Identifying the optimal monopolar electrocautery output power in pedicular internal thoracic artery harvesting: 20 or 40 watts?

Basit Öğe Kaydı
dc.authorid0000-0001-9919-8392
dc.authorid0000-0001-6643-9364
dc.authorid0000-0001-6182-5055
dc.authorid0000-0002-4565-779X
dc.contributor.authorAta, Emin Can
dc.contributor.authorErkanlı Şentürk, Gözde
dc.contributor.authorSaygı, Halil İbrahim
dc.contributor.authorUlukan, Mustafa Özer
dc.contributor.authorUğurlucan, Murat
dc.contributor.authorErkanlı, Korhan
dc.contributor.authorBeyaz, Metin Onur
dc.contributor.authorYıldız, Erkan
dc.date.accessioned2022-11-28T12:25:42Z
dc.date.available2022-11-28T12:25:42Z
dc.date.issued2022
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kalp ve Damar Cerrahisi Ana Bilim Dalı
dc.description.abstractBACKGROUND: Monopolar electrocautery is an important tool for harvesting the pedicular internal thoracic artery (ITA) in cardiac surgery. The different power outputs of cautery may affect graft integrity and long-term patency. This study aimed to identify the optimal threshold of electrocautery power for ITA harvest. METHODS: This prospective study included 30 patients who underwent elective coronary artery bypass surgery at the Medipol Mega University Hospital. The ITA was harvested by monopolar electrocautery after a median sternotomy. The output of cautery was adjusted at 20 W in group A and 40 W in group B. Three to 4 cm of a distal ITA sample from each patient was examined under a light microscope by two independent pathologists. RESULTS: The ITA harvest time was longer in group A (21.2 ± 7.5 vs 10.3 ± 8.1 min, p < 0.001) than in group B. ITA free flow was similar in the two groups (43.6 ± 48.7 vs 51.7 ± 45.0 Ml/min, p = 0.762). Mild to moderate injury in the endothelial and sub-endothelial sample was more frequent in the low-cautery group (p = 0.0037). CONCLUSIONS: ITA endothelial integrity was found to be better preserved with 40W electrocautery. Moreover, 20W of monopolar electrocautery may not be safe in pedicular ITA harvesting.
dc.identifier.citationAta, E. C., Erkanlı Şentürk, G., Saygı, H. İ., Ulukan, M. Ö., Uğurlucan, M., Erkanlı, K. ... Yıldız, E. (2022). Identifying the optimal monopolar electrocautery output power in pedicular internal thoracic artery harvesting: 20 or 40 watts? Cardiovascular Journal of Africa, 33(5), 243-247. https://doi.org/10.5830/CVJA-2022-005
dc.identifier.doi10.5830/CVJA-2022-005
dc.identifier.endpage247
dc.identifier.issn1995-1892
dc.identifier.issn1680-0745
dc.identifier.issue5
dc.identifier.pmid35211717
dc.identifier.scopus2-s2.0-85141890749
dc.identifier.scopusqualityQ3
dc.identifier.startpage243
dc.identifier.urihttps://doi.org/10.5830/CVJA-2022-005
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10040
dc.identifier.volume33
dc.identifier.wos000761291500001en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorUlukan, Mustafa Özer
dc.institutionauthorUğurlucan, Murat
dc.institutionauthorErkanlı, Korhan
dc.institutionauthorYıldız, Erkan
dc.language.isoen
dc.publisherNLM (Medline)
dc.relation.ispartofCardiovascular Journal of Africaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectCoronary Artery Bypass
dc.subjectElectrocautery
dc.subjectEndothelial Injury
dc.subjectInternal Thoracic Artery
dc.titleIdentifying the optimal monopolar electrocautery output power in pedicular internal thoracic artery harvesting: 20 or 40 watts?
dc.typeArticle

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
Ulukan-Mustafa-2022.pdf
Boyut:
3.81 MB
Biçim:
Adobe Portable Document Format
Açıklama:
Tam Metin / Full Text
İndir
Lisans paketi
Listeleniyor 1 - 1 / 1
Küçük Resim Yok
İsim:
license.txt
Boyut:
1.44 KB
Biçim:
Item-specific license agreed upon to submission
Açıklama:
İndir

Koleksiyon

Makale Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu