None listed
Conditions
Brief summary
The aim of this project is to determine the best way to harvest an artery that is commonly used in cardiac surgery from behind the chest bone to allow best possible result.
Interventions
Patients having bilateral internal thoracic artery harvest for coronary bypass will be randomized to having one side dissected pedicled (artery and veins) or skeletonized (artery only) to determine if a method provides superior flow.
Both arms of the study require diathermy dissection of the mammary artery of the chest wall and clipping of the branches of the artery. The two techniques differ as the pedicled approach involves clipping of the branches of both the mammary veins and artery and di
Patients having bilateral internal thoracic artery harvest for coronary bypass will be randomized to having one side dissected pedicled (artery and veins) or skeletonized (artery only) to determine if a method provides superior flow. Both arms of the study require diathermy dissection of the mammary artery of the chest wall and clipping of the branches of the artery. The two techniques differ as the pedicled approach involves clipping of the branches of both the mammary veins and artery and dissecting the mammary artery and veins en bloc from the chet wall while the skeletonized approach involves only clipping and dissection of branches of the mammary artery only and leaving the mammary veins in situ. Both techniques take approximately 30-40 minutes and both techniques are currently in widespread use.
Sponsors
Mr Phillip Hayward
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
No
Inclusion criteria
Patients undergoing cardiac surgery who require use of bilateral internal thoracic arteries for coronary surgery.
Exclusion criteria
Emergency case Haemodynamically unstable patient
Outcome results
None listed