IJSR - International Journal of Scientific Research

Ashish Badkhal; Amol B Thakare; Vikas L Chaudhari

Volume : VI, Issue : II, February - 2017

Comparisons of clinical outcome in coronary artery bypass grafting by RIMA–LIMA or LIMA SVG in diabetic patients

Ashish Badkhal, Amol B Thakare, Vikas L Chaudhari

Abstract :

Introduction: LIMA + RIMA was associated with improved long–term survival and diminished rates of angina recurrence and late MI and that RA grafts were associated with improved short–term and long–term patency rates.

Objective: To evaluate arterial grafts (RIMA & LIMA) in diabetic patients by compå medium term outcomes to group of patients where SVG were utilized.

Methodology: Patients were randomly assigned to one of 2 graft strategies: Right internal mammary artery was used to graft the circumflex territory or the right coronary territory system and a saphenous vein graft was used for the right coronary system; or Saphenous vein graft were directed to the right coronary territory or for the circumflex territory.

Results: Total 54 patients were included in both groups. Out of which 28 were Group A (IMA–LIMA) & remaining 30(LIMA–SVG) were from other group. Total 8 patients were died after discharge and within one year. Out of these three were from group A and remaining five were from group B.

Conclusion: Favorable results for the use of arterial conduits and results that are at least as good as those seen in conventional CABG, these results should allow surgeons flexibility in their choice of conduits.