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Should Bilateral Internal Thoracic Artery Grafting Be Used in Patients With Diabetes Mellitus?  Dmitry Pevni, MD, Benjamin Medalion, MD, Rephael Mohr,

Published byMarek Tomczak Modified over 5 years ago

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Presentation on theme: "Should Bilateral Internal Thoracic Artery Grafting Be Used in Patients With Diabetes Mellitus?  Dmitry Pevni, MD, Benjamin Medalion, MD, Rephael Mohr,"— Presentation transcript:

1 Should Bilateral Internal Thoracic Artery Grafting Be Used in Patients With Diabetes Mellitus? 
Dmitry Pevni, MD, Benjamin Medalion, MD, Rephael Mohr, MD, Yanai Ben-Gal, MD, Adam Laub, MD, Avner Nevo, MD, Amir Kramer, MD, Yosef Paz, MD, Nachum Nesher, MD  The Annals of Thoracic Surgery  Volume 103, Issue 2, Pages (February 2017) DOI: /j.athoracsur Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Kaplan-Meier (KM) curves comparing survival of diabetic patients before matching: bilateral internal thoracic artery (BITA [gray line]) versus single internal thoracic artery (SITA [black line]). (Cum = cumulative.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Standardized differences plot, bilateral internal thoracic artery versus single internal thoracic artery. Circles indicate before; triangles indicate after. (CHF = congestive heart failure; COPD = chronic obstructive pulmonary disease; Cr = creatinine; CRF = chronic renal failure; DM+EOD = diabetes mellitus plus end-organ damage; EF = ejection fraction; EuroSCORE = European System for Cardiac Operative Risk Evaluation; IABP = intraaortic balloon pump; IDDM = insulin-dependent diabetes mellitus; MI = myocardial infarction; ND = neurologic dysfunction; NIDDM = noninsulin-dependent diabetes mellitus; OPCAB = off-pump coronary artery bypass graft surgery; PCI = percutaneous coronary intervention; S/P = status post; y = years.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Mirrored histogram of distribution of propensity scores for bilateral internal thoracic artery (BITA) and single internal thoracic artery (SITA). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Kaplan-Meier curves comparing survival of diabetic patients after matching: bilateral internal thoracic artery (BITA [broken line]) versus single internal thoracic artery (SITA [solid line]). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

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