esqueletização mamária
DESCRIPTION
O uso da "técnica esqueletizada" versus "técnica pediculada" para o enxerto da artéria mamária (unilateral ou bilateral) Quais são os pros & cons?TRANSCRIPT
Controvérsias em
Medicina Cardiovascular
2012
17 de abril 2012
MJR
Controvérsias em medicina cardiovascular
17 de abril 2012
MJR
O uso da "técnica esqueletizada"
versus “ técnica pediculada" para o
enxerto da artéria mamária
(unilateral ou bilateral)
Quais são os pros & cons?
Conversando sobre
Padrões e Qualificações
23 de abril 2012
MJR
Pediculada Esqueletizada
Literatura & opiniões
Literatura & opiniões
Artigos originais
Guidelines
.....“there is considerable debate about the optimal harvesting technique
for the ITA.”...
“disestesia”
“disestesia”
“disestesia”
“fluxo”
Does skeletonized harvesting of the ITA reduce
superficial and deep sternal wound infections?
Does skeletonized harvesting of the ITA reduce
superficial and deep sternal wound infections?
Is there a role for skeletonized harvesting of a
single ITA?
Does bilateral skeletonized harvesting of the ITA
improve outcomes other than sternal wound infection
in the diabetic population?
Does skeletonized harvesting of the ITA reduce
superficial and deep sternal wound infections?
The aim of this study is to assess whether SWI rates
are reduced when skeletonizing the ITA, if this
benefit extends to diabetic patients, and the impact
of skeletonizing BITA on SWI rates.
Todos os estudos, sumário
Em diabéticos
Mamária bilateral
Mamária bilateral em diabéticos
“3… when harvesting BITA, the advantage of skeletonization is maintained with a reduction of
postoperative SWI rates from 11.7% to 2.96% for all studies and from 14.2% to 2.4% in diabetic patients”
“4... The subgroup analyses demonstrate that the reduction in SWI rates is maintained for
the whole spectrum of postoperative SWI including mediastinitis.”
“1... our first finding is that the risk of all SWI decreases by 60% when
skeletonizing the ITA”
“2… this advantage is amplified in diabetic patients in which an even greater benefit was
demonstrated ( the incidence of SWI was reduced from 21.3% to 3.57%)”