Should the internal thoracic artery be skeletonized?

被引：48

作者：

Athanasiou, T ^{[1
]}

Crossman, NC ^{[1
]}

Asimakopoulos, G ^{[1
]}

Cherian, A ^{[1
]}

Weerasinghe, A ^{[1
]}

Glenville, B ^{[1
]}

Casula, R ^{[1
]}

机构：

[1] Univ London Imperial Coll Sci Technol & Med, Dept Cardiothorac Surg, Natl Heart & Lung Inst, St Marys Hosp, London SW7 2AZ, England

来源：

ANNALS OF THORACIC SURGERY | 2004年 / 77卷 / 06期

关键词：

D O I：

10.1016/j.athoracsur.2003.10.041

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Traditionally, the internal thoracic artery is harvested as a pedicle. In contemporary cardiac surgical practice, however, certain surgeons practice the internal thoracic artery-skeletonization technique. A systematic review of clinical studies reporting on the use of skeletonized internal thoracic arteries (SKT-ITA) has not yet been performed. The primary aim of this review article is to examine comprehensively the entire body of evidence regarding the use of SKT-ITA. In particular, we aimed to analyze the effects of skeletonization on sternal blood supply, wall damage and blood flow in the harvested vessel, postoperative graft patency, and clinical outcome. Advantages and disadvantages of the skeletonization technique are highlighted and discussed. (C) 2004 by The Society of Thoracic Surgeons.

引用

页码：2238 / 2246

页数：9

共 51 条

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