Bilateral internal thoracic artery grafting in isolated coronary artery bypass grafting: A 35-year experience
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00179906%3A_____%2F25%3A10504847" target="_blank" >RIV/00179906:_____/25:10504847 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11150/25:10504847
Result on the web
<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=Ax8gPRD3nm" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=Ax8gPRD3nm</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.xjon.2025.09.040" target="_blank" >10.1016/j.xjon.2025.09.040</a>
Alternative languages
Result language
angličtina
Original language name
Bilateral internal thoracic artery grafting in isolated coronary artery bypass grafting: A 35-year experience
Original language description
Objectives: The study objectives were to analyze trends in bilateral internal thoracic artery grafting during isolated coronary artery bypass grafting over a 35-year interval and compare outcomes between bilateral internal thoracic artery and non-bilateral internal thoracic artery strategies.Methods: A cohort of 15,991 patients underwent isolated multivessel coronary artery bypass grafting at our institution between 1990 and 2024. Trends in bilateral internal thoracic artery, radial artery, and left internal thoracic artery + saphenous vein graft were assessed using chi-square tests with Bonferroni correction. Changes in obesity and diabetes prevalence across intervals were also analyzed. Propensity score matching (1:1) yielded 2013 pairs for outcome comparisons between bilateral internal thoracic artery and non-bilateral internal thoracic arterygroups.Results: Between 1990 and 2024, use of bilateral internal thoracic artery and radial artery increased (11.0% and 13.2%, respectively), although bilateral internal thoracic artery declined during 2020 to 2024 as radial artery and left internal thoracic artery + saphenous vein graft use increased. This decline was unrelated to rising obesity or diabetes rates. Matched analysis revealed longer operative times for bilateral internal thoracic artery (+51 minutes, P<.001), whereas cardiopulmonary bypass and crossclamp durations remained similar. Wound-healing complication rates did not increase with bilateral internal thoracic artery grafting. Kaplan-Meier analysis showed superior 30-year survival for bilateral internal thoracic artery compared with other grafting strategies.Conclusions: Bilateral internal thoracic artery grafting remains underused, particularly in recent years, despite demonstrated survival benefits and comparable wound-healing risks. The decline is not explained by patient risk factors,highlighting the need for broader adoption of bilateral internal thoracic artery grafting and further randomized trials to optimize coronary artery bypass grafting strategies. (JTCVS Open 2025;■:1-14)
Czech name
—
Czech description
—
Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
—
OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
—
Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
JTCVS open
ISSN
2666-2736
e-ISSN
2666-2736
Volume of the periodical
28
Issue of the periodical within the volume
DEC
Country of publishing house
US - UNITED STATES
Number of pages
14
Pages from-to
191-204
UT code for WoS article
001638224100001
EID of the result in the Scopus database
2-s2.0-105024112148