The Experts below are selected from a list of 303 Experts worldwide ranked by ideXlab platform
Frank C. Spencer - One of the best experts on this subject based on the ideXlab platform.
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the effects of different techniques of internal Mammary Artery harvesting on sternal blood flow
The Journal of Thoracic and Cardiovascular Surgery, 1992Co-Authors: Michael A Parish, Eugene A. Grossi, Rick A. Esposito, Aubrey C. Galloway, Tohru Asai, Stephen B Colvin, Frank C. SpencerAbstract:We investigated chest wall blood flow in a canine model to determine if the technique used to harvest the Mammary Artery has a differential effect on residual chest wall blood flow. Eight dogs underwent bilateral internal Mammary Artery mobilization; one Artery was harvested as a pedicle and the other was harvested as a skeletonized vessel. Residual blood flow to the chest wall distribution of each Artery was measured with radioactive microspheres. Chest wall blood flow was significantly decreased from preharvest levels after internal Mammary Artery mobilization regardless of the technique used. Tissue blood flows decreased to 46.9 %, 22.1%, and 41.2% of baseline values for the manubrium (p horac C ardiovasc S urg 1992;104:1303-7)
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Sternal wound infections and use of internal Mammary Artery grafts.
The Journal of thoracic and cardiovascular surgery, 1991Co-Authors: Eugene A. Grossi, Rick A. Esposito, Gregory A. Crooke, Aubrey C. Galloway, Alfred T. Culliford, Kathy Yao, Frank C. SpencerAbstract:Previous studies have provided conflicting evidence as to whether an increased risk of mediastinitis is associated with use of the internal Mammary Artery as a coronary bypass graft. In this study the effects of internal Mammary Artery grafts on wound complications were analyzed in a prospective, nonrandomized fashion. At New York University Medical Center from January 1985 through May 1988, 2356 patients underwent isolated coronary revascularization. Among these patients 1394 received one or more internal Mammary Artery grafts (group I) and 962 had vein grafts only (group II). Group I had a mean age of 59.5 years versus 67.7 years in group II; diabetes was equally present in both groups (22.7% versus 24.7%). Operative mortality rate was 1.3% in group I and 5.6% in group II. Sternal infection was significantly more prevalent in group I (2.2%, 31/1394) than in group II (0.8%, 8/962). Multivariate analysis revealed that aortic crossclamp time, use of a single internal Mammary Artery graft, use of a double Mammary graft, and diabetes were associated with increased risk of sternal infection. The use of bilateral internal Mammary Artery grafting doubled the odds ratio of the risk compared with use of a single Mammary graft, and the combination of diabetes and double internal Mammary Artery grafts increased the odds ratio 13.9-fold. Patients with an internal Mammary Artery graft who had sternal infection had a longer period of hospitalization than patients without a Mammary Artery graft who had sternal infection. We conclude that the risk of sternal infection is increased by the use of an internal Mammary Artery graft, especially use of double Mammary grafts in the presence of diabetes.
Eugene A. Grossi - One of the best experts on this subject based on the ideXlab platform.
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the effects of different techniques of internal Mammary Artery harvesting on sternal blood flow
The Journal of Thoracic and Cardiovascular Surgery, 1992Co-Authors: Michael A Parish, Eugene A. Grossi, Rick A. Esposito, Aubrey C. Galloway, Tohru Asai, Stephen B Colvin, Frank C. SpencerAbstract:We investigated chest wall blood flow in a canine model to determine if the technique used to harvest the Mammary Artery has a differential effect on residual chest wall blood flow. Eight dogs underwent bilateral internal Mammary Artery mobilization; one Artery was harvested as a pedicle and the other was harvested as a skeletonized vessel. Residual blood flow to the chest wall distribution of each Artery was measured with radioactive microspheres. Chest wall blood flow was significantly decreased from preharvest levels after internal Mammary Artery mobilization regardless of the technique used. Tissue blood flows decreased to 46.9 %, 22.1%, and 41.2% of baseline values for the manubrium (p horac C ardiovasc S urg 1992;104:1303-7)
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Sternal wound infections and use of internal Mammary Artery grafts.
