Parissis Haralabos, Chughtai Zeb, Soo Alan
Department of Cardiac Surgery, Royal Victoria Hospital, Belfast, UK.
Asian Cardiovasc Thorac Ann. 2013 Dec;21(6):751-5. doi: 10.1177/0218492313481464. Epub 2013 Oct 3.
The use of a single internal mammary graft to the left anterior descending artery has been the gold standard in surgical coronary revascularization since its introduction. However, the take-up rate of use of bilateral internal mammary arteries has been slow despite emerging evidence. This has been partly due to the worry of postoperative complications, in particular, sternal wound complications. Skeletonization of the internal mammary has been proposed as a technique that can preserve the sternal microcirculation and therefore reduce this complication. In this article, we examine the evidence comparing the skeletonization technique versus the conventional pedicled technique for harvesting the internal mammary artery.
自引入以来，使用单根乳内动脉移植至左前降支一直是外科冠状动脉血运重建的金标准。然而，尽管有新证据出现，但双侧乳内动脉的使用率增长缓慢。部分原因是担心术后并发症，尤其是胸骨伤口并发症。有人提出乳内动脉骨骼化技术，该技术可保留胸骨微循环，从而减少这种并发症。在本文中，我们研究了比较乳内动脉骨骼化技术与传统带蒂技术获取乳内动脉的证据。
