Document Detail

Effect of skeletonization of the internal thoracic artery for coronary revascularization on the incidence of sternal wound infection.
MedLine Citation:
PMID:  20103378     Owner:  NLM     Status:  MEDLINE    
Use of the internal thoracic artery in coronary revascularization confers excellent benefit. We assessed the impact of skeletonization on the incidence of postoperative sternal wound infection in patients undergoing coronary artery bypass grafting. We also investigated whether there is an advantage in using this technique when harvesting both internal thoracic arteries in high-risk groups, such as diabetic patients. Skeletonization was associated with beneficial reduction in the odds ratio of sternal wound infection (odds ratio, 0.41; 95% confidence interval, 0.26 to 0.64). This effect was more evident when analyzing diabetic patients undergoing bilateral internal thoracic artery grafting (odds ratio, 0.19; 95% confidence interval, 0.10 to 0.34).
Srdjan Saso; David James; Joshua A Vecht; Emaddin Kidher; John Kokotsakis; Vitali Malinovski; Christopher Rao; Ara Darzi; Jon R Anderson; Thanos Athanasiou
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-27     Completed Date:  2010-02-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  661-70     Citation Subset:  AIM; IM    
Copyright Information:
2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Department of Biosurgery and Surgical Technology, Imperial College London, St. Mary's Hospital, London, United Kingdom.
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MeSH Terms
Cross-Sectional Studies
Internal Mammary-Coronary Artery Anastomosis / methods*
Mammary Arteries / surgery*
Risk Factors
Sternum / surgery*
Surgical Wound Infection / epidemiology*,  etiology,  prevention & control
Tissue and Organ Harvesting / methods*

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

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