Chest ACCP Education Calendar
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
This Article
Right arrow Full Text (PDF) Free
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by McLellan, I.
Right arrow Articles by Richardson, J. B.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McLellan, I.
Right arrow Articles by Richardson, J. B.
(Chest. 1996;109:1231-1233.)
© 1996 American College of Chest Physicians

Bilateral and Unilateral Use of Internal Thoracic Artery for Myocardial Revascularization

Comparison of Extubation Outcome and Duration of Hospital Stay

Ian McLellan MB1; Piotr Knapik MD1; Thomas J. Spyt MD2; and James B. Richardson MD3

1 From the Department of Cardiothoracic Anaesthesia, Glenfield Hospital, Leicester
2 From the Department of Cardiac Surgery, Glenfield Hospital, Leicester
3 From the University Department of Orthopaedic Surgery, Glenfield Hospital, Leicester

The left internal thoracic artery is usually used as arterial conduit for myocardial revascularization; however, there is an increasing popularity of bilateral use of this artery for grafting. We examined 180 patients with both types of arterial conduits to answer whether bilateral use of the internal thoracic artery makes the difference in postoperative extubation outcome and duration of hospital stay in comparison to the unilateral use of this conduit. Ninety-three patients with bilateral conduit and 87 patients with unilateral conduit, with comparable age, cardiopulmonary bypass, and aortic cross-clamp time have been studied. On the basis of statistical and retrospective analysis, we conclude that bilateral use of internal thoracic artery for myocardial revascularization prolongs required postoperative respiratory support (12.0 h against 7.6 h) not affecting the duration of the mean hospital stay.

Key Words: internal thoracic artery • myocardial revascularization • postoperative ventilation

Submitted on August 2, 1995
Accepted on August 29, 2007




This article has been cited by other articles:


Home page
 Postgrad. Med. J.Home page
M J Naik, Y Abu-Omar, A Alvi, N Wright, A Henderson, K Channon, J C Forfar, and D P Taggart
Total arterial revascularisation as a primary strategy for coronary artery bypass grafting
Postgrad. Med. J., January 1, 2003; 79(927): 43 - 48.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Bonacchi, E. Prifti, G. Giunti, A. Salica, G. Frati, and G. Sani
Respiratory dysfunction after coronary artery bypass grafting employing bilateral internal mammary arteries: the influence of intact pleura
Eur. J. Cardiothorac. Surg., June 1, 2001; 19(6): 827 - 833.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
D. P. Taggart
Respiratory dysfunction after cardiac surgery: effects of avoiding cardiopulmonary bypass and the use of bilateral internal mammary arteries
Eur. J. Cardiothorac. Surg., July 1, 2000; 18(1): 31 - 37.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 1996 by the American College of Chest Physicians.