The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages e118-e120 , June 2010

Treatment of deep sternal wound infections after coronary artery bypass grafting by means of injection of platelet gel: An evolving technology

  • Erez Kachel, MD

      Affiliations

    • Division of Cardiac and Vascular Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
    • Corresponding Author InformationAddress for reprints: Erez Kachel, MD, C/o Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Room H410, Toronto, Ontario, Canada M2N 3M5.
    • ,
  • Jeannie Callum, MD

      Affiliations

    • Transfusion Medicine and Tissue Bank, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
    • ,
  • Fuad Moussa, MD

      Affiliations

    • Division of Cardiac and Vascular Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
    • ,
  • Jenette Goldstein, MLT

      Affiliations

    • Transfusion Medicine and Tissue Bank, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
    • ,
  • Stephen Fremes, MD

      Affiliations

    • Division of Cardiac and Vascular Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada

Received 5 February 2009 ,Revised 21 April 2009 ,Accepted 25 April 2009.

References 

  1. Yuen JC, Zhou AT, Serafin D, Georgiade GS. Long-term sequelae following median sternotomy wound infection and flap reconstruction. Ann Plast Surg. 1995;35:585–589
  2. Orenstein A, Kachel E, Zuloff-Shani A, Paz Y, Sarig O, Haik J, et al. Treatment of deep sternal wound infection post open heart surgery by application of activated macrophages suspension. Wound Repair Regen. 2005;13:237–242
  3. Sjögren J, Mokhtari A, Gustafsson R, Malmsjö M, Nilsson J, Ingemansson R. Vacuum-assisted closure therapy for deep sternal wound infections: the impact of learning curve on survival and predictors for late mortality. Int Wound J. 2008;5:216–223
  4. Hom DB, Linzie BM, Huang TC. The healing effects of autologous platelet gel on acute human skin wounds. Arch Facial Plast Surg. 2007;9:174–183
  5. Trowbridge CC, Stammers AH, Woods E, Yen BR, Klayman M, Gilbert C. Use of platelet gel and its effects on infection in cardiac surgery. J Extra Corpor Technol. 2005;37:381–386

 Disclosures: None.

PII: S0022-5223(09)00655-2

doi: 10.1016/j.jtcvs.2009.04.025

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 6 , Pages e118-e120 , June 2010

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