Total Arterial Revascularization (TAR)

Comparison of Total Arterial Revascularization of Y-Graft Versus In-Situ Configuration Using Bilateral Internal Thoracic Arteries

Total arterial revascularisation with in-situ confihuration of BITA is superior than y-graft in patients underwent CABG.

The main hypothesis of the trial is that in-situ configuration of bilateral internal thoracic arteries is superior than Y-graft configuration for MACCE (mortality, myocardial infarction, repeat revascularization, stroke) during mid-term follow-up in patients with CAD who is shedueled for CABG.

Inclusion Criteria:

• Coronary Artery Disease
• Stable angina
• The need for revascularization of anterior descending and obtuse margin arteries accoring to the 2018 ESC/EACTS Guidelines on myocardial revascularization
• Informed Consent Form

Exclusion Criteria:

• The diameter of the target arteries is less than 1 mm
• Stenosis of the subclavian arteries more than 60%
• STEMI less than 3 month
• Previous cardiac surgery
• BMI >35
• COPD with FEV1 <60%
• Concomitant pathology that requires simultaneous surgical treatment
• Cancer with life expectancy less than 5 years