Abstract:
PURPOSE OF REVIEW:To provide a broad overview of the current state of knowledge of coronary artery bypass grafting with bilateral internal thoracic artery (BITA). RECENT FINDINGS:There exists a large body of literature from mostly observational studies supporting the use of BITA in patients undergoing coronary artery bypass grafting but selection bias is a major issue with nonrandomized data. The precise method of BITA use does not appear to impact graft patency nor clinical outcomes - in other words, BITA in any configuration appears to be protective. The major downside is the increased risk of sternal complications, which can be mitigated with sternal-sparring adjuncts. The 5-year interim results of the landmark Arterial Revascularization Trial comparing BITA versus single internal thoracic artery did not show a clinical benefit for BITA but the end-of-trial results are pending. Despite wide guideline support for BITA use, uptake in the surgical community remains low and this is likely because of technical and institutional barriers. SUMMARY:The published literature thus far supports surgical revascularization with BITA and we eagerly await the 10-year Arterial Revascularization Trial results. The general consensus is that a greater proportion of surgical revascularization should be performed using BITA.
journal_name
Curr Opin Cardioljournal_title
Current opinion in cardiologyauthors
Yanagawa B,Verma S,Puskas JDdoi
10.1097/HCO.0000000000000431subject
Has Abstractpub_date
2017-09-01 00:00:00pages
594-599issue
5eissn
0268-4705issn
1531-7080pii
00001573-201709000-00016journal_volume
32pub_type
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journal_title:Current opinion in cardiology
pub_type: 杂志文章,评审
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journal_title:Current opinion in cardiology
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doi:10.1097/00001573-200207000-00007
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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abstract:PURPOSE OF REVIEW:Although antiplatelet agents are frequently prescribed to patients with lower extremity peripheral artery disease (PAD), there is an overall lack of consensus among published evidence and guidelines with respect to this practice. RECENT FINDINGS:Antiplatelet agents are prescribed to patients with PAD...
journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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journal_title:Current opinion in cardiology
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更新日期:2010-05-01 00:00:00
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journal_title:Current opinion in cardiology
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doi:10.1097/00001573-199909000-00016
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更新日期:2009-03-01 00:00:00
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journal_title:Current opinion in cardiology
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doi:10.1097/HCO.0b013e328341381a
更新日期:2011-01-01 00:00:00
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journal_title:Current opinion in cardiology
pub_type: 杂志文章,评审
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更新日期:2015-09-01 00:00:00