Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?

Substantial evidence exists to support a long-term survival benefit with bilateral internal thoracic artery (BITA) revascularization in coronary artery bypass grafting. However, this technique remains grossly underutilized worldwide and especially in the United States. In this review, we discuss evi...

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Detalles Bibliográficos
Autores principales: Wehman, Brody, Taylor, Bradley
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 2013
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992858/
https://www.ncbi.nlm.nih.gov/pubmed/24761259
http://dx.doi.org/10.4172/2155-9880.S7-007
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author Wehman, Brody
Taylor, Bradley
author_facet Wehman, Brody
Taylor, Bradley
author_sort Wehman, Brody
collection PubMed
description Substantial evidence exists to support a long-term survival benefit with bilateral internal thoracic artery (BITA) revascularization in coronary artery bypass grafting. However, this technique remains grossly underutilized worldwide and especially in the United States. In this review, we discuss evidence for the advantages of BITA grafting as well as the associated the risk of sternal wound complications. We then review a growing body of literature that suggests ‘skeletonization’ of the internal thoracic artery during harvest confers a protective benefit against sternal wound infection in patients receiving BITA.
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spelling pubmed-39928582014-04-21 Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization? Wehman, Brody Taylor, Bradley J Clin Exp Cardiolog Article Substantial evidence exists to support a long-term survival benefit with bilateral internal thoracic artery (BITA) revascularization in coronary artery bypass grafting. However, this technique remains grossly underutilized worldwide and especially in the United States. In this review, we discuss evidence for the advantages of BITA grafting as well as the associated the risk of sternal wound complications. We then review a growing body of literature that suggests ‘skeletonization’ of the internal thoracic artery during harvest confers a protective benefit against sternal wound infection in patients receiving BITA. 2013-11-20 /pmc/articles/PMC3992858/ /pubmed/24761259 http://dx.doi.org/10.4172/2155-9880.S7-007 Text en Copyright: © 2013 Wehman B, et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Article
Wehman, Brody
Taylor, Bradley
Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
title Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
title_full Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
title_fullStr Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
title_full_unstemmed Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
title_short Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?
title_sort coronary revascularization using bilateral internal thoracic arteries: safe with skeletonization?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3992858/
https://www.ncbi.nlm.nih.gov/pubmed/24761259
http://dx.doi.org/10.4172/2155-9880.S7-007
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