphenous vein grafts (SVGs). However, recently published results have brought this thinking into doubt. We discuss the existing literature on the subject and attempt to clarify the appropriate use of BITA in coronary artery bypass surgery (CABG).