Controvrsias em Medicina Cardiovascular

2012
17 de abril 2012 MJR

Controvrsias em medicina cardiovascular

O uso da "tcnica esqueletizada" versus tcnica pediculada" para o enxerto da artria mamria (unilateral ou bilateral)
Quais so os pros & cons?
17 de abril 2012 MJR

Pediculada

Esqueletizada

Conversando sobre Padres e Qualificaes

23 de abril 2012 MJR

Literatura & opinies

Literatura & opinies

Artigos originais Guidelines

.....there is considerable debate about the optimal harvesting technique for the ITA....

disestesia

disestesia

disestesia

fluxo

Does skeletonized harvesting of the ITA reduce superficial and deep sternal wound infections?

Does skeletonized harvesting of the ITA reduce superficial and deep sternal wound infections?

Is there a role for skeletonized harvesting of a single ITA?

Does bilateral skeletonized harvesting of the ITA improve outcomes other than sternal wound infection in the diabetic population?

Does skeletonized harvesting of the ITA reduce superficial and deep sternal wound infections?

The aim of this study is to assess whether SWI rates are reduced when skeletonizing the ITA, if this benefit extends to diabetic patients, and the impact of skeletonizing BITA on SWI rates.

Todos os estudos, sumrio

Em diabticos

Mamria bilateral

Mamria bilateral em diabticos

1... our first finding is that the risk of all SWI decreases by 60% when skeletonizing the ITA 2 this advantage is amplified in diabetic patients in which an even greater benefit was demonstrated ( the incidence of SWI was reduced from 21.3% to 3.57%) 3 when harvesting BITA, the advantage of skeletonization is maintained with a reduction of postoperative SWI rates from 11.7% to 2.96% for all studies and from 14.2% to 2.4% in diabetic patients 4... The subgroup analyses demonstrate that the reduction in SWI rates is maintained for the whole spectrum of postoperative SWI including mediastinitis.