Does Bilateral Pedicle Internal Thoracic Artery Harvest Increase the Risk of Mediastinitis?
Yonsei Medical Journal
;
: 78-82, 2009.
Article
Dans Anglais
| WPRIM
| ID: wpr-83528
ABSTRACT
PURPOSE:
Bilateral in situ internal thoracic artery (ITA) bypassing may result in excellent myocardial revascularization without increasing the risk of deep sternal wound infection. Although there have been concerns with the use of pedicled bilateral ITA, the risk of infection may not be greater than the use of skeletonized ITA. MATERIALS ANDMETHODS:
The present study was retrospectively undertaken to determine if pedicled BITA grafts are associated with a higher risk of sternal wound complications. A total of 207 patients who underwent bilateral ITA bypasses with or without existing diabetes mellitus, and 162 patients of those received bilateral pedicled ITA and 98 patients received unilateral ITA bypass grafts.RESULTS:
No sternal wound complications were noted in either the bilateral ITA or unilateral left ITA groups.CONCLUSION:
Bilateral pedicled ITA harvesting was not associated with a greater incidence of infectious sternal complications compared to patients receiving unilateral ITA bypass grafts.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Sternum
/
Infection de plaie opératoire
/
Maladie des artères coronaires
/
Études rétrospectives
/
Facteurs de risque
/
Prélèvement d'organes et de tissus
/
Diabète
/
Anastomose mammaire interne-coronaire
/
Artères mammaires
/
Médiastinite
Type d'étude:
Etude d'étiologie
/
Étude observationnelle
/
Facteurs de risque
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Yonsei Medical Journal
Année:
2009
Type:
Article
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