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Dewantoro et al. Vessel Plus 2018;2:20                                      Vessel Plus
               DOI: 10.20517/2574-1209.2018.50




               Review                                                                        Open Access


               Advantages and disadvantages of total arterial
               coronary artery bypass graft as compared to venous
               coronary artery bypass graft


               Dickson Dewantoro , Antonio Nenna , Umberto Satriano , Massimo Chello , Cristiano Spadaccio 1
                                              2
                                1
                                                                               2
                                                               2
               1 Department of Cardiothoracic Surgery, Golden Jubilee National Hospital, Glasgow G81 4DY, UK.
               2 Department of Cardiovascular Surgery, Università Campus Bio-Medico di Roma, Rome 00128, Italy.
               Correspondence  to: Dr. Cristiano Spadaccio, Department of Cardiothoracic Surgery, Golden Jubilee National Hospital,
               Agamemnon St, Glasgow, Clydebank G81 4DY, UK. E-mail: cristianospadaccio@gmail.com
               How to cite this article: Dewantoro D, Nenna A, Satriano U, Chello M, Spadaccio C. Advantages and disadvantages of total
               arterial coronary artery bypass graft as compared to venous coronary artery bypass graft. Vessel Plus 2018;2:20. http://dx.doi.
               org/10.20517/2574-1209.2018.50
               Received: 26 Jun 2018    First Decision: 17 Jul 2018    Revised: 23 Jul 2018    Accepted: 26 Jul 2018    Published: 16 Aug 2018

               Science Editor: Mario F. L. Gaudino, Cristiano Spadaccio    Copy Editor: Jun-Yao Li    Production Editor: Huan-Liang Wu


               Abstract
               Considering  the plethora of literature  about surgical  revascularization, this review aims to discuss the most recent
               studies about the effects of total arterial coronary artery bypass graft (TACABG) compared with CABG that involves
               venous graft (VCABG) in patients with multivessel coronary artery disease. Patients were sampled from published
               papers that studied various aspects involving TACABG or VCABG. Resulting samples were used to compare the
               complexity and 5 years’ outcomes of TACABG to VCABG in the revascularization of coronary arteries. TACABG
               provides a better prognosis with average all-cause mortality within 5 years of 5.35% as compared to VACABG with
               average of all-cause mortality within 5 years of 9.1%. Furthermore, assumption of deep sternal wound infection from
               TACABG, especially when bilateral internal thoracic arteries were used, is very technique-dependent, as reports have
               been showing that the rate of such infection to occur is less than 1%. TACABG was concluded to wield a better prognosis
               within both short- and long- terms, although more research need to be done to prove its use in left main disease.


               Keywords: Total arterial, internal thoracic artery, coronary artery disease, myocardial revascularization, coronary artery
               bypass graft




               INTRODUCTION
               Coronary heart disease, or coronary artery disease (CAD), commonly caused by atherosclerosis, as men-
               tioned by World Health Organization, has markedly lower prevalence within populations with lower life
               expectancy. However, the presence of risk factors contributes greatly towards the prevalence of CAD, and 3.8

                           © The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
                           International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
                sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
                as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
                and indicate if changes were made.


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