Patients Submitted to Myocardial Revascularization with the Use of Bilateral Internal Thoracic Arteries: Diabetics vs. Non-Diabetics

Use of bilateral internal thoracic artery (BITA) as graft in coronary artery bypass grafting (CABG) is controversial because it is related to higher in-hospital mortality, incidence of sternal wound-related infection, and an increase in surgical time. The primary objective of this study is to evalua...

Full description

Saved in:
Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2021-01, Vol.36 (4), p.500-505
Main Authors: Abelaira, Filho, Achilles, Avanci, Luis Ernesto, Almeida, Thiago Faria, Witchtendahl, Rodolfo, Leal, João Carlos Ferreira
Format: Article
Language:English
Subjects:
Angina pectoris
Body mass index
CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiopulmonary Bypass
Cardiovascular disease
Chronic obstructive pulmonary disease
Coronary Artery Bypass
Coronary Artery Disease - surgery
Coronary vessels
Diabetes
Diabetes Mellitus
Ejection fraction
Heart attacks
Heart surgery
Hemoglobin
High density lipoprotein
Hospital Mortality
Hospitals
Humans
Hypertension
Infections
Intensive care
Kidneys
Lipoproteins
Mammary Arteries
Metabolic disorders
Mortality
Myocardial Infarctation
Myocardial Revascularization
Operative Time
Original
Patients
Retrospective Studies
Risk Factors
Statistical analysis
Sternum
SURGERY
Surgical Wound Infection - etiology
Treatment Outcome
Vein & artery diseases
Ventilators
Wound Infection
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Use of bilateral internal thoracic artery (BITA) as graft in coronary artery bypass grafting (CABG) is controversial because it is related to higher in-hospital mortality, incidence of sternal wound-related infection, and an increase in surgical time. The primary objective of this study is to evaluate in-hospital mortality and mortality within 30 days from discharge. The secondary objective is to evaluate the occurrence of deep sternal wound infection in a 90-day follow-up. This is a retrospective review of the medical records of 152 patients undergoing elective CABG with the use of BITA and cardiopulmonary bypass (CPB). These patients were divided into two groups, diabetics and non-diabetics. Patients with acute myocardial infarction and concomitant valvular disease were not included in the sample. Preoperative characteristics did not show significant differences between the groups, which allowed a comparative analysis. The variables electrocardiography time and aortic clamping time were higher in the diabetic group, with a significant statistical difference (P
ISSN:1678-9741
0102-7638
1678-9741
DOI:10.21470/1678-9741-2020-0292