Evidence map›Paper›PMID 37947971›Full record

ArticleInfection2024

When surgical option is not provided: a successful multidisciplinary approach to a refractory case of sternal osteomyelitis following coronary surgery.

Giuseppe Gatti, Paola Amato, Franca Dore, Carmelo Crisafulli, Manuel Belgrano, Cristina Maurel, Venera Costantino, Roberto Luzzati, Enzo Mazzaro

Abstract readCase Reports
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In one paragraph

Article in Infection, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Giuseppe GattiDivision of Cardiac Surgery, Cardio-Thoraco-Vascular Department, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), Ospedale di Cattinara, University of Trieste, Via Pietro Valdoni, 7, 34148, Trieste, Italy. gius.gatti@gmail.com.ORCID http://orcid.org/0000-0002-9996-6133
Paola AmatoHyperbaric Medicine Unit, Department of Anesthesia and Intensive Care, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Franca DoreDepartment of Nuclear Medicine, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Carmelo CrisafulliDepartment of Nuclear Medicine, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Manuel BelgranoRadiology Unit, Department of Medicine, Surgery and Health Sciences, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Cristina MaurelDepartment of Infective Diseases, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Venera CostantinoMicrobiology Unit, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Roberto LuzzatiDepartment of Infective Diseases, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), University of Trieste, Trieste, Italy.
Enzo MazzaroDivision of Cardiac Surgery, Cardio-Thoraco-Vascular Department, Azienda Sanitaria Universitaria Giuliano-Isontina (ASUGI), Ospedale di Cattinara, University of Trieste, Via Pietro Valdoni, 7, 34148, Trieste, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSternal osteomyelitis is a major complication of cardiac operations performed through median sternotomy. The surgical treatment, which involves the debridement and removal of whole infected and necrotic tissue is the standard of care, although it is sometimes unachievable. This may occur, for instance, when the infectious-inflammatory process invades the anterior mediastinum and tenaciously incorporates one or more of vital anatomical structures. METHODS AND

resultsAn inoperable case of postoperative sternal osteomyelitis that involved the right ventricle and the right coronary artery, and that was successfully treated using a nonsurgical multidisciplinary approach, is reported here.

conclusionFor highly selected patients with sternal osteomyelitis for whom surgery is a too risky option, an approach including the contribution of various specialists might be a viable way out.

Indexed as

Coronary Artery BypassOsteomyelitisHumansSternumSurgical Wound InfectionDalbavancinHyperbaric oxygen therapyITA harvestingLabeled leukocyte scintigraphySternal osteomyelitis

Identifiers

PMID37947971

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.