Key result
Single-stage CABG combined with thoraco-bifemoral bypass shows ~100% success without major complications.
Why the study?
Coexisting aortoiliac occlusive disease and coronary artery disease present a management dilemma, where avoiding two-stage surgeries can reduce physiologic burden and prevent irreversible limb ischemia.
Is single-stage combined off-pump CABG and thoraco-bifemoral bypass grafting safe and effective in patients with concomitant coronary artery disease and aortoiliac occlusive disease?
Population
Five cases with concomitant aortoiliac occlusive disease and coronary artery disease
Comparison
Single-stage combined CABG with thoraco-bifemoral bypass grafting through left anterolateral thoracotomy
Design
Single-center case series
Authors
Loading...
May support feasibility in select patients; hypothesis-generating and should not yet change practice.
Case Report (n=5)
No
Is single-stage combined off-pump CABG and thoraco-bifemoral bypass grafting safe and effective in patients with concomitant coronary artery disease and aortoiliac occlusive disease?
Single-stage combined off-pump CABG and thoraco-bifemoral bypass grafting through a left anterolateral thoracotomy appears to be a feasible and safe alternative for patients with concomitant severe peripheral vascular disease and coronary artery disease.
Shah et al. (2024) conducted a case report in Concomitant peripheral vascular disease and coronary artery disease (n=5). Single-stage combined coronary artery bypass grafting with thoraco-bifemoral bypass grafting through left anterolateral thoracotomy was evaluated on Successful results with no major complications. Single-stage combined coronary artery bypass grafting with thoraco-bifemoral bypass grafting yielded successful results with no major complications in all 5 cases.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: