Early Outcome of Bilateral Versus Single Internal Mammary Artery Grafting in the Elderly

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TitreEarly Outcome of Bilateral Versus Single Internal Mammary Artery Grafting in the Elderly
Type de publicationJournal Article
Year of Publication2018
AuteursRubino AS, Gatti G, Reichart D, Tauriainen T, De Feo M, Onorati F, Pappalardo A, Chocron S, Gulbins H, Dalen M, Svenarud P, Faggian G, Franzese I, Santarpino G, Fischlein T, Maselli D, Nardella S, Gherli R, Ahmed A, Santini F, Salsano A, Nicolini F, Zanobini M, Saccocci M, Ruggieri VG, Bounader K, Mignosa C, D'Errigo P, Rosato S, Airaksinen J, Perrotti A, Biancari F
JournalANNALS OF THORACIC SURGERY
Volume105
Pagination1717-1723
Date PublishedJUN
Type of ArticleArticle
ISSN0003-4975
Résumé

{Background. Bilateral internal mammary artery (BIMA) grafting is increasingly used in elderly patients without evidence of its risks or benefits compared with single internal mammary artery (SIMA) grafting. Methods. In all, 2,899 patients aged 70 years or older (855 [29.5%] underwent BIMA grafting) operated on from January 2015 to December 2016 and included in the prospective multicenter Outcome After Coronary Artery Bypass Grafting (E-CABG) study were considered in this analysis. Results. One-to-one propensity matching resulted in 804 pairs with similar preoperative risk profile. Propensity score matched analysis showed that BIMA grafting was associated with a nonstatistically significant increased risk of inhospital death (2.7% versus 1.6%

DOI10.1016/j.athoracsur.2017.11.079