Strategies to reduce deep sternal wound infection after bilateral internal mammary artery grafting
نویسندگان
چکیده
منابع مشابه
Deep sternal wound infection after cardiac surgery
BACKGROUND Deep sternal wound infection (DSWI) is a serious postoperative complication of cardiac surgery. In this study we investigated the incidence of DSWI and effect of re-exploration for bleeding on DSWI mortality. METHODS We reviewed 73,700 cases registered in the Japan Adult Cardiovascular Surgery Database (JACVSD) during the period from 2004 to 2009 and divided them into five groups: ...
متن کاملBilateral internal mammary artery grafting: are BIMA better?
The clinical and prognostic benefits of coronary artery bypass grafting (CABG) are well accepted for certain subgroups of patients with ischaemic heart disease, and as many as one million patients undergo this operation annually on a worldwide basis. Most CABG patients require grafting of the three main native coronary arteries; for the last 15 years the “standard” operation has achieved this u...
متن کاملSkeletonized 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...
متن کاملDelayed Presentation of Deep Sternal Wound Infection
Deep sternal wound infections (DSWI) are infections of the sternum, mediastinum, or the muscle, fascia and soft tissue that overlie the sternum, typically occurring within a month of cardiac surgery. They are infrequent though severe complications of cardiac surgery. Diagnosis is made by the clinical presentation of fever, chest pain, or sternal instability in the setting of wound drainage, pos...
متن کاملLong term mortality of deep sternal wound infection after coronary artery bypass surgery.
BACKGROUND Deep sternal wound infection and mediastinitis determine high in-hospital mortality. International studies show that these patients are also at increased cardiovascular mortality risk in long-term follow-up. However, data are scarce and there is no national data. OBJECTIVES The aim of this study is to evaluate the mortality and incidence of cardiovascular events in long-term follow...
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ژورنال
عنوان ژورنال: International Journal of Surgery
سال: 2015
ISSN: 1743-9191
DOI: 10.1016/j.ijsu.2014.11.017