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   Using skeletonised grafts for coronary artery bypass grafting  
   
نویسنده Bawany Faizan Imran ,Khan Muhammad Shahzeb ,Khan Asadullah ,Kazi Abdul Nafey ,Naeem Muhammed
منبع journal of the pakistan medical association - 2014 - دوره : 64 - شماره : 5 - صفحه:606 -610
چکیده    Coronary artery bypass graft surgery relieves angina symptoms and reduces mortality among ischaemic heart disease patients. it remains the gold standard for the treatment of multi-vessel and left main coronary artery disease. it is a well-known fact that internal mammary artery conduits have excellent and long-lasting patency when used for coronary artery bypass grafting. its supremacy is largely because it prevents atherosclerosis. the old-style internal mammary artery bypass grafting, classically known as pedicle grafting, includes a circular rim of tissue around the graft. bilateral pedicled internal mammary arteries, especially among diabetic patients, have been reported to cause complications in the sternum like sternal osteomyelitis. in many studies it has been reported that dissection of pedicled internal mammary artery can lead to sternal devascularisation which can lead to higher incidence of infections. considering the higher incidence of deep sternal infections in patients with double pedicled arterial grafts, dissection of internal mammary artery in skeletonised manner was proposed. in this review, we outline the advantages of skeletonised grafting with respect to incidence of sternal infection, patency rates, blood flow, post-coronary artery bypass graft pain and the length of the graft.
کلیدواژه Internal mammary artery ,Coronary artery bypass grafting ,Skeletonisation
آدرس Dow University of Health Sciences, Pakistan, Dow University of Health Sciences, Pakistan, Dow University of Health Sciences, Civil Hospital, Department of Cardiac Surgery, Pakistan, Dow University of Health Sciences, Pakistan, Brown University, USA
 
     
   
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