The effect of bilateral internal thoracic artery harvesting on superficial and deep sternal infection: The role of skeletonization Ruggero De Paulis,

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Presentation transcript:

The effect of bilateral internal thoracic artery harvesting on superficial and deep sternal infection: The role of skeletonization Ruggero De Paulis, MD, Stefano de Notaris, MD, Raffaele Scaffa, MD, Saverio Nardella, MD, Jacob Zeitani, MD, Costantino Del Giudice, MD, Alfonso Penta De Peppo, MD, Fabrizio Tomai, MD, Luigi Chiariello, MD The Journal of Thoracic and Cardiovascular Surgery Volume 129, Issue 3, Pages 536-543 (March 2005) DOI: 10.1016/j.jtcvs.2004.07.059 Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Prevalence of deep sternal wound infection (SWI) in patients receiving single (SITA) or bilateral (BITA) internal thoracic arteries. Differences among skeletonized or pedicled BITAs are shown in the inset. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 536-543DOI: (10.1016/j.jtcvs.2004.07.059) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Prevalence of superficial sternal wound infection (SWI) in patients receiving single (SITA), bilateral skeletonized (BITA skel), or bilateral pedicled (BITA ped) internal thoracic arteries. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 536-543DOI: (10.1016/j.jtcvs.2004.07.059) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Prevalence of deep sternal wound infection (SWI) in patients with (white column) and without (gray column) diabetes receiving single (SITA), bilateral skeletonized (BITA skel), or bilateral pedicled (BITA ped) internal thoracic arteries. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 536-543DOI: (10.1016/j.jtcvs.2004.07.059) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Odd ratios for the most significant risk factor in determining the risk of deep sternal wound infection. RBC, Red blood cell; COPD, chronic obstructive pulmonary disease; PVD, peripheral vascular disease; BITA skel, bilateral skeletonized internal thoracic arteries; BITA ped, bilateral pedicled internal thoracic arteries. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 536-543DOI: (10.1016/j.jtcvs.2004.07.059) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Odd ratios for the most significant risk factors in determining the risk of superficial sternal wound infection. COPD, Chronic obstructive pulmonary disease; DM, diabetes mellitus; BITA skel, bilateral skeletonized internal thoracic arteries; BITA ped, bilateral pedicled internal thoracic arteries. The Journal of Thoracic and Cardiovascular Surgery 2005 129, 536-543DOI: (10.1016/j.jtcvs.2004.07.059) Copyright © 2005 The American Association for Thoracic Surgery Terms and Conditions