Sternal wound infections and use of internal mammary artery grafts.
作者： Eugene A. Grossi , R. Esposito , L.J. Harris , G.A. Crooke , A.C. Galloway
DOI: 10.1016/S0022-5223(19)36516-X
关键词: Derivation 、 Medicine 、 Odds ratio 、 Diabetes mellitus 、 Surgery 、 Prospective cohort study 、 Mediastinitis 、 Sternum 、 Risk factor 、 Mammary artery
摘要: Previous studies have provided conflicting evidence as to whether an increased risk of mediastinitis is associated with use the internal mammary artery a coronary bypass graft. In this study effects grafts on wound complications were analyzed in prospective, nonrandomized fashion. At New York University Medical Center from January 1985 through May 1988, 2356 patients underwent isolated revascularization. Among these 1394 received one or more (group I) and 962 had vein only II). Group I mean age 59.5 years versus 67.7 group II; diabetes was equally present both groups (22.7% 24.7%). Operative mortality rate 1.3% 5.6% II. Sternal infection significantly prevalent (2.2%, 31/1394) than II (0.8%, 8/962). Multivariate analysis revealed that aortic crossclamp time, single graft, double sternal infection. The bilateral grafting doubled odds ratio compared combination 13.9-fold. Patients graft who longer period hospitalization without We conclude by especially presence diabetes.
sci-hub.se 参考文章(8)
C D Shriver, T R Miller, G M Graeber, A E Seyfer, Sternal blood flow after median sternotomy and mobilization of the internal mammary arteries. Surgery. ,vol. 104, pp. 899- 904 ,(1988)
Nicholas T. Kouchoukos, Thomas H. Wareing, Suzan F. Murphy, Cheryl Pelate, William G. Marshall, Risks of bilateral internal mammary artery bypass grafting The Annals of Thoracic Surgery. ,vol. 49, pp. 210- 219 ,(1990) , 10.1016/0003-4975(90)90140-2
Floyd D. Loop, Bruce W. Lytle, Delos M. Cosgrove, Saade Mahfood, Martin C. McHenry, Marlene Goormastic, Robert W. Stewart, Leonard A.R. Golding, Paul C. Taylor, Sternal wound complications after isolated coronary artery bypass grafting: Early and late mortality, morbidity, and cost of care The Annals of Thoracic Surgery. ,vol. 49, pp. 179- 187 ,(1990) , 10.1016/0003-4975(90)90136-T
David L. Galbut, Ernest A. Traad, Malcolm J. Dorman, Paul L. DeWitt, Parry B. Larsen, Paul A. Kurlansky, Jaclyn H. Button, Joan M. Ally, Thomas O. Gentsch, Seventeen-year experience with bilateral internal mammary artery grafts The Annals of Thoracic Surgery. ,vol. 49, pp. 195- 201 ,(1990) , 10.1016/0003-4975(90)90138-V
Foad Nahai, Richard P. Rand, T. Roderick Hester, John Bostwick, M. J. Jurkiewicz, Primary Treatment of the Infected Sternotomy Wound with Muscle Flaps: A Review of 211 Consecutive Cases Plastic and Reconstructive Surgery. ,vol. 84, pp. 434- 441 ,(1989) , 10.1097/00006534-198909000-00009
L Campeau, C M Grondin, M Enjalbert, J Lesperance, Comparison of late changes in internal mammary artery and saphenous vein grafts in two consecutive series of patients 10 years after operation. Circulation. ,vol. 70, pp. 208- 212 ,(1984)
Malcolm Arnold, The surgical anatomy of sternal blood supply. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 64, pp. 596- 610 ,(1972) , 10.1016/S0022-5223(19)39718-1
Hiroshi Nishida, Ronald K. Grooters, Hooshang Soltanzadeh, Kent C. Thieman, Robert F. Schneider, Won-Pa Kim, Ralph A. Dorner, Discriminate use of electrocautery on the median sternotomy incision. A 0.16% wound infection rate. The Journal of Thoracic and Cardiovascular Surgery. ,vol. 101, pp. 488- 494 ,(1991) , 10.1016/S0022-5223(19)36732-7