The Journal of thoracic and cardiovascular surgery, 1991Co-Authors: Eugene A. Grossi, Rick A. Esposito, Gregory A. Crooke, Aubrey C. Galloway, Alfred T. Culliford, Kathy Yao, Frank C. SpencerAbstract:Previous studies have provided conflicting evidence as to whether an increased risk of mediastinitis is associated with use of the internal Mammary Artery as a coronary bypass graft. In this study the effects of internal Mammary Artery grafts on wound complications were analyzed in a prospective, nonrandomized fashion. At New York University Medical Center from January 1985 through May 1988, 2356 patients underwent isolated coronary revascularization. Among these patients 1394 received one or more internal Mammary Artery grafts (group I) and 962 had vein grafts only (group II). Group I had a mean age of 59.5 years versus 67.7 years in group II; diabetes was equally present in both groups (22.7% versus 24.7%). Operative mortality rate was 1.3% in group I and 5.6% in group II. Sternal infection was significantly more prevalent in group I (2.2%, 31/1394) than in group II (0.8%, 8/962). Multivariate analysis revealed that aortic crossclamp time, use of a single internal Mammary Artery graft, use of a double Mammary graft, and diabetes were associated with increased risk of sternal infection. The use of bilateral internal Mammary Artery grafting doubled the odds ratio of the risk compared with use of a single Mammary graft, and the combination of diabetes and double internal Mammary Artery grafts increased the odds ratio 13.9-fold. Patients with an internal Mammary Artery graft who had sternal infection had a longer period of hospitalization than patients without a Mammary Artery graft who had sternal infection. We conclude that the risk of sternal infection is increased by the use of an internal Mammary Artery graft, especially use of double Mammary grafts in the presence of diabetes.
Shigeru Kosuda - One of the best experts on this subject based on the ideXlab platform.
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Internal Mammary Artery injury following subclavian vein catheterization.
Emergency Radiology, 2005Co-Authors: Yukihiro Hama, Tatsumi Kaji, Manabu Fujii, Shigeru KosudaAbstract:Inappropriate puncture of the internal Mammary Artery caused by subclavian vein puncture is a rare but potentially lethal complication. We report a case of 45-year-old woman with internal Mammary Artery injury following subclavian vein catheterization successfully treated by transcatheter arterial embolization using coils.
Rick A. Esposito - One of the best experts on this subject based on the ideXlab platform.
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the effects of different techniques of internal Mammary Artery harvesting on sternal blood flow
The Journal of Thoracic and Cardiovascular Surgery, 1992Co-Authors: Michael A Parish, Eugene A. Grossi, Rick A. Esposito, Aubrey C. Galloway, Tohru Asai, Stephen B Colvin, Frank C. SpencerAbstract:We investigated chest wall blood flow in a canine model to determine if the technique used to harvest the Mammary Artery has a differential effect on residual chest wall blood flow. Eight dogs underwent bilateral internal Mammary Artery mobilization; one Artery was harvested as a pedicle and the other was harvested as a skeletonized vessel. Residual blood flow to the chest wall distribution of each Artery was measured with radioactive microspheres. Chest wall blood flow was significantly decreased from preharvest levels after internal Mammary Artery mobilization regardless of the technique used. Tissue blood flows decreased to 46.9 %, 22.1%, and 41.2% of baseline values for the manubrium (p horac C ardiovasc S urg 1992;104:1303-7)
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Sternal wound infections and use of internal Mammary Artery grafts.
