{"id":22829,"date":"2018-01-09T05:34:49","date_gmt":"2018-01-09T00:04:49","guid":{"rendered":"https:\/\/cardiophile.org\/?p=22829"},"modified":"2018-01-09T05:34:49","modified_gmt":"2018-01-09T00:04:49","slug":"bilateral-internal-mammary-artery-grafting-for-cabg","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/bilateral-internal-mammary-artery-grafting-for-cabg\/","title":{"rendered":"Bilateral internal mammary artery grafting for CABG"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/pZ0ajk470og\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><strong><span style=\"color: #008000;\">Bilateral internal mammary artery grafting for CABG<\/span><\/strong><\/h2>\n<p>Advantage of bilateral internal mammary artery grafting (BIMA grafting) for coronary artery bypass grafting over using a single arterial conduit (left internal mammary artery) is a better survival documented by a meta analysis of 9 observational studies involving over fifteen thousand patients with follow up over 9 years [1]. But there is a reluctance of some cardiac surgeons to use both internal mammary arteries for fear of deep sternal wound infections, often causing mediastinitis. Important risk factors for deep sternal wound infections are:<\/p>\n<ol>\n<li>Obesity<\/li>\n<li>Diabetes mellitus<\/li>\n<li>Female gender<\/li>\n<li>Renal failure<\/li>\n<li>Chronic obstructive pulmonary disease<\/li>\n<\/ol>\n<p>Use of skeletonized internal mammary artery grafts instead of pedicled grafts can reduce the risk of sternal wound infection as the sternal vasculature is maintained while harvesting skeletonized grafts.<\/p>\n<p><span style=\"color: #0000ff;\"><strong>Reference<\/strong><\/span><\/p>\n<ol>\n<li>Yi G, Shine B, Rehman SM, Altman DG, Taggart DP. Effect of bilateral internal mammary artery grafts on long-term survival: a meta-analysis approach. Circulation. 2014;130:539-545.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Bilateral internal mammary artery grafting: Advantage of bilateral internal mammary artery grafting (BIMA grafting) for coronary artery bypass grafting over using a single arterial conduit (left internal mammary artery) is a better survival.<\/p>\n","protected":false},"author":1,"featured_media":22831,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[22],"tags":[],"class_list":["post-22829","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiac-surgery"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bilateral internal mammary artery grafting for CABG - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"description\" content=\"Bilateral internal mammary artery grafting: Advantage of bilateral internal mammary artery grafting (BIMA grafting) for coronary artery bypass grafting over using a single arterial conduit (left internal mammary artery) is a better survival.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/bilateral-internal-mammary-artery-grafting-for-cabg\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bilateral internal mammary artery grafting for CABG - 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