Should We Hesitate to Use Skeletonized Bilateral Internal Mammary Artery?
1Department of Cardiovascular Surgery, İstanbul Kent University, İstanbul, Türkiye
Keywords: Coronary artery bypass; bilateral internal mammary artery grafting; sternal wound infections
Objectives: This study aimed to examine the mortality and morbidity associated with skeletonized BIMA use as well as long-term outcomes of the technique.
Patients and Methods: Patients that underwent CABG with or without additional intervention by using skeletonized BIMA in our clinic between the years 2017 and 2021 were included in this study (n=193).
Results: During six-month postoperative follow-up, none of the patients developed deep sternal wound infection in whom BIMA was used. Only ten patients developed skin closure defect at sternal incision line during the first postoperative week; and one of them required revision of the skin incision site. Bacterial growth was not present on sternal incision site cultures of any patients
Conclusion: When long-term outcomes of skeletonized BIMA use are considered, we suggest that surgeons should not hesitate and avoid to use BIMA with the concerns for deep sternal wound infection.