ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Masashi Kai
Michiya Hanyu
Yoshiharu Soga
Hitoshi Okabayashi
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Kai, M.
Right arrow Articles by Okabayashi, H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kai, M.
Right arrow Articles by Okabayashi, H.
Related Collections
Right arrow Coronary disease
Right arrowRelated Article

Ann Thorac Surg 2007;84:32-36
© 2007 The Society of Thoracic Surgeons


Original Articles: Cardiovascular

Off-Pump Coronary Artery Bypass Grafting With Skeletonized Bilateral Internal Thoracic Arteries in Insulin-Dependent Diabetics

Masashi Kai, MDa, Michiya Hanyu, MD, PhDa, Yoshiharu Soga, MD, PhDa, Takuya Nomoto, MD, PhDa, Jota Nakano, MDa, Takehiko Matsuo, MDa, Eitaro Umehara, MDa, Masahide Kawato, MDa, Hitoshi Okabayashi, MD, PhDb,*

a Department of Cardiovascular Surgery, Kokura Memorial Hospital, Fukuoka, Japan
b Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, Iwate, Japan

Accepted for publication February 28, 2007.

* Address correspondence to Dr Okabayashi, Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, Chuodori 1-2-1, Morioka, Iwate, 020-8505, Japan (Email: cardiovascsurg{at}siren.ocn.ne.jp).

Background: We evaluated the effects of coronary artery bypass with off-pump skeletonized bilateral internal thoracic artery grafting in patients with insulin-dependent diabetes.

Methods: One hundred eighty-five consecutive patients with insulin-dependent diabetes who underwent isolated coronary artery bypass grafting with bilateral internal thoracic grafts were retrospectively compared according to surgical technique, ie, off-pump grafting with skeletonized internal thoracic artery (n = 162) or on-pump grafting with pedicled internal thoracic artery (n = 23).

Results: The on-pump group was younger (62.3 ± 9.2 versus 69.9 ± 8.5 years; p = 0.02) and had fewer distal anastomoses (3.5 ± 1.0 versus 4.0 ± 1.1; p = 0.02) than the off-pump group. No 30-day mortality occurred in either group. The incidence of deep sternal infection was significantly lower in the off-pump group than in the on-pump group (0.6% versus 13.0%; p = 0.01). The early angiographic results did not differ between the two groups. The median duration of follow-up was 3.4 years (range, 0.1 to 9.9 years). Rates of survival, freedom from cardiac mortality, and freedom from cardiac-related events (including cardiac-related death, myocardial infarction, percutaneous coronary intervention, repeat coronary artery bypass grafting, and congestive heart failure) did not differ between the two groups. Dialysis, peripheral vascular disease, ejection fraction less than 0.40, and age were independent risk factors of late death.

Conclusions: Overall, our results support the surgical management of coronary artery bypass grafting in insulin-dependent diabetics using off-pump skeletonized bilateral internal thoracic artery grafting.


Related Article

Invited commentary
Louis P. Perrault and Arnaud Mommerot
Ann. Thorac. Surg. 2007 84: 36-37. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
Interact CardioVasc Thorac SurgHome page
M. P. B. d. O. Sa, P. E. Ferraz, R. R. Escobar, F. P. Vasconcelos, A. A. B. Ferraz, D. M. Braile, and R. C. Lima
Skeletonized versus pedicled internal thoracic artery and risk of sternal wound infection after coronary bypass surgery: meta-analysis and meta-regression of 4817 patients
Interact CardioVasc Thorac Surg, June 1, 2013; 16(6): 849 - 857.
[Abstract] [Full Text] [PDF]


Home page
Eur J Cardiothorac SurgHome page
A. Saito, H. Miyata, N. Motomura, M. Ono, S. Takamoto, and Japan Cardiovascular Surgery Database Organization
Propensity-matched analysis of bilateral internal mammary artery vs single internal mammary artery in 7702 cases of isolated coronary artery bypass grafting
Eur J Cardiothorac Surg, March 29, 2013; (2013) ezt157v1.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
X. Hu and Q. Zhao
Skeletonized Internal Thoracic Artery Harvest Improves Prognosis in High-Risk Population After Coronary Artery Bypass Surgery for Good Quality Grafts
Ann. Thorac. Surg., July 1, 2011; 92(1): 48 - 58.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
S. Saso, D. James, J. A. Vecht, E. Kidher, J. Kokotsakis, V. Malinovski, C. Rao, A. Darzi, J. R. Anderson, and T. Athanasiou
Effect of Skeletonization of the Internal Thoracic Artery for Coronary Revascularization on the Incidence of Sternal Wound Infection
Ann. Thorac. Surg., February 1, 2010; 89(2): 661 - 670.
[Abstract] [Full Text] [PDF]


Home page
Interact CardioVasc Thorac SurgHome page
E. Ali, S. Saso, H. Ashrafian, and T. Athanasiou
Does a skeletonized or pedicled right gastro-epiploic artery improve patency when used as a conduit in coronary artery bypass graft surgery?
Interact CardioVasc Thorac Surg, February 1, 2010; 10(2): 293 - 298.
[Abstract] [Full Text] [PDF]


Home page
Interact CardioVasc Thorac SurgHome page
E. Ali, S. Saso, H. Ashrafian, and T. Athanasiou
Does a skeletonized or pedicled left internal thoracic artery give the best graft patency?
Interact CardioVasc Thorac Surg, January 1, 2010; 10(1): 97 - 104.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
W. S. Kim, J. Lee, Y. T. Lee, K. Sung, J.-H. Yang, T.-G. Jun, and P. W. Park
Total Arterial Revascularization in Triple-Vessel Disease With Off-Pump and Aortic No-Touch Technique
Ann. Thorac. Surg., December 1, 2008; 86(6): 1861 - 1865.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
D. Navia, M. Vrancic, G. Vaccarino, F. Piccinini, H. Raich, S. Florit, and J. Thierer
Total Arterial Off-Pump Coronary Revascularization Using Bilateral Internal Thoracic Arteries in Triple-Vessel Disease: Surgical Technique and Clinical Outcomes
Ann. Thorac. Surg., August 1, 2008; 86(2): 524 - 530.
[Abstract] [Full Text] [PDF]


Home page
Interact CardioVasc Thorac SurgHome page
Y. Soga, M. Hanyu, J. Nakano, and H. Okabayashi
Endoscopic harvesting of saphenous vein with a small caliber
Interact CardioVasc Thorac Surg, February 1, 2008; 7(1): 10 - 13.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
J.F. M. Bechtel, C. Detter, T. Fischlein, T. Krabatsch, B. R. Osswald, F.-C. Riess, F. Scholz, M. Schonburg, C. Stamm, H.-H. Sievers, et al.
Cardiac Surgery in Patients on Dialysis: Decreased 30-Day Mortality, Unchanged Overall Survival
Ann. Thorac. Surg., January 1, 2008; 85(1): 147 - 153.
[Abstract] [Full Text] [PDF]


Home page
Interact CardioVasc Thorac SurgHome page
I. K. Toumpoulis, N. Theakos, and J. Dunning
Does bilateral internal thoracic artery harvest increase the risk of mediastinitis?
Interact CardioVasc Thorac Surg, December 1, 2007; 6(6): 787 - 791.
[Abstract] [Full Text] [PDF]


Home page
Ann. Thorac. Surg.Home page
L. P. Perrault and A. Mommerot
Invited commentary
Ann. Thorac. Surg., July 1, 2007; 84(1): 36 - 37.
[Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 by The Society of Thoracic Surgeons.