双侧胸廓内动脉获取对糖尿病患者深部胸骨伤口感染的影响：文献综述
Effect of bilateral internal thoracic artery harvesting on deep sternal wound infection in diabetic patients: Review of literature.
作者信息
Masroor Matiullah, Fu Xianming, Khan Umar Zeb, Zhao Yuan
机构信息
Department of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, 139 Renmin Middle Rd, Changsha, 410011, China.
Department of Cardiothoracic and Vascular Surgery, Amiri Medical Complex, Qargha Rd, Afshar, Kabul, Afghanistan.
出版信息
Ann Med Surg (Lond). 2021 May 7;66:102382. doi: 10.1016/j.amsu.2021.102382. eCollection 2021 Jun.
Abstract
Instead of its documented superiority of patency and long-term outcomes, the bilateral internal thoracic artery grafts are underused in the general population, and its use is controversial and debatable in diabetic patients due to long surgery duration, post-surgical bleeding, and sternal wound complications such as sternal wound infection, mediastinitis, and sternal wound dehiscence. This review article is particularly focused on deep sternal wound infection (DSWI) of bilateral internal thoracic artery (BITA) grafts in diabetic patients with comparison to single internal thoracic artery (SITA) graft.
摘要
尽管有文献记载双侧胸廓内动脉移植在通畅性和长期预后方面具有优势，但在普通人群中其使用率较低，且由于手术时间长、术后出血以及胸骨伤口并发症（如胸骨伤口感染、纵隔炎和胸骨伤口裂开），其在糖尿病患者中的应用存在争议且有待商榷。这篇综述文章特别关注糖尿病患者双侧胸廓内动脉（BITA）移植与单根胸廓内动脉（SITA）移植相比的深部胸骨伤口感染（DSWI）情况。
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Bilateral versus single internal thoracic artery for coronary artery bypass grafting with end-stage renal disease: A systematic review and meta-analysis.双侧与单侧胸廓内动脉用于终末期肾病患者冠状动脉旁路移植术：一项系统评价和荟萃分析。
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The risk of mediastinitis and deep sternal wound infections with single and bilateral, pedicled and skeletonized internal thoracic arteries.使用单支和双侧、带蒂和骨骼化胸廓内动脉时发生纵隔炎和深部胸骨伤口感染的风险。
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