Double vs Single Internal Thoracic Artery Harvesting in Diabetic Patients
Author Information
Author(s): Marco Agrifoglio, Matteo Trezzi, Fabio Barili, Luca Dainese, Faisal H Cheema, Veli K Topkara, Chiara Ghislandi, Alessandro Parolari, Gianluca Polvani, Francesco Alamanni, Paolo Biglioli
Primary Institution: Centro Cardiologico Monzino, University of Milan
Hypothesis
Does bilateral internal thoracic artery harvesting increase the risk of surgical site infections in diabetic patients with poor glycemic control?
Conclusion
CABG with bilateral pedicled ITAs grafting could be performed safely even in diabetics with poor preoperative glycaemic control.
Supporting Evidence
- Five patients developed sternal SSIs, with no significant difference between the two groups.
- The overall survival estimate at 1 year was 98.7%.
- Only BMI was a significant predictor of SSI.
Takeaway
The study looked at whether using two arteries instead of one during heart surgery is safe for diabetic patients. It found that using two arteries doesn't increase the risk of infections.
Methodology
This prospective study involved 81 diabetic patients undergoing elective CABG, comparing outcomes between those receiving single and double internal thoracic artery harvesting.
Potential Biases
Potential confounding factors due to non-randomization.
Limitations
The study was not randomized and had a limited sample size.
Participant Demographics
Patients were diabetic with uncontrolled glycemia, aged between 62 and 66.5 years, with a majority being male.
Statistical Information
P-Value
0.04
Confidence Interval
1.02–1.83
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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