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Original Research

On-Pump versus Off-Pump Complete Arterial Revascularization Using Bilateral Internal Mammary Arteries and the T-Graft Technique: Clinical and Angiographic Results for 3,445 Patients in 13 Years of Follow-Up

Riess F.-C. · Heller S. · Cramer E. · Awwad N. · Amin W. · Hansen L. · Lehmann C. · Schofer J. · Stripling J. · Winkel S. · Kremer P.

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Departments of Cardiac Surgery and Cardiology, Albertinen Cardiovascular Center, Hamburg, Germany

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Cardiology 2017;136:170-179

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Article / Publication Details

First-Page Preview
Abstract of Original Research

Received: December 09, 2015
Accepted: July 14, 2016
Published online: October 04, 2016
Issue release date: February 2017

Number of Print Pages: 10
Number of Figures: 1
Number of Tables: 7

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: https://www.karger.com/CRD

Abstract

Background: This is an investigation of complete arterial coronary artery bypass grafting (CACABG) using bilateral internal mammary arteries (IMA) and the T-graft technique either on- or off-pump as a routine approach to treat coronary artery disease. Methods: Between January 2000 and December 2012, 3,445 patients underwent on-pump (n = 2,216) or off-pump (n = 1,229) CACABG. A 30-day follow-up was performed prospectively, a long-term follow-up by a questionnaire, and coronary angiography in selected patients. Results: End points at 30 days were death, myocardial infarction, stroke, repeat revascularization, renal replacement, reoperation, sternal wound infection and atrial fibrillation. FitzGibbon A patency rates were 89.8 vs. 91.4% (p = 0.464) with consecutive percutaneous coronary intervention in the grafted area of 1.8 vs. 1.1% (p = 0.693) on- vs. off-pump, and no reoperation in the grafted area in both groups. Conclusion: CACABG by use of skeletonized bilateral IMA with the T-graft technique performed either on- or off-pump is a safe and effective approach.

© 2016 S. Karger AG, Basel


References

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    External Resources
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Article / Publication Details

First-Page Preview
Abstract of Original Research

Received: December 09, 2015
Accepted: July 14, 2016
Published online: October 04, 2016
Issue release date: February 2017

Number of Print Pages: 10
Number of Figures: 1
Number of Tables: 7

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: https://www.karger.com/CRD


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