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

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dc.authoridUlukan, Mustafa Ozer/0000-0001-9919-8392
dc.contributor.authorAta, Emin Can
dc.contributor.authorSenturk, Gozde Erkanli
dc.contributor.authorSaygi, Halil Ibrahim
dc.contributor.authorUlukan, Mustafa Ozer
dc.contributor.authorUgurlucan, Murat
dc.contributor.authorErkanli, Korhan
dc.contributor.authorBeyaz, Metin Onur
dc.date.accessioned2024-09-18T20:13:21Z
dc.date.available2024-09-18T20:13:21Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
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). Conclusion: ITA endothelial integrity was found to be better preserved with 40W electrocautery. Moreover, 20W of monop-olar electrocautery may not be safe in pedicular ITA harvesting.en_US
dc.identifier.doi10.5830/CVJA-2022-005
dc.identifier.endpage247en_US
dc.identifier.issn1995-1892
dc.identifier.issn1680-0745
dc.identifier.issue5en_US
dc.identifier.pmid35211717en_US
dc.identifier.scopus2-s2.0-85141890749en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage243en_US
dc.identifier.urihttps://doi.org/10.5830/CVJA-2022-005
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9122
dc.identifier.volume33en_US
dc.identifier.wosWOS:000761291500001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherClinics Cardive Publ Pty Ltden_US
dc.relation.ispartofCardiovascular Journal of Africaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcoronary artery bypassen_US
dc.subjectelectrocauteryen_US
dc.subjectendothelial injuryen_US
dc.subjectinternal thoracic arteryen_US
dc.titleIdentifying the optimal monopolar electrocautery output power in pedicular internal thoracic artery harvesting: 20 or 40 watts?en_US
dc.typeArticleen_US

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