[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.]

[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Abstract Text:

Alexandre Motta de Menezes,Frederico Pires de Vasconcelos,Ricardo de Carvalho Lima, Costa,Mozart Augusto Soares de Escobar,Alexandre Motta de Menezes,Frederico Pires de Vasconcelos,Ricardo de Carvalho Lima, Costa,Mozart Augusto Soares de Escobar,

OBJECTIVE: To describe the technique and evaluate the immediate results of using an ultrasonic scalpel in the skeletonization of the internal thoracic artery for coronary artery bypass grafting surgery. METHODS: From January 2000 to October 2006, 188 patients were submitted to coronary artery bypass grafting with the internal thoracic artery skeletonized using an ultrasonic scalpel. Seventy-one patients (37.8%) were women. The patients' ages varied from 28 to 81 years old. The entire internal thoracic artery was exposed opening the endothoracic fascia using scissors as close as possible to the arterial adventitia. An ultrasonic scalpel was used to transect and coagulate all the intercostal branches, thereby minimizing the use of metallic clips. RESULTS: The skeletonized internal thoracic arteries presented with excellent flow, obviating the need for intraluminal manipulation for vasodilatation. In the immediate postoperative period, two patients were found to have temporary left-sided diaphragmatic paralysis. There were no sternal wound infections in this series. The dissection can be performed in approximately 33 minutes however with more experience this time may be reduced. CONCLUSION: This technique facilitates and shortens the internal thoracic artery skeletonization procedure and does not cause arterial spasms. Cauterization of the collateral branches with an ultrasonic scalpel is efficient and the use of metallic clips is almost unnecessary. It is a procedure that is easy to reproduce and may be recommended as the first-choice technique for the dissection of the internal thoracic artery.

[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Publishing Authors By Initials

AM Menezes,FP Vasconcelos,Rde Lima,MG Costa,MA Escobar,AM de Menezes,FP de Vasconcelos,Rde Lima,MG Costa,MA de Escobar,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Revista brasileira de cirurgia cardiovascular : ór

VOLUME: 22

Page Numbers: 206-11

Journal Abbreviation:

ISSN: 1678-9741

DAY: 9

MONTH: Jun

YEAR: 2007

[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Information

Number of References:

LANGUAGE: por

NlmUniqueID: 9104279

[Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: [Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.] Information

Substance Name:

Registry Number:

Grant and Affiliation Information for [Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.]

AFFILIATION: SBCCV.

Country: Brazil

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Rev Bras Cir Cardiovasc

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel Related Publications

• "Attitude is a little thing that makes a big difference" Winston Churchill.
• A qualitative analysis of the perception of stigma among latinos receiving antidepressants.
• An acute intracerebral vein thromboses in AIDS with protein C and S deficiency.
• BiosStep-assisted walking in spinal cord-injured patients: an evaluation report.
• Clinical indicators of child development in the capitals of nine Brazilian states: the influence of regional cultural factors.
• Corticosterone and activity: the long arms of the clock talk back.
• Depression management: applying skills in the clinical setting.
• Dialogues on depression management: the primary care and specialist perspectives.
• Distinct heat-shock element arrangements that mediate the heat shock, but not the late-embryogenesis induction of small heat-shock proteins, correlate with promoter activation in root-knot nematode feeding cells.
• Does simple "reassurance" work in patients with medically unexplained physical symptoms?
• Evolution of a Polysulfone Nanofiltration Membrane following Ion Beam Irradiation.
• Five bicyclo[3.3.0]octa-2,6-dienes.
• Heterotopic pregnancy presenting at 18 weeks' gestational age: a case report.
• Incorporation of physiological trend and interaction effects in neonatal severity of illness scores: an experiment using a variant of the Richardson score.
• Instability of copronecrophagous beetle assemblages (coleoptera: scarabaeinae) in a mountainous tropical landscape of Mexico.
• Low relapse with oral antibiotics and two-stage exchange for late arthroplasty infections in 40 patients after 2-9 years.
• Luteinizing hormone-releasing hormone agonist and transferrin functionalizations enhance nanoparticle delivery in a novel bovine ex vivo eye model.
• Lymphomatoid granulomatosis of the skin. A new clinocopathologic entity.
• Maternal and obstetric complications of pregnancy are associated with increasing gestational age at term.
• Olmesartan medoxomil plus hydrochlorothiazide for treating hypertension.
• Pathways to suicidality across ethnic groups in Canadian adults: the possible role of social stress.
• [Antidiabetic drugs prescription patterns among a group of patients in Colombia]
• [Bubonic plague in Peru: a multisectorial approach for control]
• [CONTROLLED SURVEY IN GERIATRICS. II. COMPARATIVE STUDY OF 4 THERAPEUTIC AGENTS.]
• [Changing community attitudes through information campaigns]
• [Health and population in Bogota, Columbia]
• [Not Available.]
• [Role of liver biopsy in the diagnosis and management of chronic hepatitis C]
• [Surgical treatment of the aortic coarctation: three-decade experience.]
• [Technical aspects in skeletonization of the internal thoracic artery using an ultrasonic scalpel.]