Coronary artery bypass grafting using bilateral internal thoracic arteries in patients with diabetes and obesity: A systematic review and meta-analysis.

ABSTRACT:

Background

Patients with diabetes and obesity are at higher risk of adverse long-term outcomes following coronary artery bypass grafting. The use of bilateral internal thoracic arteries (BITA) can potentially offer survival benefit in higher risk patients compared to single internal thoracic artery (SITA), but BITA is not routinely used due to lack of clear evidence of efficacy and concerns over sternal wound complications.

Methods

Medline, Embase and the Cochrane Library were searched for studies comparing the efficacy and safety of BITA and SITA grafting in patients with diabetes and obesity. Meta-analysis of mortality and sternal wound complications was performed.

Results

We identified eight observational and ten propensity matched studies, and one RCT, comparing B

SUBMITTER: Stefil M 

PROVIDER: S-EPMC10422672 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature