Impacts of Skeletonized Bilateral Internal Mammary Artery Bypass Grafting on the Risk of Deep Sternal Wound Infection

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Skeletonized bilateral internal mammary artery grafting for patients with diabetes.

To minimize sternal ischemia, skeletonized internal mammary artery (IMA) harvesting has been performed in the last few years. The benefits of skeletonization in high risk patients, such as diabetic patients undergoing bilateral IMA grafting, are unknown. A total of 99 patients underwent isolated coronary artery bypass grafting (CABG) using a pedicled bilateral IMA between 6/1/1997 and 5/31/2000...

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Bilateral skeletonized internal mammary versus single-pedicled internal mammary grafting in the elderly.

BACKGROUND The use of the bilateral internal mammary arteries has been reserved mainly for younger and low risk patients. AIM To assess the safety and efficacy of BIMA grafting in older patients (> or = 70 years). METHODS We reviewed the records of all consecutive patients > or = 70 years old who underwent coronary artery bypass surgery with a BIMA graft in our institute over a 2 year perio...

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Bilateral internal mammary artery grafting reverses the negative influence of gender on outcomes of coronary artery bypass grafting surgery.

OBJECTIVES Coronary artery bypass grafting (CABG) has historically demonstrated higher hospital mortality in women compared with men. The influence of gender on long-term outcomes has not been clearly defined. METHODS A retrospective analysis of 4584 consecutive CABG patients was conducted: 3647 men (1761 single internal mammary artery, [SIMA]; 1886 bilateral IMA, [BIMA]) and 937 women (608 S...

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Benefit of bilateral over single internal mammary artery grafts for multiple coronary artery bypass grafting.

BACKGROUND The aim of this study was to evaluate the performance of bilateral internal mammary artery (BIMA) grafts in isolated CABG. METHODS AND RESULTS Beginning in April 1985, elective primary multiple CABG for multivessel disease was performed in 1131 patients. The early and late results of 688 patients who received single internal mammary artery (SIMA) grafts and 443 patients who receive...

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Off-pump bilateral versus single skeletonized internal thoracic artery grafting in high-risk patients.

BACKGROUND We compared the outcomes in propensity score-matched high-risk patients (European System for Cardiac Operative Risk Evaluation [EuroSCORE] ≥ 5) undergoing off-pump coronary artery bypass graft surgery using bilateral or single skeletonized internal thoracic artery (ITA). METHODS AND RESULTS Of 794 consecutive patients undergoing isolated coronary artery bypass graft surgery (788 by...

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ژورنال

عنوان ژورنال: International Heart Journal

سال: 2020

ISSN: 1349-2365,1349-3299

DOI: 10.1536/ihj.19-311