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World Journal of Surgery

Erschienen in:

01.04.2010

Thirty-Year Experience with Bilateral Internal Thoracic Artery Grafting: Where Have We Been and Where Are We Going?

verfasst von: Paul Kurlansky

Erschienen in: World Journal of Surgery | Ausgabe 4/2010

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Abstract

As a profession, surgery is well into its fourth decade of experience with bilateral internal thoracic artery (BITA) grafting for the treatment of ischemic cardiovascular disease. Numerous compelling retrospective analyses appear to have documented a clear benefit for BITA grafting over the use of a single internal thoracic artery (SITA) graft in reducing the long-term risk of mortality, cardiac mortality, and cardiac events. Despite this wealth of literature and scientific as well as clinical investigation, the chilling fact remains that the STS database reports that less than 4% of coronary bypass (CABG) operations involve the use of BITA grafting. The historic, physiologic, and clinical aspects of BITA grafting are reviewed. Clinical challenges and technical advances are addressed. The future of BITA grafting is explored, both from a research perspective and from a clinical point of view.

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Titel: Thirty-Year Experience with Bilateral Internal Thoracic Artery Grafting: Where Have We Been and Where Are We Going?
verfasst von: Paul Kurlansky
Publikationsdatum: 01.04.2010
Verlag: Springer-Verlag
Erschienen in: World Journal of Surgery / Ausgabe 4/2010
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-009-0242-9

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