Document Detail


Changes in sternal blood flow after different methods of internal thoracic artery harvesting.
MedLine Citation:
PMID:  15573273     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The study was designed to assess the early changes in sternal perfusion after midline sternotomy and different (skeletonized versus semiskeletonized) techniques of internal thoracic artery (ITA) harvesting. METHODS: The experiments were performed in the swine model. After midline sternotomy, ITA harvesting (skeletonized technique) was performed unilaterally in Group I (6 animals). The ITA and the internal thoracic vein (ITV) were harvested (semiskeletonized technique) in Group II (5 animals). The contralateral sternal half served as a control. Using a thermographic camera with a 0.06 degrees C sensitivity, sternal perfusion was assessed 2 and 5 hours after surgery. RESULTS: Midline sternotomy alone did not affect sternal blood flow. A statistically significant ( p < 0.05) reduction in perfusion of the involved sternal half in comparison to the control side was detected at 2 and 5 hours after surgery. The degree of perfusion deficit was not related to the harvesting technique. CONCLUSIONS: Skeletonized and semiskeletonized ITA harvesting techniques caused a similar acute reduction in sternal perfusion during the early postoperative period and this effect lasted for at least 5 hours.
Authors:
A A Fokin; F Robicsek; A Fokin; J E Anderson
Related Documents :
8633943 - Influence of milrinone and norepinephrine on blood flow in canine internal mammary arte...
1564063 - Effects of a vascular graft/natural artery compliance mismatch on pulsatile flow.
3356633 - Expiratory flow limitation in dogs with regional changes in lung mechanical properties.
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  52     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-01     Completed Date:  2006-07-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  334-7     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Heineman Medical Research Laboratories, Carolinas Medical Center, 1001 Blythe Boulevard, Charlotte, NC 28203, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Animals
Body Temperature
Female
Mammary Arteries / surgery*
Models, Animal
Regional Blood Flow
Sternum / blood supply*,  surgery
Swine
Thoracic Surgical Procedures*
Tissue and Organ Harvesting / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Ultrastructure of right ventricular myocardium subjected to acute pressure load.
Next Document:  Poly-ADP-ribose polymerase inhibition reduces mesenteric injury after cardiopulmonary bypass.