The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 5 , Pages 1154-1162 , May 2007

Hemodynamic effects of vacuum-assisted closure therapy in cardiac surgery: Assessment using magnetic resonance imaging

  • Rainer Petzina, MD

      Affiliations

    • Department of Medicine, Lund University Hospital, Lund, Sweden
    • ,
  • Martin Ugander, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
    • ,
  • Lotta Gustafsson, MD, PhD

      Affiliations

    • Department of Medicine, Lund University Hospital, Lund, Sweden
    • ,
  • Henrik Engblom, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
    • ,
  • Johan Sjögren, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Lund University Hospital, Lund, Sweden
    • ,
  • Roland Hetzer, MD, PhD

      Affiliations

    • German Heart Institute, Berlin, Germany.
    • ,
  • Richard Ingemansson, MD, PhD

      Affiliations

    • Department of Cardiothoracic Surgery, Lund University Hospital, Lund, Sweden
    • ,
  • Håkan Arheden, MD, PhD

      Affiliations

    • Department of Clinical Physiology, Lund University Hospital, Lund, Sweden
    • ,
  • Malin Malmsjö, MD, PhD

      Affiliations

    • Department of Medicine, Lund University Hospital, Lund, Sweden
    • Corresponding Author InformationAddress for reprints: Malin Malmsjö, MD, PhD, Vascular Research, Lund University, BMC A13, SE-221 84 Lund, Sweden.

Received 26 September 2006 ,Revised 2 January 2007 ,Accepted 8 January 2007.

References 

  1. El Oakley RM, Wright JE. Postoperative mediastinitis: classification and management. Ann Thorac Surg. 1996;61:1030–1036
  2. Raudat CW, Pagel J, Woodhall D, et al. Early intervention and aggressive management of infected median sternotomy incision: a review of 2242 open-heart procedures. Am Surg. 1997;63:238–241discussion 241-2
  3. Crabtree TD, Codd JE, Fraser VJ, et al. Multivariate analysis of risk factors for deep and superficial sternal infection after coronary artery bypass grafting at a tertiary care medical center. Semin Thorac Cardiovasc Surg. 2004;16:53–61
  4. Lu JC, Grayson AD, Jha P, et al. Risk factors for sternal wound infection and mid-term survival following coronary artery bypass surgery. Eur J Cardiothorac Surg. 2003;23:943–949
  5. Obdeijn MC, de Lange MY, Lichtendahl DH, de Boer WJ. Vacuum-assisted closure in the treatment of poststernotomy mediastinitis. Ann Thorac Surg. 1999;68:2358–2360
  6. Sjogren J, Gustafsson R, Nilsson J, et al. Clinical outcome after poststernotomy mediastinitis: vacuum-assisted closure versus conventional treatment. Ann Thorac Surg. 2005;79:2049–2055
  7. Conquest AM, Garofalo JH, Maziarz DM, et al. Hemodynamic effects of the vacuum-assisted closure device on open mediastinal wounds. J Surg Res. 2003;115:209–213
  8. Sjögren J, Gustafsson R, Wackenfors A, et al. Effects of vacuum-assisted closure on central hemodynamics in a sternotomy wound model. Interact CardioVasc Thorac Surg. 2004;3:666–671
  9. Pennell DJ, Sechtem UP, Higgins CB, et al. Clinical indications for cardiovascular magnetic resonance (CMR): Consensus Panel report. Eur Heart J. 2004;25:1940–1965
  10. Gustafsson RI, Sjogren J, Ingemansson R. Deep sternal wound infection: a sternal-sparing technique with vacuum-assisted closure therapy. Ann Thorac Surg. 2003;76:2048–2053discussion 2053
  11. Institute of Laboratory Animal Research Commission on Life Sciences NRC. Guide for the care and use of laboratory animals. Washington, DC: National Academy Press; 1996;
  12. Petzina R, Gustafsson L, Mokhtari A, et al. Effect of vacuum-assisted closure on blood flow in the peristernal thoracic wall after internal mammary artery harvesting. Eur J Cardiothorac Surg. 2006;30:85–89
  13. Pennell DJ. Ventricular volume and mass by CMR. J Cardiovasc Magn Reson. 2002;4:507–513
  14. Beerbaum P, Korperich H, Gieseke J, et al. Blood flow quantification in adults by phase-contrast MRI combined with SENSE—a validation study. J Cardiovasc Magn Reson. 2005;7:361–369
  15. Arheden H, Stahlberg F. Blood flow measurements. In:  Higgins CB,  de Roos A editor. MRI and CT of the Cardiovascular System. 2nd ed.. New York, NY: Lippincott; 2006;p. 71–90
  16. Sonometrics Corporation. Sonometrics product information. Available from: http://sonometrics.com/applications_sonovconduct3.html.
  17. Espersen K, Jensen EW, Rosenborg D, et al. Comparison of cardiac output measurement techniques: thermodilution, Doppler, CO2-rebreathing and the direct Fick method. Acta Anaesthesiol Scand. 1995;39:245–251
  18. Arheden H, Holmqvist C, Thilen U, et al. Left-to-right cardiac shunts: comparison of measurements obtained with MR velocity mapping and with radionuclide angiography. Radiology. 1999;211:453–458
  19. Kuehne T, Yilmaz S, Schulze-Neick I, et al. Magnetic resonance imaging guided catheterisation for assessment of pulmonary vascular resistance: in vivo validation and clinical application in patients with pulmonary hypertension. Heart. 2005;91:1064–1069
  20. Razavi R, Hill DL, Keevil SF, et al. Cardiac catheterisation guided by MRI in children and adults with congenital heart disease. Lancet. 2003;362:1877–1882
  21. Bellenger NG, Davies LC, Francis JM, et al. Reduction in sample size for studies of remodeling in heart failure by the use of cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 2000;2:271–278
  22. Pascoe JR, Hiraga A, Hobo S, et al. Cardiac output measurements using sonomicrometer crystals on the left ventricle at rest and exercise. Equine Vet J Suppl. 1999;30:148–152
  23. Wackenfors A, Gustafsson R, Sjogren J, et al. Blood flow responses in the peristernal thoracic wall during vacuum-assisted closure therapy. Ann Thorac Surg. 2005;79:1724–1730discussion 1730-1
  24. Tang SY, Chen SZ, Hu ZH, et al. Influence of vacuum-assisted closure technique on expression of Bcl-2 and NGF/NGFmRNA during wound healing. Zhonghua Zheng Xing Wai Ke Za Zhi. 2004;20:139–142
  25. Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997;38:563–576discussion 577
  26. Jones SM, Banwell PE, Shakespeare PG. Interface dressings influence the delivery of topical negative-pressure therapy. Plast Reconstr Surg. 2005;116:1023–1028

 This study was supported by the Anders Otto Swärds Foundation/Ulrika Eklunds Foundation, Anna Lisa and Sven Eric Lundgrens foundation for medical research, Åke Wiberg Foundation, the M. Bergvall Foundation, the Swedish Medical Association, the Royal Physiographic Society in Lund, the Swedish Medical Research Council, the Crafoord Foundation, the Swedish Heart-Lung Foundation, the Swedish Government Grant for Clinical Research, and the Swedish Hypertension Society.

PII: S0022-5223(07)00143-2

doi: 10.1016/j.jtcvs.2007.01.011

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 5 , Pages 1154-1162 , May 2007

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