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

被引:18
|
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
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