A Review of Differing Techniques of Mammary Artery Harvesting on Sternal Perfusion: Time for a Randomized Study?

被引：26
作者：
Cheng, Kevin
Rehman, Syed M.
Taggart, David P.
机构：
[1] Univ Oxford, Div Med Sci, Oxford, England
[2] Oxford Univ Hosp NHS Trust, Dept Cardiothorac Surg, Oxford, England
来源：
ANNALS OF THORACIC SURGERY | 2015年 / 100卷 / 05期
关键词：
INTERNAL-THORACIC-ARTERY; CORONARY-BYPASS SURGERY; RISK-FACTORS; RADIAL ARTERY; NITRIC-OXIDE; BLOOD-FLOW; HYPERPOLARIZING FACTOR; WOUND INFECTIONS; SURGICAL ANATOMY; GRAFT-SURGERY;
D O I：
10.1016/j.athoracsur.2015.06.087
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
The use of internal mammary artery (IMA) grafts for coronary artery bypass may devascularize the sternum. We performed a literature review by searching the PubMed database for studies that assessed sternal perfusion after IMA harvesting. The majority of papers describe various techniques and compared (1) IMA harvest versus no IMA harvest, (2) single versus bilateral, and (3) skeletonized versus pedicled. Evidence is inconclusive as to whether single harvesting causes significant devascularisation and whether this is increased with bilateral harvesting. Sternal ischemia may also be a transient phenomenon. However, skeletonization may preserve perfusion more than pedicled harvesting, particularly in diabetic patients. (C) 2015 by The Society of Thoracic Surgeons
引用
收藏
页码：1942 / 1953
页数：12
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