Orta segment sağ internal torasik arter kullanılması sternum iskemisini azaltır

Results: Postoperative early scans (6.9±0.9 days) showed a reduction of blood flow in the both sides of the sternum compared with the preoperative scans (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We aimed to preserve sternal vascularity better by harvesting only midsegment of the right internal thoracic artery (RITA) than using conventional bilateral internal thoracic artery (BITA) harvesting method, and we evaluated the sternal vascularity with single photon emission computed tomography (SPECT).

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Key Findings & Data:Methods: In this prospective clinical randomized investigation, 135 patients undergoing coronary artery bypass surgery (CABG) were divided into three groups: Full-RITA group who had a full length of both ITA as a graft for CABG (n=45); mid-RITA group - a midsegment of RITA and left internal thoracic artery (LITA) (n=45); and non-RITA group who had only LITA (n=45).

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Conclusion & Impact:Results: Postoperative early scans (6.9±0.9 days) showed a reduction of blood flow in the both sides of the sternum compared with the preoperative scans (p

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Objective: We aimed to preserve sternal vascularity better by harvesting only midsegment of the right internal thoracic artery (RITA) than using conventional bilateral internal thoracic artery (BITA) harvesting method, and we evaluated the sternal vascularity with single photon emission computed tomography (SPECT). Methods: In this prospective clinical randomized investigation, 135 patients undergoing coronary artery bypass surgery (CABG) were divided into three groups: Full-RITA group who had a full length of both ITA as a graft for CABG (n=45); mid-RITA group - a midsegment of RITA and left internal thoracic artery (LITA) (n=45); and non-RITA group who had only LITA (n=45). Before and after surgery, all patients underwent a bone scan with single photon emission computed tomography (SPECT) to evaluate the sternal vascular activity. Comparisons of variables were performed by Chi-square, ANOVA, Tukey HSD and paired t test as appropriate. The Bonferroni correction was applied for multiple comparisons. Results: Postoperative early scans (6.9±0.9 days) showed a reduction of blood flow in the both sides of the sternum compared with the preoperative scans (p

Özet

Amaç: Konvansiyonel bilateral internal torasik arter (İTA) kullanımına göre sternum kanlanmasını daha iyi koruyabilmek amacıyla sadece orta segment sağ İTA kullanarak sternum kanlanmasına olan etkisini incelemeyi hedefledik. Yöntemler: Prospektif randomize klinik bir araştırma ile koroner arter baypas cerrahisi uygulanacak olan 135 hastayı 3 grupta inceledik: İki taraflı tam uzunlukta İTA kullanılacak olan 45 hasta, sağ taraf İTA sadece orta segmenti kullanılacak olan 45 hasta ve tek taraflı İTA kullanılacak olan 45 hasta. Ameliyattan önce ve sonra bütün hastaların sternum kanlanması tek foton emisyon tomografisi ile değerlendirildi. Hastaların sternum komplikasyonları karşılaştırıldı. Sonuçların karşılaştırılmasında uygun durumlarda Ki-kare testi, ANOVA, Tukey HSD ve eşleştirilmiş “t” testleri kullanıldı. Çoklu değişkenlerin karşılaştırılmasında Bonferroni düzeltmesi uygulandı. Bulgular: Tüm hastalarda postoperatif erken dönem kemik incelemelerinde (6.9 ±0.9 gün) preoperatif döneme göre belirgin sternum kanlanma azalması saptadık (p

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Cite This Article

KAHRAMAN, D., ERYILMAZ, S., KAYA, K., ÖZYURDA, Ü., EMİROĞLU, O., CAVOLLİ, R., TASOZ, R. (2022). Orta segment sağ internal torasik arter kullanılması sternum iskemisini azaltır. Anadolu Kardiyoloji Dergisi, Cilt: 9 - Sayı: 1, 47–53. https://ajindex.com/articles/436849

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