Cookies on this website

We use cookies to ensure that we give you the best experience on our website. If you click 'Accept all cookies' we'll assume that you are happy to receive all cookies and you won't see this message again. If you click 'Reject all non-essential cookies' only necessary cookies providing core functionality such as security, network management, and accessibility will be enabled. Click 'Find out more' for information on how to change your cookie settings.

OBJECTIVES: This meta-analysis examines whether there is any advantage of coronary artery bypass graft with bilateral internal thoracic artery (BITA) as an in situ versus composite graft. METHODS: We searched MEDLINE and EMBASE Databases from 1996 to 2016 for studies that compared coronary artery bypass graft with BITA as in situ versus composite graft. Data were extracted by 2 independent investigators and meta-analyzed with the use of random effects. RESULTS: Two randomized controlled trials (RCTs; n = 705), 2 matched (n = 1688), and 4 unadjusted observational studies (n = 3517) met inclusion criteria. Composite grafting trended towards greater distal anastomoses (+0.22, 95% confidence interval, -0.01 to +0.45 anastomoses/patient; P = .06 [4 unadjusted observational studies]) and greater distal anastomoses using an internal thoracic artery (+0.80, 95% confidence interval, 0.41-1.18 anastomoses/patient; P 

Original publication

DOI

10.1016/j.jtcvs.2016.11.027

Type

Journal article

Journal

J Thorac Cardiovasc Surg

Publication Date

05/2017

Volume

153

Pages

1108 - 1116.e16

Keywords

bilateral internal thoracic artery, coronary artery bypass graft, graft patency, Aged, Coronary Artery Bypass, Coronary Artery Disease, Coronary Vessels, Female, Humans, Internal Mammary-Coronary Artery Anastomosis, Male, Middle Aged, Postoperative Complications, Risk Assessment, Risk Factors, Treatment Outcome, Vascular Patency