Sternal microcirculation after skeletonized versus pedicled harvesting of the internal thoracic artery: A randomized study Hiroyuki Kamiya, MD, Payam.

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Sternal microcirculation after skeletonized versus pedicled harvesting of the internal thoracic artery: A randomized study Hiroyuki Kamiya, MD, Payam Akhyari, MD, Andreas Martens, MD, Matthias Karck, MD, Axel Haverich, MD, Artur Lichtenberg, MD The Journal of Thoracic and Cardiovascular Surgery Volume 135, Issue 1, Pages 32-37 (January 2008) DOI: 10.1016/j.jtcvs.2007.09.004 Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Measurement of microcirculation parameters of the sternum (oxygen saturation and blood flow) at the presternal and retrosternal sides (A) in the upper, middle, and lower parts (arrows) by using a special probe of the laser Doppler flowmetric and remission spectroscopic system (B). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 32-37DOI: (10.1016/j.jtcvs.2007.09.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Tissue oxygen saturation (SO2) of the sternum at the presternal side. White column, Group 1 (skeletonized); gray column, group 2 (pedicled). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 32-37DOI: (10.1016/j.jtcvs.2007.09.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Tissue oxygen saturation (SO2) of the sternum at the retrosternal side. White column, Group 1 (skeletonized); gray column, group 2 (pedicled). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 32-37DOI: (10.1016/j.jtcvs.2007.09.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Blood flow of the sternum at the presternal side. White column, Group 1 (skeletonized); gray column, group 2 (pedicled). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 32-37DOI: (10.1016/j.jtcvs.2007.09.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Blood flow of the sternum at the retrosternal side. White column, Group 1 (skeletonized); gray column, group 2 (pedicled). The Journal of Thoracic and Cardiovascular Surgery 2008 135, 32-37DOI: (10.1016/j.jtcvs.2007.09.004) Copyright © 2008 The American Association for Thoracic Surgery Terms and Conditions