作者
David P Taggart, Douglas G Altman, Alastair M Gray, Belinda Lees, Fiona Nugara, Ly-Mee Yu, Helen Campbell, Marcus Flather
发表日期
2010/10/1
期刊
European heart journal
卷号
31
期号
20
页码范围
2470
出版商
Oxford University Press
简介
Aims
Observational data suggest that the use of bilateral internal mammary arteries (BIMA) during coronary artery bypass graft surgery provides superior revascularization to a single internal mammary artery (SIMA), but concerns about safety have prevented the widespread use of BIMA. The Arterial Revascularisation Trial (ART) is a randomized trial of BIMA vs. SIMA, with a primary outcome of survival at 10 years. This paper reports mortality, morbidity, and resource use data at 1 year.
Methods and results
Coronary artery bypass graft patients were enrolled in 28 hospitals in seven countries. Three thousand one hundred and two patients were randomly assigned to SIMA (n = 1554) or BIMA (n = 1548). The mean number of grafts was 3 for both groups. Forty per cent of the SIMA procedures and 42% of the BIMA were performed off-pump. Mortality at 30 days was 18 of 1548 (1.2 …
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DP Taggart, DG Altman, AM Gray, B Lees, F Nugara… - European heart journal, 2010