Volume 21 Issue 3
Mar.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(3): 374-376
QI Xianjie, WANG Yatao, WEI Ting, LIU Ge, JIANG Yiyao, SHI Chao. Advantages of using skeletonized internal thoracic artery for coronary artery bypass grafting[J]. Chinese Journal of General Practice, 2023, 21(3): 374-376. doi: 10.16766/j.cnki.issn.1674-4152.002886
Citation: QI Xianjie, WANG Yatao, WEI Ting, LIU Ge, JIANG Yiyao, SHI Chao. Advantages of using skeletonized internal thoracic artery for coronary artery bypass grafting[J]. Chinese Journal of General Practice, 2023, 21(3): 374-376. doi: 10.16766/j.cnki.issn.1674-4152.002886
shu

Advantages of using skeletonized internal thoracic artery for coronary artery bypass grafting

doi: 10.16766/j.cnki.issn.1674-4152.002886

  • Department of Cardiac Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 81800214

 1808085QH236

 BYTM2019041

 Byycx21077

  • Received Date: 2022-10-10
    Available Online: 2023-04-19
    Abstract
  •   Objective  Skeletonized internal thoracic arteries (ITA) are widely used in coronary artery bypass grafting. The aim of this study is to analyze the correlation between the skeletonized internal thoracic artery and postoperative chest wall pain and paresthesia.  Methods  Seventy patients who underwent coronary artery bypass grafting with extracorporeal circulation in the First Affiliated Hospital of Bengbu Medical College from September 2020 to January 2021 were selected for retrospective analysis. Among them, 36 patients had skeletonized ITA grafts and 34 patients had pedicled ITA grafts.  Results  There were no significant differences in the mean flow and pulse index of ITA grafts between skeletonized ITA grafts [42.0 (33.0, 53.5) mL/min, 2.75 (2.15, 3.60)] and pedicled ITA grafts [41.0 (27.0, 51.0) mL/min, 3.10 (2.20, 3.60)], all P>0.05. At 1 month postoperatively, the pain disability index was lower in the skeletonized ITA graft group [3 (2, 3)] than in the pedicled ITA graft group [5 (4, 5)], and the difference was statistically significant (P < 0.05). The incidence of paresthesia was lower in the skeletonized ITA graft group than in the pedicled ITA graft group at 1 month and 1 year postoperatively, with statistically significant differences (both P < 0.05).  Conclusion  Skeletonized ITA grafts are able to provide bridge vessel flow that was not inferior to that of pedicled ITA grafts and do not increase the bridge vessel pulsatility index (fluid resistance); In the long term, skeletonization of the ITA can reduce the incidence of postoperative chest wall paresthesia, but does not reduce post-coronary artery bypass grafting pain.

     

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