Does bilateral internal-thoracic-artery grafting reduce mortality or cardiovascular events compared to single internal-thoracic-artery grafting in patients undergoing CABG?
Patients undergoing CABG
Bilateral internal-thoracic-artery grafts
Single internal-thoracic-artery grafts
Mortality or the rates of cardiovascular events at 5 years of follow-uphard clinical
At 5 years of follow-up, bilateral internal-thoracic-artery grafting does not improve mortality or cardiovascular event rates compared to single grafting, but is associated with an increased risk of sternal wound complications.
Among patients undergoing CABG, there was no significant difference between those receiving single internal-thoracic-artery grafts and those receiving bilateral internal-thoracic-artery grafts with regard to mortality or the rates of cardiovascular events at 5 years of follow-up. There were more sternal wound complications with bilateral internal-thoracic-artery grafting than with single internal-thoracic-artery grafting. Ten-year follow-up is ongoing. (Funded by the British Heart Foundation and others; ART Current Controlled Trials number, ISRCTN46552265 .).
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David P. Taggart
Douglas G. Altman
Alastair Gray
New England Journal of Medicine
University of Oxford
University of Bristol
University of East Anglia
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Taggart et al. (Mon,) studied this question.
www.synapsesocial.com/papers/69d56e2b75589c71d767d46b — DOI: https://doi.org/10.1056/nejmoa1610021