E-ISSN 0976-2833 | ISSN 0975-3583
 

Original Research (Original Article) 


Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa.

Abstract
Background: This study aimed to shed light on the use of bilateral internal mammary arteries (BIMAs) which is useful in patients undergoing coronary artery bypass grafting. To this end, free IMA grafts allowed to be used for their benefit in total cardiomyopathy in the patients chosen in this study.

Aim of the work: This study aims to determine safety and efficacy bilateral Sequentially and composite internal mammary that used for grafting of multiple coronary branches in comparison with bilateral non sequential internal mammary artery by assessment of hospital mortality, early clinical outcomes and postoperative complication.

Subjects and methods: The sample chosen in this study consisted of 100 patients who were prepared for on–pump CABG for multi-vessel coronary artery disease, classified into two groups fifty cases on each group (sequential and non- sequential).
Results: In this study, it was found that there are more coronary targets capable of revascularized with inward mammary artery using sequential technique compared to non-sequential one (p-value= 0.004 S).

Conclusion: Sequential technique is better than non-sequential one in achievement total and left system arterial revascularization with less leg incisions.

Key words: CABG, BIMAs, sequential, non-sequential, LCX, LAD.


 
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How to Cite this Article
Pubmed Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. . 2020; 11(2): 66-75. doi:10.31838/jcdr.2020.11.02.12


Web Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. http://www.jcdronline.org//?mno=118257 [Access: June 25, 2020]. doi:10.31838/jcdr.2020.11.02.12


AMA (American Medical Association) Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. . 2020; 11(2): 66-75. doi:10.31838/jcdr.2020.11.02.12



Vancouver/ICMJE Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. . (2020), [cited June 25, 2020]; 11(2): 66-75. doi:10.31838/jcdr.2020.11.02.12



Harvard Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa (2020) Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. , 11 (2), 66-75. doi:10.31838/jcdr.2020.11.02.12



Turabian Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. 2020. Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. Journal of Cardiovascular Disease Research, 11 (2), 66-75. doi:10.31838/jcdr.2020.11.02.12



Chicago Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. "Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis." Journal of Cardiovascular Disease Research 11 (2020), 66-75. doi:10.31838/jcdr.2020.11.02.12



MLA (The Modern Language Association) Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa. "Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis." Journal of Cardiovascular Disease Research 11.2 (2020), 66-75. Print. doi:10.31838/jcdr.2020.11.02.12



APA (American Psychological Association) Style

Walaa Ahmed Saber, Ahmed Helmy Ali Omar, Walid Ismail Kamel, Moustafa Gamal El-Din Moustafa, Mohamed Nafeh, Mohamed Abdullah El-Sayed Mousa (2020) Safety and Efficacy of Coronary Artery Bypass Grafting Using Bilateral Internal Mammary Arteries Comparing Sequential and Non-Sequential Techniques in Distal Anastomosis. Journal of Cardiovascular Disease Research, 11 (2), 66-75. doi:10.31838/jcdr.2020.11.02.12