학술논문

Assessment of the Impact of Skeletonization on Pleuropulmonary Changes after Bilateral Internal Thoracic Artery Harvest for Coronary Artery Bypass Grafting
Document Type
Article
Source
Scandinavian Journal of Surgery; September 2016, Vol. 105 Issue: 3 p168-173, 6p
Subject
Language
ISSN
14574969; 17997267
Abstract
Background and Aims: Skeletonization has been proposed as a technique to minimize the risk of sternal devascularization during bilateral internal thoracic artery harvest for coronary artery bypass grafting. The impact of this strategy on late radiologic pleuropulmonary changes has not been addressed.Material and Methods: Post-operative chest radiographs from patients (n?=?253 per group) undergoing bilateral internal thoracic artery harvest using skeletonized and non-skeletonized techniques were reviewed by blinded radiologists. The primary outcome was the incidence of atelectasis and pleural effusion. Multivariable linear regression models were derived to assess the relationship of radiologic pleuropulmonary outcomes to patients and operative variables.Results and Conclusion: Patients in the skeletonized group were older (p?