Coronary artery bypass revascularization using bilateral internal thoracic arteries in diabetic patients: a systematic review and meta-analysis

Ann Thorac Surg. 2015 Mar;99(3):1097-104. doi: 10.1016/j.athoracsur.2014.09.045. Epub 2015 Jan 23.

Abstract

This study examined the effect of coronary artery bypass graft surgery with bilateral internal thoracic artery grafting in diabetic patients. Coronary artery bypass graft surgery using skeletonized bilateral internal thoracic artery grafts was not associated with an increased risk of deep sternal wound infection or early death. Moreover, patients who underwent coronary artery bypass graft surgery using bilateral internal thoracic artery grafting had lower remote mortality and cardiac mortality. We conclude that coronary artery bypass surgery using bilateral internal thoracic artery grafts is an excellent strategy, even for diabetic patients.

Publication types

  • Meta-Analysis
  • Review
  • Systematic Review

MeSH terms

  • Coronary Artery Bypass / methods*
  • Coronary Artery Disease / surgery*
  • Diabetic Angiopathies / surgery*
  • Humans
  • Mammary Arteries / surgery*