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Bilateral Internal Thoracic Artery Grafting: Does Graft Configuration Affect Outcome?
The Hopkins group reviewed differential outcomes in close to 800 patients who had undergone bilateral IMA revascularization during CABG. The compared configurations included:
- IS LITA-LAD and IS RITA-left coronary circulation
- IS LITA-LAD and IS RITA-right coronary circulation
- IS RITA-LAD and IS LITA-left coronary circulation
- IS LITA-LAD and Composite RITA to anywhere
Outcomes analysis failed to detect a difference in outcome endpoints consisting of long-term survival or repeat revascularization among the four configurations.
Is this enough evidence to say that it does not matter which of the techniques you use?