Changes in sternal perfusion following internal mammary artery bypass surgery

Clinical Hemorheology and Microcirculation
Christian D TaegerJustus P Beier

Abstract

Coronary bypass surgery using the internal mammary artery (IMA) is among the most commonly performed procedures in treatment of advanced coronary vessel disease. Further, bilateral harvesting of the IMA is associated with increased rates of sternal wound infections. This study aimed to explore changes in sternal perfusion, following left internal mammary artery (LIMA) harvesting. 60 patients were divided equally into intervention- and control cohorts and underwent assessment of oxygen saturation (sO2) and relative blood flow (RBF) by laser doppler flowmetry remission spectroscopy preoperatively, 24 h and 72 h postoperatively. 24 h postoperatively a significant decrease of sO2 and RBF could be detected in LIMA harvest patients. After 72 h this difference disappeared. The side comparison within the groups 24 h postoperatively revealed a reduction of sO2 on the LIMA side within both groups. Regarding the 24 h RBF in side comparison, no significant differences could be detected within the groups. The 72 h side comparison showed an increased RBF for the non-LIMA side within the control group. The use of the LIMA may lead to significant decreases in local tissue oxygen saturation and RBF. This reduction is mostly distinct within the ...Continue Reading

References

Sep 1, 1992·Archives of Surgery·T J FrancelJ O'Kelley
Jan 1, 1997·Plastic and Reconstructive Surgery·P S CedernaA E Cram
Jan 10, 2001·Plastic and Reconstructive Surgery·S C Dhar, G I Taylor
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·L RidderstolpeH Rutberg
Jun 14, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Julian E LosanoffJames W Jones
Oct 23, 2003·The Thoracic and Cardiovascular Surgeon·K KnoblochA Haverich
Feb 13, 2004·World Journal of Surgery·Andrea A Tandara, Thomas A Mustoe
Apr 26, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pallav J ShahBrian F Buxton
Mar 27, 2009·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Anna L SanderJohannes M Frank
Apr 17, 2010·The British Journal of Dermatology·S SchremlP Babilas
Feb 2, 2012·Seminars in Plastic Surgery·Kimberly SinghJ Garrett Harper
Apr 11, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J HauserD J Tilkorn
May 2, 2014·Journal of Cellular and Molecular Medicine·Jianfeng LiuYundai Chen
May 8, 2014·Journal of Cellular and Molecular Medicine·Raymund E HorchAndreas Arkudas
Jul 30, 2014·Craniomaxillofacial Trauma & Reconstruction·Kristy HamiltonLarry H Hollier
May 6, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M RiedJ H Dolderer
Jun 3, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J P BeierR E Horch
Apr 5, 2017·Clinical Hemorheology and Microcirculation·M RanieriS Geis

❮ Previous
Next ❯

Citations

Mar 26, 2019·Clinical Hemorheology and Microcirculation·S MuenchowA Dragu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Varun HarishFrederick Clarke
GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
Kristina LenzJochen Cremer
The Journal of Thoracic and Cardiovascular Surgery
A G JayakrishnanJ B Desai
© 2022 Meta ULC. All rights reserved