Autologous coronary bypass- is internal thoracic artery better than the saphenous

vein?
Author: Munteanu Teodora1,2
1
Grigore T. Popa" University of Medicine and Pharmacy
2
Romanian Student Society of Surgery

Introduction Results Conclusion

Higher pressure • CABG has increased in
• 40-50%failure (SV)
• Myocardial • younger people
<10% failure(ITA)
ischemia
resistent wall • complications as few as
• Coronary possible
artery bypass
graft (CABG) • life expectancy as long
as possible
• the

Fig. 1 https://shorturl.at/inCMP

Materials and methods

• 11 articles (reviews and

cohort studies) since 2014 Fig. 3. internal thoracic artery (ITA; A,B) and
saphenous vein (SV; C,D)1—endothelium, 2
• 145 000 participants —internal elastic lamina, 3—tunica intima, 4
—tunica media, and 5—tunica adventitia
• Inclusion criteria: CABG
• Exclusion criteria: bypass References

without internal thoracic

Ahmed, I., & Yandrapalli, S. (2023). Internal Mammary Artery Bypass. In StatPearls. StatPearls Publishing.
Caliskan, Etem et al. “Saphenous vein grafts in contemporary coronary artery bypass graft surgery.” Nature reviews. Cardiology vol. 17,3 (2020):
Bazylev, Vladlen et al. “Coronary-coronary bypass grafting: artery or vein?.” Asian cardiovascular & thoracic annals vol. 28,6 (2020)
Johnston, Douglas R. “Long-term results of multiple arterial bypass conduits.” Current opinion in cardiology vol. 29,6 (2014): 542-6.

artery or saphenous vein Spadaccio, Cristiano et al. “Preventing treatment failures in coronary artery disease: what can we learn from the biology of in-stent restenosis, vein graft failure, and internal thoracic arteries?.” Cardiovascular research vol.
116,3 (2020):
Kim, Min-Seok, and Ki-Bong Kim. “Reopening of the occluded saphenous vein composite grafts after coronary artery bypass grafting.” Journal of cardiac surgery vol. 36,11 (2021):
https://rb.gy/3dvq2
Fig. 2
Steger, Christina Maria et al. “Molecular differences between arterial and venous grafts in the first year after coronary artery bypass grafting.” Histochemistry and cell biology vol. 154,4 (2020):
Royse, Alistair et al. “Coronary Artery Bypass Surgery Without Saphenous Vein Grafting: JACC Review Topic of the Week.” Journal of the American College of Cardiology vol. 80,19 (2022):