The Journal of thoracic and cardiovascular surgery, 1991Co-Authors: Eugene A. Grossi, Rick A. Esposito, Gregory A. Crooke, Aubrey C. Galloway, Alfred T. Culliford, Kathy Yao, Frank C. SpencerAbstract:Previous studies have provided conflicting evidence as to whether an increased risk of mediastinitis is associated with use of the internal Mammary Artery as a coronary bypass graft. In this study the effects of internal Mammary Artery grafts on wound complications were analyzed in a prospective, nonrandomized fashion. At New York University Medical Center from January 1985 through May 1988, 2356 patients underwent isolated coronary revascularization. Among these patients 1394 received one or more internal Mammary Artery grafts (group I) and 962 had vein grafts only (group II). Group I had a mean age of 59.5 years versus 67.7 years in group II; diabetes was equally present in both groups (22.7% versus 24.7%). Operative mortality rate was 1.3% in group I and 5.6% in group II. Sternal infection was significantly more prevalent in group I (2.2%, 31/1394) than in group II (0.8%, 8/962). Multivariate analysis revealed that aortic crossclamp time, use of a single internal Mammary Artery graft, use of a double Mammary graft, and diabetes were associated with increased risk of sternal infection. The use of bilateral internal Mammary Artery grafting doubled the odds ratio of the risk compared with use of a single Mammary graft, and the combination of diabetes and double internal Mammary Artery grafts increased the odds ratio 13.9-fold. Patients with an internal Mammary Artery graft who had sternal infection had a longer period of hospitalization than patients without a Mammary Artery graft who had sternal infection. We conclude that the risk of sternal infection is increased by the use of an internal Mammary Artery graft, especially use of double Mammary grafts in the presence of diabetes.
Aubrey C. Galloway - One of the best experts on this subject based on the ideXlab platform.
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the effects of different techniques of internal Mammary Artery harvesting on sternal blood flow
The Journal of Thoracic and Cardiovascular Surgery, 1992Co-Authors: Michael A Parish, Eugene A. Grossi, Rick A. Esposito, Aubrey C. Galloway, Tohru Asai, Stephen B Colvin, Frank C. SpencerAbstract:We investigated chest wall blood flow in a canine model to determine if the technique used to harvest the Mammary Artery has a differential effect on residual chest wall blood flow. Eight dogs underwent bilateral internal Mammary Artery mobilization; one Artery was harvested as a pedicle and the other was harvested as a skeletonized vessel. Residual blood flow to the chest wall distribution of each Artery was measured with radioactive microspheres. Chest wall blood flow was significantly decreased from preharvest levels after internal Mammary Artery mobilization regardless of the technique used. Tissue blood flows decreased to 46.9 %, 22.1%, and 41.2% of baseline values for the manubrium (p horac C ardiovasc S urg 1992;104:1303-7)
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Sternal wound infections and use of internal Mammary Artery grafts.
The Journal of thoracic and cardiovascular surgery, 1991Co-Authors: Eugene A. Grossi, Rick A. Esposito, Gregory A. Crooke, Aubrey C. Galloway, Alfred T. Culliford, Kathy Yao, Frank C. SpencerAbstract:Previous studies have provided conflicting evidence as to whether an increased risk of mediastinitis is associated with use of the internal Mammary Artery as a coronary bypass graft. In this study the effects of internal Mammary Artery grafts on wound complications were analyzed in a prospective, nonrandomized fashion. At New York University Medical Center from January 1985 through May 1988, 2356 patients underwent isolated coronary revascularization. Among these patients 1394 received one or more internal Mammary Artery grafts (group I) and 962 had vein grafts only (group II). Group I had a mean age of 59.5 years versus 67.7 years in group II; diabetes was equally present in both groups (22.7% versus 24.7%). Operative mortality rate was 1.3% in group I and 5.6% in group II. Sternal infection was significantly more prevalent in group I (2.2%, 31/1394) than in group II (0.8%, 8/962). Multivariate analysis revealed that aortic crossclamp time, use of a single internal Mammary Artery graft, use of a double Mammary graft, and diabetes were associated with increased risk of sternal infection. The use of bilateral internal Mammary Artery grafting doubled the odds ratio of the risk compared with use of a single Mammary graft, and the combination of diabetes and double internal Mammary Artery grafts increased the odds ratio 13.9-fold. Patients with an internal Mammary Artery graft who had sternal infection had a longer period of hospitalization than patients without a Mammary Artery graft who had sternal infection. We conclude that the risk of sternal infection is increased by the use of an internal Mammary Artery graft, especially use of double Mammary grafts in the presence of diabetes.
