Coronary Artery Bypass Revascularization Using Bilateral Internal Thoracic Arteries in Diabetic Patients: A Systematic Review and Meta-Analysis

• Published in: The Annals of thoracic surgery Vol. 99; no. 3; pp. 1097 - 1104
• Main Authors: Kajimoto, Kan, MD, PhD, Yamamoto, Taira, MD, Amano, Atsushi, MD
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Inc 01.03.2015
• Subjects: Cardiothoracic Surgery; Coronary Artery Bypass - methods; Coronary Artery Disease - surgery; Diabetic Angiopathies - surgery; Humans; Mammary Arteries - surgery; Surgery; RR; DSWI; 23; SITA; CI; bilateral internal thoracic artery; deep sternal wound infection; left internal thoracic artery; LITA; BITA; relative risk; coronary artery bypass graft surgery; ITA; confidence interval; internal thoracic artery; CABG; single internal thoracic artery
• ISSN: 0003-4975; 1552-6259
• DOI: 10.1016/j.athoracsur.2014.09.045

This study examined the effect of coronary artery bypass graft surgery with bilateral internal thoracic artery grafting in diabetic patients. Coronary artery bypass graft surgery using skeletonized bilateral internal thoracic artery grafts was not associated with an increased risk of deep sternal wound infection or early death. Moreover, patients who underwent coronary artery bypass graft surgery using bilateral internal thoracic artery grafting had lower remote mortality and cardiac mortality. We conclude that coronary artery bypass surgery using bilateral internal thoracic artery grafts is an excellent strategy, even for diabetic patients.