Key result
A review of the surgical anatomy and biological characteristics of internal thoracic artery conduits highlights their superior patency rates and the benefits of bilateral use despite infection risks.
Answers are grounded in this paper and cite their sources.
This review summarizes the anatomical and biological characteristics of the internal thoracic artery, supporting its superior patency and clinical outcomes in coronary artery bypass grafting.
The left internal thoracic artery has become the conduit of choice for coronary artery bypass grafting, due to its superior patency rates at 10 or more years with little or no evidence of atherosclerotic changes. Recent evidence indicates that a second internal thoracic artery graft provides improved results relative to overall survival and major cardiac and cerebrovascular event-free survival, and reduces the need for repeat revascularization. However, the routine use of bilateral internal thoracic arteries is limited due to a perceived higher incidence of deep sternal wound infection. The surgical anatomy, collateral blood supply to the sternum, and biological characteristics of internal thoracic artery conduits are reviewed.
No takes yet. Share an insight, caveat, or question.
Sajja et al. (2014) conducted a review in Coronary artery bypass grafting. Internal thoracic artery conduits was evaluated. A review of the surgical anatomy and biological characteristics of internal thoracic artery conduits highlights their superior patency rates and the benefits of bilateral use despite infection risks.
Synapse has enriched 10 related papers. Consider them for comparative context: