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Pedicled and Skeletonized Single and Bilateral Internal Thoracic Artery Grafts and the Incidence of Sternal Wound Complications

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Vascular Surgery, Neurosurgery, Lower Extremity Ulcers, Antimicrobials, Wound Assessment, Care, Measurement and Repair

Part of the book series: Recent Clinical Techniques, Results, and Research in Wounds ((RCTRRW,volume 5))

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Abstract

Coronary artery bypass grafting (CABG) gives the long-term patency of the conduit.

The left internal thoracic artery (ITA) is acknowledged as the best coronary conduit.

Harvesting the ITA(s) with a pedicled technique may potentially lead to significant sternal devascularization, while there is limited tissue mobilization associated with skeletonized ITA harvesting, and this preserves substantial collateral flow to the sternum by sparing sternal and intercostal branches that arise from the ITA as a common trunk. The authors discuss single versus bilateral internal thoracic artery and arterial revascularization trial (ART). It has been found that bilateral internal thoracic artery (BITA) grafting is associated with more superior long-term survival and has very little clinical difference compared to deep sternal wound infection (DSWI) with single ITA grafting.

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Authors and Affiliations

  1. Bristol Heart Institute, School of Clinical Sciences, University of Bristol, Bristol, UK

    Andrew Bridgeman & Umberto Benedetto

Authors
  1. Andrew Bridgeman
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  2. Umberto Benedetto
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Correspondence to Umberto Benedetto .

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Editors and Affiliations

  1. Tustin, CA, USA

    Melvin A. Shiffman

  2. Newport Beach, CA, USA

    Mervin Low

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Bridgeman, A., Benedetto, U. (2018). Pedicled and Skeletonized Single and Bilateral Internal Thoracic Artery Grafts and the Incidence of Sternal Wound Complications. In: Shiffman, M., Low, M. (eds) Vascular Surgery, Neurosurgery, Lower Extremity Ulcers, Antimicrobials, Wound Assessment, Care, Measurement and Repair. Recent Clinical Techniques, Results, and Research in Wounds, vol 5. Springer, Cham. https://doi.org/10.1007/15695_2018_129

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  • DOI: https://doi.org/10.1007/15695_2018_129

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-10715-4

  • Online ISBN: 978-3-030-10716-1

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