Key result
In octogenarians undergoing isolated coronary artery bypass grafting, the use of left internal thoracic artery grafts did not significantly reduce early mortality compared to saphenous vein grafts (20.5% vs 22.2%, p=0.851).
Why the study?
Does left internal thoracic artery grafting compared to saphenous vein grafting improve survival and reduce morbidity in octogenarians undergoing coronary artery bypass grafting?
Cohort (n=105)
Yes
Does left internal thoracic artery grafting compared to saphenous vein grafting improve survival and reduce morbidity in octogenarians undergoing coronary artery bypass grafting?
Answers are grounded in this paper and cite their sources.
In octogenarians undergoing CABG, the choice between LITA and SVG for LAD grafting did not significantly impact early mortality, morbidity, or long-term survival, suggesting that complete revascularization and short cross-clamp times are more critical than graft choice in this age group.
Introduction: Atherosclerotic heart disease is the leading cause of death in developed countries. In our country, the numbers are slightly lower, but increase each year. In 2008, the number of cases was 10.410 (12.03%) of all deaths among people aged 75 and over. The proportion of octogenarians undergoing cardiac surgery is increasing, although this high risk population has many unknown issues to decrease mortality and morbidity. The aim of this study was to understand and compare the role of left internal thoracic artery (LITA) versus saphenous vein (SVG) to left anterior descending artery (LAD) grafting on early-and mid-term results.
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Kalender et al. (2018) conducted a cohort in Coronary artery disease (n=105). Left internal thoracic artery (LITA) graft vs. Saphenous vein graft (SVG) was evaluated on Early mortality (p=0.851). In octogenarians undergoing isolated coronary artery bypass grafting, the use of left internal thoracic artery grafts did not significantly reduce early mortality compared to saphenous vein grafts (20.5% vs 22.2%, p=0.851).
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