Routine use of bilateral internal thoracic artery grafting in women: A risk factor analysis for poor outcomes

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• 作者：Giuseppe Gatti ; ^{gius.gatti@gmail.com} ; Luca Maschietto ; Marco Morosin ; Marco Russo ; Bernardo Benussi ; Gabriella Forti ; Lorella Dreas ; Gianfranco Sinagra ; Aniello Pappalardo
• 关键词：Arterial grafts ; Coronary artery bypass grafts ; Gender ; Outcomes
• 刊名：Cardiovascular Revascularization Medicine
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：18
• 期：1
• 页码：40-46
• 全文大小：564 K
• 卷排序：18

文摘

Increased risk of complications prevents liberal use of bilateral internal thoracic artery (BITA) grafting in women. Outcomes of 477 women who underwent routine BITA grafting were reviewed retrospectively. There were 19 (4%) hospital deaths; glomerular filtration rate < 50 ml/min was an independent risk factor. The 13-year freedom from cardiac/cerebrovascular deaths, major adverse cardiac and cerebrovascular events, and repeat myocardial revascularization was 76.1, 59.5 and 91.9%, respectively. After routine BITA grafting, the increased rates of early complications in women do not prevent excellent late outcomes.