Narayan Pradeep
Department of Cardiac Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, Kolkata, 700099 India.
Indian J Thorac Cardiovasc Surg. 2020 Jan;36(1):78-80. doi: 10.1007/s12055-019-00833-y. Epub 2019 Jun 10.
The 10-year outcome of the Arterial Revascularization Trial (ART) has recently been published. The study is the largest randomized study comparing bilateral internal thoracic artery (BITA) with single internal thoracic artery (SITA) as a grafting strategy for coronary artery bypass. In this review, a critical appraisal of the study has been performed where the result of the trial has been discussed along with the risk of sternal wound infections, the presence of a learning curve, and the influence of volume on outcomes. The influence of BITA grafting on other aspects like influence on hospital stay and quality of life outcomes has also been discussed.
动脉血运重建试验（ART）的10年结果最近已发表。该研究是比较双侧胸廓内动脉（BITA）与单根胸廓内动脉（SITA）作为冠状动脉搭桥移植策略的最大规模随机研究。在这篇综述中，对该研究进行了批判性评估，讨论了试验结果以及胸骨伤口感染的风险、学习曲线的存在情况和手术量对结果的影响。还讨论了BITA移植对其他方面的影响，如对住院时间和生活质量结果的影响。
