Endothoracic Papaverine Application for Internal Thoracic Artery Harvest
| Autor: | Hakan Karamustafa, H. Tahsin Keceligil, Muzaffer Bahçivan, Fersat Kolbakir |
|---|---|
| Přispěvatelé: | Ondokuz Mayıs Üniversitesi |
| Rok vydání: | 2007 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors Bypass grafting Vasodilator Agents education Endothoracic fascia Coronary Artery Disease Internal thoracic artery Dissection (medical) 030204 cardiovascular system & hematology Anastomosis 03 medical and health sciences 0302 clinical medicine Papaverine medicine.artery medicine Humans Coronary Artery Bypass Mammary Arteries Vascular Patency Aged business.industry Drug Administration Routes Significant difference General Medicine Blood flow Middle Aged medicine.disease Surgery Treatment Outcome 030228 respiratory system Regional Blood Flow Anesthesia Tissue and Organ Harvesting Female Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 15:234-237 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849230701500312 |
| Popis: | This study compared the effects of different methods of papaverine application on free blood flow and harvesting time of the internal thoracic artery for coronary bypass grafting. Patients were randomly divided into 3 groups of 25 each: group 1 had papaverine injected into the endothoracic tissue around the internal thoracic artery before dissection, group 2 had papaverine injected into the periarterial tissues of the internal thoracic artery pedicle, and group 3 had intraluminal papaverine applied retrogradely into the internal thoracic artery. Mean blood flow was 56.3 ± 21.3, 21.1 ± 13.2, and 20.9 ± 9.1 mL · min−1 in groups 1, 2, and 3, respectively, immediately after harvesting. Flow in group 1 was significantly better than that in groups 2 and 3. Immediately before anastomosis, mean flow was 89.8 ± 19.1, 97.6 ± 35.4, and 95.9 ± 19.9 mL · min−1 in groups 1, 2, and 3, respectively, with no significant difference among groups. Internal thoracic artery harvesting times were shorter in group 1 than in groups 2 and 3. Administering papaverine into the endothoracic fascia of the internal thoracic artery bed prior to dissection is a reliable method that facilitates rapid harvesting of the graft without causing trauma and consequent spasm. |
| Databáze: | OpenAIRE |
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