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The Jury Is Still Out on the Use of Bilateral Internal Thoracic Arteries in Coronary Surgery

Friday, November 30, 2018

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Source Name: European Journal of Cardio-Thoracic Surgery


Mario Gaudino, Stephen Fremes, Philippe Kohl

Once again, analyses of studies that are ostensibly well-designed randomized controlled trials have limitations that do not answer the question at hand: are two-arterial CABGs better than one? This editorial comments on a publication regarding the EXCEL Study, which showed no differences at 3 years.


I respectfully disagree with the title of the learned editorial. The three year outcome is irrelevant in interrogating benefits of arterial conduits.

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