Reining in Sternal Wound Infections: The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting

被引：5

作者：

Zia, Aisha ^{[1
]}

Hasan, Marium ^{[2
]}

Ilyas, Sidra ^{[3
]}

Siddiqui, Hafiz Umair ^{[1
]}

Tappuni, Bassman ^{[1
]}

Marsia, Shayan ^{[4
]}

Zubair, M. Mujeeb ^{[5
]}

Raza, Sajjad ^{[6
]}

Mustafa, Rami R. ^{[6
]}

Baloch, Zulfiqar Qutrio ^{[7
]}

Deo, Salil V. ^{[6
]}

Sharma, Umesh M. ^{[8
]}

Sheikh, Mohammad Adil ^{[3
]}

机构：

[1] Cleveland Clin, Heart & Vasc Inst, Dept Thorac & Cardiovasc Surg, Cleveland, OH 44106 USA

[2] Kidney Ctr, Dept Urol, Karachi, Pakistan

[3] Wayne State Univ, Dept Med, Detroit Med Ctr, Detroit, MI 48202 USA

[4] Dow Univ Hlth Sci, Dow Med Coll, Karachi, Pakistan

[5] Houston Methodist Hosp, Methodist DeBakey Heart & Vasc Ctr, Houston, TX 77030 USA

[6] Univ Hosp Cleveland, Med Ctr, Cleveland, OH 44106 USA

[7] Brandon Reg Hosp, Dept Med, Brandon, FL USA

[8] Mayo Clin Hlth Syst, Community Div Hosp Med, Rochester, MN USA

来源：

SURGICAL INFECTIONS | 2020年 / 21卷 / 04期

关键词：

bilateral ITA grafting; CABG; sternal wound infections; LONG-TERM SURVIVAL; SURGICAL-SITE INFECTIONS; VACUUM-ASSISTED CLOSURE; STAPHYLOCOCCUS-AUREUS BACTEREMIA; GENTAMICIN-COLLAGEN SPONGE; MAMMARY-ARTERY; RISK-FACTORS; CARDIAC-SURGERY; METHICILLIN-RESISTANT; POSTOPERATIVE COMPLICATIONS;

D O I：

10.1089/sur.2018.142

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Background: Although the survival advantage of bilateral internal thoracic artery grafting (BITA) is well known in patients undergoing coronary artery bypass grafting (CABG), this technique has not been widely adopted. This is mainly because of the increased risk of deep sternal wound infections (DSWI) associated with its use. However, in recent years the overall risk of DSWI has decreased. This is mainly because of strategies that have been adopted to decrease the risk of these infections in patients undergoing CABG. Conclusion: In this review we identified DSWI preventive strategies and described them in detail so that their use by surgeons can be increased. This would minimize the risk of DSWI after BITA grafting and maximize the use of this highly effective surgical technique.

引用

页码：323 / 331

页数：9

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