Journal
ANNALS OF THORACIC SURGERY
Volume 89, Issue 2, Pages 661-670Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.athoracsur.2009.08.018
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Use of the internal thoracic artery in coronary revascularization confers excellent benefit. We assessed the impact of skeletonization on the incidence of postoperative sternal wound infection in patients undergoing coronary artery bypass grafting. We also investigated whether there is an advantage in using this technique when harvesting both internal thoracic arteries in high-risk groups, such as diabetic patients. Skeletonization was associated with beneficial reduction in the odds ratio of sternal wound infection (odds ratio, 0.41; 95% confidence interval, 0.26 to 0.64). This effect was more evident when analyzing diabetic patients undergoing bilateral internal thoracic artery grafting (odds ratio, 0.19; 95% confidence interval, 0.10 to 0.34). (Ann Thorac Surg 2010; 89: 661-70) (C) 2010 by The Society of Thoracic Surgeons
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