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

Brody Wehman; Bradley Taylor

doi:10.4172/2155-9880.S7-007

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

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English
Pages (from-to)	007
Journal	Journal of clinical & experimental cardiology
Volume	Suppl 7
DOIs	https://doi.org/10.4172/2155-9880.S7-007
State	Published - Nov 20 2013
Externally published	Yes

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10.4172/2155-9880.S7-007

Cite this

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title = "Coronary Revascularization Using Bilateral Internal Thoracic Arteries: Safe with Skeletonization?",

abstract = "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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T2 - Safe with Skeletonization?

AU - Wehman, Brody

AU - Taylor, Bradley

PY - 2013/11/20

Y1 - 2013/11/20

N2 - 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.

AB - 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.

U2 - 10.4172/2155-9880.S7-007

DO - 10.4172/2155-9880.S7-007

M3 - Article

C2 - 24761259

SN - 2155-9880

VL - Suppl 7

SP - 007

JO - Journal of clinical & experimental cardiology

JF - Journal of clinical & experimental cardiology

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