Deep Sternal Wound Infection After Beating Heart Coronary Artery Bypass Surgery with Routine Use of Skeletonized Bilateral Internal Thoracic Artery

Magalhães, Diogo; Deininger, Maurilio Onofre; Oliveira, Orlando Gomes de; Freitas, João Miguel; Deininger, Eugênia di Giuseppe

doi:10.21470/1678-9741-2021-0607

Cited by 1 publication

(2 citation statements)

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“…A total of 31 examinations published between 2001 and 2023 were included in the meta‐analysis because they fit the inclusion criteria following a review of 1978 relevant examinations 8–38 . Table 2 summarizes the findings of these investigations.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 31 examinations from 2001 to 2023 were recruited for the current analysis including 181 503 personals with coronary artery bypass grafting were in the utilized examinations' starting point, 46 219 of them were utilizing bilateral internal mammary artery and 135 284 were utilizing single internal mammary artery 8–38 . The examined data revealed that bilateral internal mammary artery had significantly higher sternal wound infection, superficial sternal wound infection, deep sternal wound infection, sternal wound infection in diabetics, sternal wound infection in the elderly, sternal wound infection in pedicled preparation and sternal wound infection in skeletonized preparation compared to single internal mammary artery in personals with coronary artery bypass grafting.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sternal wound infections following internal mammary artery grafts for a coronary bypass: A meta‐analysis

Li,

Yu,

Chen

et al. 2023

International Wound Journal

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The meta‐analysis aims to evaluate and compare the sternal wound infections following internal mammary artery grafts for a coronary bypass. Examinations comparing bilateral internal mammary artery to single internal mammary artery for coronary artery bypass grafting were among the meta‐analyses from various languages that met the inclusion criteria. Using dichotomous random‐ or fixed‐effect models, the results of these investigations were examined, and the Odd Ratio (OR) with 95% confidence intervals (CIs) was computed. A total of 31 examinations from 2001 to 2023 were recruited for the current analysis including 181 503 personals with coronary artery bypass grafting. Bilateral internal mammary artery had significantly higher sternal wound infection (OR, 1.51; 95% CI, 1.37–1.68, p < 0.001), superficial sternal wound infection (OR, 1.72; 95% CI, 1.16–2.56, p = 0.007), deep sternal wound infection (OR, 1.62; 95% CI, 1.41–1.86, p < 0.001), sternal wound infection in diabetics (OR, 1.48; 95% CI, 1.16–1.90, p = 0.002), sternal wound infection in elderly (OR, 1.38; 95% CI, 1.22–1.57, p < 0.001), sternal wound infection in pedicled preparation (OR, 1.70; 95% CI, 1.30–2.23, p < 0.001) and sternal wound infection in skeletonized preparation (OR, 1.40; 95% CI, 1.09–1.81, p = 0.009) compared to single internal mammary artery in personals with coronary artery bypass grafting. Bilateral internal mammary artery grafting is linked to a higher risk of impaired wound healing, particularly in diabetic individuals, elderly, pedicled preparation, and skeletonized preparation. Nevertheless, caution should be exercised while interacting with its values since examinations were performed by different surgeons with different skills on different types of personals.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%