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The use of both internal thoracic arteries for coronary revascularization increases the estimate of post-operative lower limb ischemia in patients with peripheral artery disease.

Linda Renata MicaliMassimo BonacchiDaniel WeigelRosie HoweOrlando PariseGianmarco PariseSandro Gelsomino
Published in: Journal of cardiothoracic surgery (2020)
The use of both ITAs led to a significant increase in ALLI. This result was most likely caused by the complete disruption of the ITA collateral providing additional blood supply to the lower extremities. Based on our data, BITA should be used with extreme caution in PAD patients. Further research on this topic is necessary to confirm our findings.
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