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- Title
Multi-arterial and total-arterial coronary revascularization: Past, present, and future perspective.
- Authors
Torregrossa, Gianluca; Amabile, Andrea; Williams, Elbert E.; Fonceva, Ana; Hosseinian, Leila; Balkhy, Husam H.
- Abstract
<bold>Background and Aim Of the Study: </bold>Although abundant biological, clinical, and scientific evidence exists on the superiority of multi-arterial (MAR) and total-arterial revascularization (TAR) over the conventional strategy with a single internal thoracic artery, only 10% of patients undergoing coronary artery bypass grafting (CABG) in the United States receives a second arterial conduit, and only 5% of patients receives TAR.<bold>Methods and Results: </bold>In January 2020, the authors performed comprehensive search to identify studies that evaluated MAR and TAR strategies through the MEDLINE database.<bold>Conclusions: </bold>In this paper, the authors reviewed the literature on the historical and current evidence in favor of MAR and TAR, thus underlying why current CABG practice needs qualitative improvement.
- Subjects
INTERNAL thoracic artery; CORONARY artery bypass; HISTORICAL literature; CORONARY artery surgery; MEDICAL care; CARDIOVASCULAR system; QUALITY assurance
- Publication
Journal of Cardiac Surgery, 2020, Vol 35, Issue 5, p1072
- ISSN
0886-0440
- Publication type
journal article
- DOI
10.1111/jocs.14537