The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries

被引:19
作者
Lazar, Harold L. [1 ]
机构
[1] Boston Univ, Sch Med, Div Cardiac Surg, Boston, MA 02118 USA
关键词
Internal thoracic artery (ITA); deep sternal wound infections (DSWIs); LONG-TERM SURVIVAL; BODY-MASS INDEX; CORONARY-BYPASS SURGERY; TIGHT GLYCEMIC CONTROL; MAMMARY ARTERY; DIABETIC-PATIENTS; CARDIAC-SURGERY; GRAFT-SURGERY; FOLLOW-UP; OUTCOMES;
D O I
10.21037/acs.2018.06.11
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Bilateral internal thoracic artery (BITA) grafting may prolong survival in coronary artery bypass graft (CABG) patients, but its use has been curtailed due to concerns of deep sternal wound infections (DSWI) resulting in mediastinitis. This article examines the association of single internal thoracic artery (SITA) and BITA grafting and the role of harvesting techniques with the development of DSWI in CABG patients. The development of DSWI following BITA grafting is multifactorial and is independent of the harvesting technique.
引用
收藏
页码:663 / 672
页数:10
相关论文
共 64 条
[1]  
ARNOLD M, 1972, J THORAC CARDIOV SUR, V64, P596
[2]   Pedicled and skeletonized single and bilateral internal thoracic artery grafts and the incidence of sternal wound complications: Insights from the Arterial Revascularization Trial [J].
Benedetto, Umberto ;
Altman, Douglas G. ;
Gerry, Stephen ;
Gray, Alastair ;
Lees, Belinda ;
Pawlaczyk, Rafal ;
Flather, Marcus ;
Taggart, David P. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2016, 152 (01) :270-276
[3]   Blood supply of the sternum and its importance in internal thoracic artery harvesting [J].
Berdajs, D ;
Zünd, G ;
Turina, MI ;
Genoni, M .
ANNALS OF THORACIC SURGERY, 2006, 81 (06) :2155-2159
[4]   Bilateral skeletonized mammary artery grafting: Experience with 560 consecutive patients [J].
Bical, O ;
Braunberger, E ;
Fischer, M ;
Robinault, J ;
Foiret, JC ;
Fromes, Y ;
Gaillard, D ;
Maribas, P ;
Bouharaoua, T ;
Souffrant, G ;
Vanetti, A .
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 1996, 10 (11) :971-975
[5]   Skeletonized internal thoracic artery harvest reduces pain and dysesthesia and improves sternal perfusion after coronary artery bypass surgery: A randomized, double-blind, within-patient comparison [J].
Boodhwani, Munir ;
Lam, B. Khanh ;
Nathan, Howard J. ;
Mesana, Thierry G. ;
Ruel, Marc ;
Zeng, Wanzhen ;
Sellke, Frank W. ;
Rubens, Fraser D. .
CIRCULATION, 2006, 114 (08) :766-773
[6]   Single versus bilateral internal mammary artery for isolated first myocardial revascularization in multivessel disease:: Long-term clinical results in medically treated diabetic patients [J].
Calafiore, AM ;
Di Mauro, M ;
Di Giammarco, G ;
Teodori, G ;
Iacò, AL ;
Mazzei, V ;
Vitolla, G ;
Contini, M .
ANNALS OF THORACIC SURGERY, 2005, 80 (03) :888-895
[7]   Bilateral internal mammary artery grafting: Midterm results of pedicled versus skeletonized conduits [J].
Calafiore, AM ;
Vitolla, G ;
Iaco, AL ;
Fino, C ;
Di Giammarco, G ;
Marchesani, F ;
Teodori, G ;
D'Addario, G ;
Mazzei, V .
ANNALS OF THORACIC SURGERY, 1999, 67 (06) :1637-1642
[8]   EFFECT OF INTERNAL MAMMARY ARTERY DISSECTION ON STERNAL VASCULARIZATION [J].
CARRIER, M ;
GREGOIRE, J ;
TRONC, F ;
CARTIER, R ;
LECLERC, Y ;
PELLETIER, LC .
ANNALS OF THORACIC SURGERY, 1992, 53 (01) :115-119
[9]   Does Bilateral Pedicle Internal Thoracic Artery Harvest Increase the Risk of Mediastinitis? [J].
Choo, Suk-Jung ;
Lee, Sang-Kwon ;
Chung, Sung-Woon ;
Kim, Jong-Won ;
Sung, Si-Chan ;
Kim, Young-Dae ;
Bae, Mi-Ju ;
Kim, June-Hong ;
Chon, Kook-Jin ;
Lee, Han-Cheol .
YONSEI MEDICAL JOURNAL, 2009, 50 (01) :78-82
[10]   Assessment of sternal vascularity with single photon emission computed tomography after harvesting of the internal thoracic artery [J].
Cohen, AJ ;
Lockman, J ;
Lorberboym, M ;
Bder, O ;
Cohen, N ;
Medalion, B ;
Schachner, A .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 118 (03) :496-502