Should the diabetics have the internal thoracic artery skeletonized? Assessment of sternal perfusion by scintillography

dc.creatordos Santos, EC
dc.creatorNeto, FRD
dc.creatorSilva, RAME
dc.creatorde Moraes, CRR
dc.date2009
dc.dateAPR-JUN
dc.date2014-07-31T14:30:55Z
dc.date2015-11-26T16:42:55Z
dc.date2014-07-31T14:30:55Z
dc.date2015-11-26T16:42:55Z
dc.date.accessioned2018-03-28T23:27:42Z
dc.date.available2018-03-28T23:27:42Z
dc.identifierRevista Brasileira De Cirurgia Cardiovascular. Soc Brasil Cirurgia Cardiovasc, v. 24, n. 2, n. 157, n. 164, 2009.
dc.identifier0102-7638
dc.identifierWOS:000268472300011
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/75546
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/75546
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1273433
dc.descriptionObjective: To assess, by scintillography, the effect of using bilateral internal thoracic arteries (BITAs) - prepared by two different techniques - on the sternal perfusion. Method: 35 patients undergone coronary artery bypass grafting (CABG) were divided into two groups: Group A (18) had both ITA's dissected using skeletonization technique and group B (17) as pedicle preparation. There was no difference in the two groups relating gender, age and demographic characteristics. On the 7(th) postoperative day the patients underwent bone scintillography. The statistical analysis was performed using the Student's t test with 95% significance. Results: Group A (skeletonized ITA) showed higher perfusion (11.5%) of the sternum as a mean, than Group B (pedicled ITA) patients; however this was not statistically significant (P = 0.127). On the other hand, comparing the diabetic population, seven in each group, there was a marked 47.4% higher perfusion of the sternum in Group A patients (skeletonized ITA) comparing to Group B (pedicled ITA) and this difference reached statistical significance (P = 0.004). Conclusions: 1- Sternal perfusion is not affected significantly apart from the dissection technique used for both internal thoracic arteries in the general population when assessed by bone scintillography. 2 - In the diabetic subgroup, a significant preservation of the sternal perfusion was observed in patients undergone skeletonized dissection of the internal thoracic arteries. Although these findings should be confirmed in a greater number of cases, diabetic patients should have the internal thoracic arteries dissected using skeletonization techinque.
dc.description24
dc.description2
dc.description157
dc.description164
dc.languagept
dc.publisherSoc Brasil Cirurgia Cardiovasc
dc.publisherSao Paulo Sp
dc.publisherBrasil
dc.relationRevista Brasileira De Cirurgia Cardiovascular
dc.relationRev. Bras. Cir. Cardiovasc.
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectSternum
dc.subjectMammary arteries
dc.subjectTomography, emission-computed
dc.subjectMammary Artery
dc.subjectCardiac-surgery
dc.subjectRisk-factors
dc.subjectInfection
dc.subjectVascularization
dc.subjectMediastinitis
dc.subjectAnastomosis
dc.subjectSurvival
dc.subjectGrafts
dc.subjectFlow
dc.titleShould the diabetics have the internal thoracic artery skeletonized? Assessment of sternal perfusion by scintillography
dc.typeArtículos de revistas


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