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

被引：6

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

共 88 条

[1] Temporal Trends in the Incidence of Surgical Site Infections in Patients Undergoing Coronary Artery Bypass Graft Surgery: A Population-Based Cohort Study, 1993 to 2008 [J].

Alasmari, Faisal A. ;

Tleyjeh, Imad M. ;

Riaz, Muhammad ;

Greason, Kevin L. ;

Berbari, Elie F. ;

Virk, Abinash ;

Baddour, Larry M. .

MAYO CLINIC PROCEEDINGS, 2012, 87 (11) :1054-1061

[2] Strategies to Prevent Surgical Site Infections in Acute Care Hospitals: 2014 Update [J].

Anderson, Deverick J. ;

Podgorny, Kelly ;

Berrios-Torres, Sandra I. ;

Bratzler, Dale W. ;

Dellinger, E. Patchen ;

Greene, Linda ;

Nyquist, Ann-Christine ;

Saiman, Lisa ;

Yokoe, Deborah S. ;

Maragakis, Lisa L. ;

Kaye, Keith S. .

INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2014, 35 (06) :605-627

[3]

[Anonymous], 2014, ISRN OBES

[4]

[Anonymous], CURRENT CHALLENGES T

[5]

ASPEN Board of Directors and the Clinical Guidelines Task Force, 2002, JPEN J Parenter Enteral Nutr, V26, p1SA

[6] Impact of deep sternal wound infection management with vacuum-assisted closure therapy followed by sternal osteosynthesis: a 15-year review of 23 499 sternotomies [J].

Baillot, Richard ;

Cloutier, Daniel ;

Montalin, Livia ;

Cote, Louise ;

Lellouche, Francois ;

Houde, Chanel ;

Gaudreau, Genevieve ;

Voisine, Pierre .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2010, 37 (04) :880-887

[7] Experience with vacuum-assisted closure of sternal wound infections following cardiac surgery and evaluation of chronic complications associated with its use [J].

Bapat, Vinayak ;

El-Muttardi, Naguib ;

Young, Christopher ;

Venn, Graham ;

Roxburgh, James .

JOURNAL OF CARDIAC SURGERY, 2008, 23 (03) :227-233

[8] Skeletonized versus pedicled internal thoracic artery and risk of sternal wound infection after coronary bypass surgery: meta-analysis and meta-regression of 4817 patients [J].

Barros de Oliveira Sa, Michel Pompeu ;

Ferraz, Paulo Ernando ;

Escobar, Rodrigo Renda ;

Vasconcelos, Frederico Pires ;

Bandeira Ferraz, Alvaro Antonio ;

Braile, Domingo Marcolino ;

Lima, Ricardo Carvalho .

INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2013, 16 (06) :849-857

[9] Effect of an Implantable Gentamicin-Collagen Sponge on Sternal Wound Infections Following Cardiac Surgery A Randomized Trial [J].

Bennett-Guerrero, Elliott ;

Ferguson, T. Bruce, Jr. ;

Lin, Min ;

Garg, Jyotsna ;

Mark, Daniel B. ;

Scavo, Vincent A., Jr. ;

Kouchoukos, Nicholas ;

Richardson, John B., Jr. ;

Pridgen, Rence L. ;

Corey, G. R. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2010, 304 (07) :755-762

[10] Deep sternal wound infection: Risk factors and outcomes [J].

Borger, MA ;

Rao, V ;

Weisel, RD ;

Ivanov, J ;

Cohen, G ;

Scully, HE ;

David, TE .

ANNALS OF THORACIC SURGERY, 1998, 65 (04) :1050-1056

← 1 2 3 4 5 6 7 8 9 →