Reining in Sternal Wound Infections: The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting

Aisha Zia; Marium Hasan; Sidra Ilyas; Hafiz Umair Siddiqui; Bassman Tappuni; Shayan Marsia; M. Mujeeb Zubair; Sajjad Raza; Rami R. Mustafa; Zulfiqar Qutrio Baloch; Salil V. Deo; Umesh M. Sharma; Mohammad Adil Sheikh

doi:10.1089/sur.2018.142

Reining in Sternal Wound Infections: The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting

Aisha Zia, Marium Hasan, Sidra Ilyas, Hafiz Umair Siddiqui, Bassman Tappuni, Shayan Marsia, M. Mujeeb Zubair, Sajjad Raza, Rami R. Mustafa, Zulfiqar Qutrio Baloch, Salil V. Deo, Umesh M. Sharma, Mohammad Adil Sheikh

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

Abstract

Background: Although the survival advantage of bilateral internal thoracic artery grafting (BITA) is well known in patients undergoing coronary artery bypass grafting (CABG), this technique has not been widely adopted. This is mainly because of the increased risk of deep sternal wound infections (DSWI) associated with its use. However, in recent years the overall risk of DSWI has decreased. This is mainly because of strategies that have been adopted to decrease the risk of these infections in patients undergoing CABG. Conclusion: In this review we identified DSWI preventive strategies and described them in detail so that their use by surgeons can be increased. This would minimize the risk of DSWI after BITA grafting and maximize the use of this highly effective surgical technique.

Original language	English
Pages (from-to)	323-331
Number of pages	9
Journal	Surgical Infections
Volume	21
Issue number	4
DOIs	https://doi.org/10.1089/sur.2018.142
Publication status	Published - May 2020
Externally published	Yes

Keywords

CABG
bilateral ITA grafting
sternal wound infections

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1089/sur.2018.142

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@article{9138d9e1fae24c259993c6f5705faa21,

title = "Reining in Sternal Wound Infections: The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting",

abstract = "Background: Although the survival advantage of bilateral internal thoracic artery grafting (BITA) is well known in patients undergoing coronary artery bypass grafting (CABG), this technique has not been widely adopted. This is mainly because of the increased risk of deep sternal wound infections (DSWI) associated with its use. However, in recent years the overall risk of DSWI has decreased. This is mainly because of strategies that have been adopted to decrease the risk of these infections in patients undergoing CABG. Conclusion: In this review we identified DSWI preventive strategies and described them in detail so that their use by surgeons can be increased. This would minimize the risk of DSWI after BITA grafting and maximize the use of this highly effective surgical technique.",

keywords = "CABG, bilateral ITA grafting, sternal wound infections",

author = "Aisha Zia and Marium Hasan and Sidra Ilyas and Siddiqui, {Hafiz Umair} and Bassman Tappuni and Shayan Marsia and Zubair, {M. Mujeeb} and Sajjad Raza and Mustafa, {Rami R.} and Baloch, {Zulfiqar Qutrio} and Deo, {Salil V.} and Sharma, {Umesh M.} and Sheikh, {Mohammad Adil}",

year = "2020",

month = may,

doi = "10.1089/sur.2018.142",

language = "English",

volume = "21",

pages = "323--331",

journal = "Surgical Infections",

issn = "1096-2964",

publisher = "Mary Ann Liebert Inc.",

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TY - JOUR

T1 - Reining in Sternal Wound Infections

T2 - The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting

AU - Zia, Aisha

AU - Hasan, Marium

AU - Ilyas, Sidra

AU - Siddiqui, Hafiz Umair

AU - Tappuni, Bassman

AU - Marsia, Shayan

AU - Zubair, M. Mujeeb

AU - Raza, Sajjad

AU - Mustafa, Rami R.

AU - Baloch, Zulfiqar Qutrio

AU - Deo, Salil V.

AU - Sharma, Umesh M.

AU - Sheikh, Mohammad Adil

PY - 2020/5

Y1 - 2020/5

N2 - Background: Although the survival advantage of bilateral internal thoracic artery grafting (BITA) is well known in patients undergoing coronary artery bypass grafting (CABG), this technique has not been widely adopted. This is mainly because of the increased risk of deep sternal wound infections (DSWI) associated with its use. However, in recent years the overall risk of DSWI has decreased. This is mainly because of strategies that have been adopted to decrease the risk of these infections in patients undergoing CABG. Conclusion: In this review we identified DSWI preventive strategies and described them in detail so that their use by surgeons can be increased. This would minimize the risk of DSWI after BITA grafting and maximize the use of this highly effective surgical technique.

AB - Background: Although the survival advantage of bilateral internal thoracic artery grafting (BITA) is well known in patients undergoing coronary artery bypass grafting (CABG), this technique has not been widely adopted. This is mainly because of the increased risk of deep sternal wound infections (DSWI) associated with its use. However, in recent years the overall risk of DSWI has decreased. This is mainly because of strategies that have been adopted to decrease the risk of these infections in patients undergoing CABG. Conclusion: In this review we identified DSWI preventive strategies and described them in detail so that their use by surgeons can be increased. This would minimize the risk of DSWI after BITA grafting and maximize the use of this highly effective surgical technique.

KW - CABG

KW - bilateral ITA grafting

KW - sternal wound infections

UR - http://www.scopus.com/inward/record.url?scp=85084601959&partnerID=8YFLogxK

U2 - 10.1089/sur.2018.142

DO - 10.1089/sur.2018.142

M3 - Article

C2 - 31829828

AN - SCOPUS:85084601959

SN - 1096-2964

VL - 21

SP - 323

EP - 331

JO - Surgical Infections

JF - Surgical Infections

IS - 4

ER -

Reining in Sternal Wound Infections: The Achilles' Heel of Bilateral Internal Thoracic Artery Grafting

Abstract

Keywords

UN SDGs

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