Wehman Brody, Taylor Bradley
Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
J Clin Exp Cardiolog. 2013 Nov 20;Suppl 7:007. doi: 10.4172/2155-9880.S7-007.
Substantial evidence exists to support a long-term survival benefit with bilateral internal thoracic artery (BITA) revascularization in coronary artery bypass grafting. However, this technique remains grossly underutilized worldwide and especially in the United States. In this review, we discuss evidence for the advantages of BITA grafting as well as the associated the risk of sternal wound complications. We then review a growing body of literature that suggests 'skeletonization' of the internal thoracic artery during harvest confers a protective benefit against sternal wound infection in patients receiving BITA.
有大量证据支持在冠状动脉旁路移植术中使用双侧胸廓内动脉(BITA)进行血运重建可带来长期生存益处。然而,这项技术在全球范围内,尤其是在美国,仍未得到充分利用。在本综述中,我们讨论了BITA移植的优势证据以及与之相关的胸骨伤口并发症风险。然后,我们回顾了越来越多的文献,这些文献表明在获取胸廓内动脉过程中进行“骨骼化”操作,对接受BITA治疗的患者的胸骨伤口感染具有预防作用。