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Double vs single internal thoracic artery harvesting in diabetic patients: role in perioperative infection rate

التفاصيل البيبلوغرافية
العنوان: Double vs single internal thoracic artery harvesting in diabetic patients: role in perioperative infection rate
المؤلفون: Parolari Alessandro, Polvani Gianluca, Ghislandi Chiara, Topkara Veli K, Cheema Faisal H, Dainese Luca, Barili Fabio, Trezzi Matteo, Agrifoglio Marco, Alamanni Francesco, Biglioli Paolo
المصدر: Journal of Cardiothoracic Surgery, Vol 3, Iss 1, p 35 (2008)
بيانات النشر: BMC
سنة النشر: 2008
المجموعة: Directory of Open Access Journals: DOAJ Articles
مصطلحات موضوعية: Surgery, RD1-811, Anesthesiology, RD78.3-87.3
الوصف: Background The aim of this prospective study is to evaluate the role in the onset of surgical site infections of bilateral internal thoracic arteries harvesting in patients with decompensated preoperative glycemia. Methods 81 consecutive patients with uncontrolled diabetes mellitus underwent elective CABG harvesting single or double internal thoracic arteries. Single left ITA was harvested in 41 patients (Group 1, 50.6%), BITAs were harvested in 40 (Group 2, 49.4%). The major clinical end points analyzed in this study were infection rate, type of infection, duration of infection, infection relapse rate and total hospital length of stay. Results Five patients developed sternal SSI in the perioperative period, 2 in group 1 and 3 in group 2 without significant difference. All sternal SSIs were superficial with no sternal dehiscence. The development of infection from the time of surgery took 18.5 ± 2.1 and 7.3 ± 3.0 days for Groups 1 and 2 respectively. The infections were treated with wound irrigation and debridement, and with VAC therapy as well as with antibiotics. The VAC system was removed after a mean of 12.8 ± 5.1 days, when sterilization was achieved. The overall survival estimate at 1 year was 98.7%. Only BMI was a significant predictor of SSI using multivariate stepwise logistic regression analysis (Odds Ratio: 1.34; 95%Conficdence Interval: 1.02–1.83; p value: 0.04). In the model, the use of BITA was not an independent predictor of SSI. Conclusion CABG with bilateral pedicled ITAs grafting could be performed safely even in diabetics with poor preoperative glycaemic control.
نوع الوثيقة: article in journal/newspaper
اللغة: English
تدمد: 1749-8090
Relation: http://www.cardiothoracicsurgery.org/content/3/1/35; https://doaj.org/toc/1749-8090; https://doaj.org/article/ac6109be48cf47529fe2bae7a16f8447
DOI: 10.1186/1749-8090-3-35
الاتاحة: https://doi.org/10.1186/1749-8090-3-35
https://doaj.org/article/ac6109be48cf47529fe2bae7a16f8447
رقم الانضمام: edsbas.5CB4AFE
قاعدة البيانات: BASE
الوصف
تدمد:17498090
DOI:10.1186/1749-8090-3-35