{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T04:36:50Z","timestamp":1688099810873},"reference-count":10,"publisher":"Pensoft Publishers","issue":"3","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/share-your-work\/public-domain\/cc0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FM"],"abstract":"<jats:p><jats:bold>Introduction<\/jats:bold>: The internal thoracic artery (ITA) has proven to be the best graft for surgical myocardial revascularization, especially in the configuration left ITA (LITA) to the anterior descending branch of left coronary artery (LAD). Its harvesting is usually accompanied by pleurotomy, followed by drainage tube placement into the pleural cavity, using the so called intrapleural method. Extrapleural technique for LITA harvesting is also practiced in many cardiac surgery centers and with this technique the pleura is left intact.<\/jats:p>\n          <jats:p><jats:bold>Aim<\/jats:bold>: The aim of our study was to investigate the impact of both techniques of LITA harvesting on lung function and incidence of postoperative complications early after operation.<\/jats:p>\n          <jats:p><jats:bold>Materials and methods<\/jats:bold>: We analyzed retrospectively data of 82 operated patients scheduled for surgical myocardial revascularization and meeting certain inclusion and exclusion criteria. The patients were divided into two groups depending on the way LITA was prepared. Lung parameters and incidence of surgical complications were registered in the early postoperative period until day 30.<\/jats:p>\n          <jats:p><jats:bold>Results<\/jats:bold>: The patients from both groups had similar preoperative characteristics and risk factors. Those with preserved pleura showed significantly better results of the studied pulmonary parameters and lower complications event rate during early postoperative follow-up.<\/jats:p>\n          <jats:p><jats:bold>Conclusions<\/jats:bold>: Maintaining the pleura integrity during LITA harvesting is beneficial for lung function and reduces the rate of complications in the early postoperative period.<\/jats:p>","DOI":"10.3897\/folmed.65.e83775","type":"journal-article","created":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T10:57:55Z","timestamp":1688036275000},"page":"415-419","source":"Crossref","is-referenced-by-count":0,"title":["Extrapleural harvesting of the internal thoracic artery \u2013 impact on early postoperative results and pulmonary function"],"prefix":"10.3897","volume":"65","author":[{"given":"Dimitar","family":"Kyuchukov","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stanislava","family":"Stoycheva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gencho","family":"Nachev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2258","published-online":{"date-parts":[[2023,6,30]]},"reference":[{"key":"83775_B1","doi-asserted-by":"crossref","unstructured":"1. Dunning J, Prendergast B, Mackway-Jones K. Towards evidence-based medicine in cardiothoracic surgery: best BETS. Interact Cardiovasc Thorac Surg 2003; 2(4):405\u20139.","DOI":"10.1016\/S1569-9293(03)00191-9"},{"key":"83775_B2","doi-asserted-by":"crossref","unstructured":"2. Noera G, Pensa P, Guelfi P, et al. Extrapleural takedown of the internal mammary artery as a pedicle. Ann Thorac Surg 1991; 52(6):1292\u20134.","DOI":"10.1016\/0003-4975(91)90015-I"},{"key":"83775_B3","doi-asserted-by":"crossref","unstructured":"3. Wimmer-Greinecker G, Yosseef-Hakimi M, Rinne T, et al. Effect of internal thoracic artery preparation on blood loss, lung function, and pain. Ann Thorac Surg 1999; 67(4):1078\u201382.","DOI":"10.1016\/S0003-4975(99)00161-7"},{"key":"83775_B4","unstructured":"4. Iyem H, Islamoglu F, Yagdi T, et al. Effects of pleurotomy on respiratory sequelae after internal mammary artery harvesting. Tex Heart Inst J 2006; 33(2):116\u2013121."},{"key":"83775_B5","doi-asserted-by":"crossref","unstructured":"5. Clark SC. Lung injury after cardiopulmonary bypass. Perfusion 2006; 21(4):225\u20138.","DOI":"10.1191\/0267659106pf872oa"},{"key":"83775_B6","doi-asserted-by":"crossref","unstructured":"6. Atay Y, Yagdi T, Engin C, et al. Effect of pleurotomy on blood loss during coronary artery bypass grafting. J Card Surg 2009; 24(2):122\u20136.","DOI":"10.1111\/j.1540-8191.2008.00715.x"},{"key":"83775_B7","unstructured":"7. Iskesen I, Kurdal A, Yildirim F, et al. Pleura preservation during coronary operation does not have any beneficial effect on respiratory functions. Minerva Chir 2009; 64(4):419\u201325."},{"key":"83775_B8","doi-asserted-by":"crossref","unstructured":"8. Oz BS, Iyem H, Akay H, et al. Preservation of pleural integrity during coronary artery bypass surgery affects respiratory functions and postoperative pain: a prospective study. Can Respir J 2006; 13(3):145\u20139.","DOI":"10.1155\/2006\/682575"},{"key":"83775_B9","unstructured":"9. Ozkara A, Hatemi A, Mert M, et al. The effects of internal thoracic artery preparation with intact pleura on respiratory function and patients\u2019 early outcomes. Anadolu Kardiyol Derg 2008; 8(5):368\u201373."},{"key":"83775_B10","unstructured":"10. Ghavidel A, Noorizadeh E, Pouraliakbar H, et al. Impact of intact pleura during left internal mammary artery harvesting on clinical outcome. J Tehran Heart Cent 2013; 8(1):48\u201353."}],"container-title":["Folia Medica"],"original-title":[],"link":[{"URL":"https:\/\/foliamedica.bg\/article\/83775\/download\/pdf\/","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article\/83775\/download\/xml\/","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/foliamedica.bg\/article_preview.php?id=83775&skip_redirect=1","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,29]],"date-time":"2023-06-29T10:58:04Z","timestamp":1688036284000},"score":1,"resource":{"primary":{"URL":"https:\/\/foliamedica.bg\/article\/83775\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,30]]},"references-count":10,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,6,30]]}},"URL":"https:\/\/doi.org\/10.3897\/folmed.65.e83775","relation":{},"ISSN":["1314-2143","0204-8043"],"issn-type":[{"value":"1314-2143","type":"electronic"},{"value":"0204-8043","type":"print"}],"subject":[],"published":{"date-parts":[[2023,6,30]]}}}