Kajimoto Kan, Yamamoto Taira, Amano Atsushi
Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Department of Cardiovascular Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Ann Thorac Surg. 2015 Mar;99(3):1097-104. doi: 10.1016/j.athoracsur.2014.09.045. Epub 2015 Jan 23.
This study examined the effect of coronary artery bypass graft surgery with bilateral internal thoracic artery grafting in diabetic patients. Coronary artery bypass graft surgery using skeletonized bilateral internal thoracic artery grafts was not associated with an increased risk of deep sternal wound infection or early death. Moreover, patients who underwent coronary artery bypass graft surgery using bilateral internal thoracic artery grafting had lower remote mortality and cardiac mortality. We conclude that coronary artery bypass surgery using bilateral internal thoracic artery grafts is an excellent strategy, even for diabetic patients.
本研究探讨了双侧胸廓内动脉移植冠状动脉旁路移植术对糖尿病患者的影响。使用骨骼化双侧胸廓内动脉移植物进行冠状动脉旁路移植术与深部胸骨伤口感染或早期死亡风险增加无关。此外，接受双侧胸廓内动脉移植冠状动脉旁路移植术的患者远期死亡率和心脏死亡率较低。我们得出结论，即使对于糖尿病患者，使用双侧胸廓内动脉移植物进行冠状动脉旁路手术也是一种极佳的策略。
