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Barriers to the Use of Bilateral Internal Mammary Arteries

Thursday, October 5, 2017

Zamvar, Vipin (2017): Barriers to the Use of Bilateral Internal Mammary Arteries.
CTSNet, Inc. https://doi.org/10.25373/ctsnet.5466532
Retrieved: 20:46, Oct 05, 2017 (GMT)

Vipin Zamvar of the Royal Infirmary of Edinburgh in the UK discusses the barriers that reduce the use of bilateral internal mammary arteries (BIMAs) in coronary artery bypass surgery. Dr Zamvar focuses on the technical challenges inherent in using BIMAs, important aspects of the alternative options, how the political atmosphere influences the techniques surgeons might use, and the level of evidence for BIMA usage. Finally, he presents suggestions for successfully increasing BIMA grafting.

This presentation was originally given during the SCTS Ionescu University program at the 2017 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of SCTS. Please click here for more information on SCTS educational programs.

Comments

Thank you Dr. Zamvar for nice presentation. In situ skeletonization probably helps keeping the microperfusion of sternal bed intact and may benefit by reduction in incidence of deep sternal dehiscence. Skeletonization after harvesting the pedicled IMA graft takes away the advantage.

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