Similar hospital morbidity with the use of one or two internal thoracic arteries
(1994) In Annals of Thoracic Surgery 57(6). p.72-1564- Abstract
The hospital morbidity and mortality of 100 patients operated with two internal thoracic arteries with or without additional vein grafts (BITA group) were compared with a matched group of 100 patients operated with one left internal thoracic artery (ITA) on the anterior descending artery with additional vein grafts (LITA control group). In each study group, 3% of the patients had diabetes mellitus. There was no statistical significant difference in hospital mortality (1% versus 0%), perioperative myocardial infarction (5% versus 1%), low cardiac output (3% versus 5%), rethoracotomy (1% versus 0%), lung complications (13% versus 13%), wound complications (8% versus 8%), other cardiac complications (26% versus 16%), other noncardiac... (More)
The hospital morbidity and mortality of 100 patients operated with two internal thoracic arteries with or without additional vein grafts (BITA group) were compared with a matched group of 100 patients operated with one left internal thoracic artery (ITA) on the anterior descending artery with additional vein grafts (LITA control group). In each study group, 3% of the patients had diabetes mellitus. There was no statistical significant difference in hospital mortality (1% versus 0%), perioperative myocardial infarction (5% versus 1%), low cardiac output (3% versus 5%), rethoracotomy (1% versus 0%), lung complications (13% versus 13%), wound complications (8% versus 8%), other cardiac complications (26% versus 16%), other noncardiac complications (1% versus 4%), median duration of stay in the intensive care unit (1 versus 1 day), and mean duration of stay in the hospital (10.4 versus 10.8 days) between the groups. Logistic regression analysis showed that the number of ITAs used was not a predictor of complications. Thus, there is no difference between the BITA and LITA control group in hospital mortality and morbidity (in patients with a low incidence of diabetes). If an improvement in cardiac event-free and reoperation-free survival is to be expected, the use of both ITAs can be continued in similar patients.
(Less)
- author
- Berreklouw, E ; Schönberger, J P ; Bavinck, J H ; Verwaal, V J LU ; Koldewijn, E L ; van der Linden, F ; van der Tweel, I and Bredée, J J
- publishing date
- 1994-06
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Adult, Aged, Anastomosis, Surgical/methods, Arrhythmias, Cardiac/etiology, Cardiac Output, Low/etiology, Case-Control Studies, Coronary Artery Bypass/adverse effects, Critical Care, Female, Heart Arrest, Induced, Hospital Mortality, Humans, Length of Stay, Lung Diseases/etiology, Male, Middle Aged, Myocardial Infarction/etiology, Netherlands/epidemiology, Retrospective Studies, Saphenous Vein/transplantation, Survival Rate, Thoracic Arteries/transplantation
- in
- Annals of Thoracic Surgery
- volume
- 57
- issue
- 6
- pages
- 72 - 1564
- publisher
- Elsevier
- external identifiers
-
- pmid:8010804
- scopus:0028305725
- ISSN
- 0003-4975
- DOI
- 10.1016/0003-4975(94)90124-4
- language
- English
- LU publication?
- no
- id
- 9618d011-9d1f-4e3e-a657-6b37b4627729
- date added to LUP
- 2022-04-12 10:54:39
- date last changed
- 2024-01-03 14:37:16
@article{9618d011-9d1f-4e3e-a657-6b37b4627729,
abstract = {{<p>The hospital morbidity and mortality of 100 patients operated with two internal thoracic arteries with or without additional vein grafts (BITA group) were compared with a matched group of 100 patients operated with one left internal thoracic artery (ITA) on the anterior descending artery with additional vein grafts (LITA control group). In each study group, 3% of the patients had diabetes mellitus. There was no statistical significant difference in hospital mortality (1% versus 0%), perioperative myocardial infarction (5% versus 1%), low cardiac output (3% versus 5%), rethoracotomy (1% versus 0%), lung complications (13% versus 13%), wound complications (8% versus 8%), other cardiac complications (26% versus 16%), other noncardiac complications (1% versus 4%), median duration of stay in the intensive care unit (1 versus 1 day), and mean duration of stay in the hospital (10.4 versus 10.8 days) between the groups. Logistic regression analysis showed that the number of ITAs used was not a predictor of complications. Thus, there is no difference between the BITA and LITA control group in hospital mortality and morbidity (in patients with a low incidence of diabetes). If an improvement in cardiac event-free and reoperation-free survival is to be expected, the use of both ITAs can be continued in similar patients.</p>}},
author = {{Berreklouw, E and Schönberger, J P and Bavinck, J H and Verwaal, V J and Koldewijn, E L and van der Linden, F and van der Tweel, I and Bredée, J J}},
issn = {{0003-4975}},
keywords = {{Adult; Aged; Anastomosis, Surgical/methods; Arrhythmias, Cardiac/etiology; Cardiac Output, Low/etiology; Case-Control Studies; Coronary Artery Bypass/adverse effects; Critical Care; Female; Heart Arrest, Induced; Hospital Mortality; Humans; Length of Stay; Lung Diseases/etiology; Male; Middle Aged; Myocardial Infarction/etiology; Netherlands/epidemiology; Retrospective Studies; Saphenous Vein/transplantation; Survival Rate; Thoracic Arteries/transplantation}},
language = {{eng}},
number = {{6}},
pages = {{72--1564}},
publisher = {{Elsevier}},
series = {{Annals of Thoracic Surgery}},
title = {{Similar hospital morbidity with the use of one or two internal thoracic arteries}},
url = {{http://dx.doi.org/10.1016/0003-4975(94)90124-4}},
doi = {{10.1016/0003-4975(94)90124-4}},
volume = {{57}},
year = {{1994}},
}