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Title: The evaluation of complications and perioperative results of arterial myocardial revascularisation using both internal thoracic arteries in patients with diabetes

Abstract:

Introduction Using both internal thoracic arteries (BIMA) in patients with diabetes reveal better patency but results in a greater risk of sternal infection and sternal dehiscence. Aim The analysis of using both internal thoracic arteries as an essential risk factor in the appearance of adverse cardiac events and sternal infection, sternal reoperation or surgical site infection, in patients with diabetes. Material Retrospective analysis of 147 patients with stabile angina and diabetes operated in The Department of Cardiovascular Surgery and Transplantology CMUJ. The chosen patients were divided into two groups: group I (BIMA), which had two internal thoracic arteries harvested, and group II (LIMA), which had only the left internal thoracic artery harvested. Results The number of adverse cardiac events was similar in both groups and was about 7,9% in the BIMA group and 9,2% in the LIMA group.The number of infections of the surgical wound, sternal infections or sternal reoperations also did not statistically differ within the BIMA or LIMA. The risk factor of infection were age (the risk increased to 5.6 times for every 10 years of age) and a BMI measure > 30. Conclusions The harvesting of both internal thoracic arteries in coronary artery bypass graft operations in patients with diabetes, is a safe method and results in a similar number of cardiac complications in the perioperative period as standard operations using vein grafts. There are no statistically essential differences in the number of sternal infections, infections of the surgical site or number of sternum reoperations between the BIMA and LIMA groups.

Level of degree:

2 - studia doktoranckie

Degree discipline:

kardiochirurgia

Degree grantor:

Wydział Lekarski

Promoter:

Jerzy Sadowski

Date issued:

2010

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:795

Call number:

ZB-112122

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Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

Object collections:

Last modified:

Oct 7, 2019

In our library since:

Nov 21, 2012

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Number of object content views in PDF format

5

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/795

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ZB-112122 Oct 7, 2019
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