Key result
Total arterial revascularization is achievable in most patients with multivessel coronary disease, with left internal thoracic artery grafts showing over 80% freedom from failure beyond 20 years.
Why the study?
Does total arterial revascularization improve outcomes compared to saphenous vein grafts in patients with triple vessel coronary artery disease?
Population
Patients with triple vessel coronary artery disease
Comparison
Total arterial revascularization vs Revascularization using saphenous vein grafts
Design
Review
Authors
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Supports arterial grafting strategies given sustained ITA patency; leaves open randomized outcome data versus vein grafts in triple-vessel disease.
Does total arterial revascularization improve outcomes compared to saphenous vein grafts in patients with triple vessel coronary artery disease?
Total arterial revascularization is achievable and offers excellent long-term graft patency, despite a small increase in sternal complications.
Buxton et al. (2013) conducted a review in triple vessel coronary artery disease. Total arterial revascularization vs. saphenous vein grafts was evaluated. Total arterial revascularization is achievable in most patients with multivessel coronary disease, with left internal thoracic artery grafts showing over 80% freedom from failure beyond 20 years.