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Bilateral internal mammary arteries: evidence and technical considerations.
- Source :
-
Annals of cardiothoracic surgery [Ann Cardiothorac Surg] 2013 Jul; Vol. 2 (4), pp. 570-7. - Publication Year :
- 2013
-
Abstract
- Bilateral internal mammary artery (BIMA) grafts are used for coronary revascularisation by only a minority of surgeons, despite a growing body of evidence suggesting improved survival when compared to use of only one internal mammary artery with additional saphenous vein grafts. Herein we review the evidence supporting revascularisation with BIMA and suggest reasons why the majority of surgeons use only one internal mammary artery. We discuss technical considerations, various graft combinations and the use of BIMA to facilitate anaortic off-pump coronary artery bypass (OPCAB).
Details
- Language :
- English
- ISSN :
- 2225-319X
- Volume :
- 2
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Annals of cardiothoracic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 23977638
- Full Text :
- https://doi.org/10.3978/j.issn.2225-319X.2013.06.03