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Is gender a risk factor for death in patients with bilateral internal thoracic artery grafts?

The Journal of Thoracic and Cardiovascular Surgery Jan 29, 2019

Vrancic JM, et al. - Researchers evaluated if BITA (Bilateral Internal Thoracic Artery) grafting in women has a long-term survival benefit over SITA (Single Internal Thoracic Artery) grafting, even equivalent to male population via retrospectively reviewing data of 4406 consecutive patients undergoing isolated coronary artery bypass grafting (CABG). Median follow-up of 5.1± 3.9 years was done. Compared to Male-BITA patients, female-BITA patients were older, had non-elective surgery, more on-pump CABG, less number of grafts. Stratification analysis showed that among genders, beneficial effect of BITA remained similar and was not altered by age even after adjusting for confounders. BITA grafting in women was associated with similar survival within 10 years compared to men despite some differences between gender. Female gender was not identified to be an independent risk factor for late death. BITA group displayed better survival among women, especially in those older than 65 years.
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