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Reining in Sternal Wound Infections: The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting

2019; Mary Ann Liebert, Inc.; Volume: 21; Issue: 4 Linguagem: Inglês

10.1089/sur.2018.142

1557-8674

Aisha Zia, Marium Hasan, Sidra Ilyas, Hafiz Umair Siddiqui, Bassman Tappuni, Shayan Marsia, M. Mujeeb Zubair, Sajjad Raza, Rami R. Mustafa, Zulfiqar Qutrio Baloch, Salil V. Deo, Umesh Sharma, Mohammad Adil Sheikh,

Reconstructive Surgery and Microvascular Techniques

Background: Although the survival advantage of bilateral internal thoracic artery grafting (BITA) is well known in patients undergoing coronary artery bypass grafting (CABG), this technique has not been widely adopted. This is mainly because of the increased risk of deep sternal wound infections (DSWI) associated with its use. However, in recent years the overall risk of DSWI has decreased. This is mainly because of strategies that have been adopted to decrease the risk of these infections in patients undergoing CABG. Conclusion: In this review we identified DSWI preventive strategies and described them in detail so that their use by surgeons can be increased. This would minimize the risk of DSWI after BITA grafting and maximize the use of this highly effective surgical technique.