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The Annals of Thoracic Surgery, Vol 54, 947-950, Copyright © 1992 by The Society of Thoracic Surgeons
JM Cunningham, MA Gharavi, R Fardin and RA Meek
Skeletonization of the internal thoracic artery during myocardial
revascularization procedures may provide some degree of protection from
sternal wound infection in diabetic, obese, or pulmonary compromised
patients when both internal thoracic arteries are used as conduits. Prior
descriptions of the technique fail to provide specific details and possible
pitfalls of the dissection. A method of skeletonization that has been used
at the California Center for Cardiothoracic Surgery in more than 1,000
patients is presented in detail. Potential advantages and disadvantages are
discussed.
ARTICLES
Considerations in the skeletonization technique of internal thoracic artery dissection
California Center for Cardiothoracic Surgery, Thousand Oaks.
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