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Ravaux JM, Guennaoui T, Mélot C, et al. Bilateral Internal Mammary Artery Bypass Grafting: Sternal Wound Infection in High-Risk Population. Should Sternal Infection Scare Us?. Open J Cardiovasc Surg. 2018;10:1179065218789375doi: 10.1177/1179065218789375.
Ravaux, J. M., Guennaoui, T., Mélot, C., & Schraverus, P. (2018). Bilateral Internal Mammary Artery Bypass Grafting: Sternal Wound Infection in High-Risk Population. Should Sternal Infection Scare Us?. Open journal of cardiovascular surgery, 101179065218789375. https://doi.org/10.1177/1179065218789375
Ravaux, Justine Mafalda, et al. "Bilateral Internal Mammary Artery Bypass Grafting: Sternal Wound Infection in High-Risk Population. Should Sternal Infection Scare Us?." Open journal of cardiovascular surgery vol. 10 (2018): 1179065218789375. doi: https://doi.org/10.1177/1179065218789375
Ravaux JM, Guennaoui T, Mélot C, Schraverus P. Bilateral Internal Mammary Artery Bypass Grafting: Sternal Wound Infection in High-Risk Population. Should Sternal Infection Scare Us?. Open J Cardiovasc Surg. 2018 Jul 23;10:1179065218789375. doi: 10.1177/1179065218789375. eCollection 2018. PMID: 30046252; PMCID: PMC6056780.
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Open J Cardiovasc Surg. 2018 Jul 23;10:1179065218789375. doi: 10.1177/1179065218789375. eCollection 2018.

Bilateral Internal Mammary Artery Bypass Grafting: Sternal Wound Infection in High-Risk Population. Should Sternal Infection Scare Us?.

Open journal of cardiovascular surgery

Justine Mafalda Ravaux, Thami Guennaoui, Christian Mélot, Peter Schraverus

Affiliations

  1. Department of Cardiovascular Surgery, Grand Hôpital de Charleroi, Charleroi, Belgium.
  2. Department of Cardiovascular Surgery, Centres Hospitaliers Jolimont ASBL, Haine Saint Paul, Belgium.
  3. Department of Emergency, Erasme University Hospital, Brussels, Belgium.

PMID: 30046252 PMCID: PMC6056780 DOI: 10.1177/1179065218789375

Abstract

BACKGROUND: Bilateral internal mammary arteries (BIMAs) remain underused in coronary artery bypass grafting (CABG), especially in elderly, diabetic, and obese patients. This study investigated incidence of sternal wound infection (SWI), sternal instability (SI), and reintervention for bleeding (RIB) in this high-risk population.

METHODS: A single-center retrospective observational study was performed in "Grand Hôpital de Charleroi, Gilly, Belgium." A total of 319 patients undergoing CABG from December 2011 to December 2015 were included. Three main outcome measures (SWI, SI, and RIB) were investigated in obese vs nonobese, diabetic vs nondiabetic, and elderly vs younger patients.

RESULTS: In all, 14 SWI, 11 SI, and 6 RIB were discounted. Death rate was as follows: SWI: 2/14 vs 17/305 (

CONCLUSIONS: Obesity, age, and diabetes treated by insulin (or not) do not seem to be risk factors for developing SWI, SI, or RIB in patients receiving a CABG using BIMA. Nevertheless, mortality was higher in RIB group.

Keywords: Coronary artery disease; bilateral internal mammary artery bypass grafting; reintervention; sternal instability; sternal wound infection

Conflict of interest statement

Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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