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The advantage of thick pedicle is not shown in the ITA, in which there is migration in order to perform the dissection using the skeletonized technique. The ITA dissection using the skeletonized technique causes lesser devascularization of the sternum, and is accompanied by a lower incidence of sternal complications in high risk groups, even with use of both ITAs.

Khuri [9], in an editorial published in Circulation, noted there are no non-randomized studies dicionario aurelio 2011 to allow or not to recommend the routine use of ITA removed using skeletonized technique, except the diabetic patients undergoing coronary artery bypass grafting with use of bilateral ITA.

Skeletonized internal thoracic artery is associated with lower rates of mediastinitis in elderly undergoing coronary artery bypass grafting surgery. Rev Dicionario aurelio 2011 Cir Cardiovasc. dicionario aurelio 2011

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Anjos M, Ferreira MB. Influence of the internal-mammary-artery graft on year survival and other cardiac events.

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N Engl J Med. Internal thoracic artery dicionario aurelio 2011 in the elderly patient undergoing coronary artery bypass grafting: J Thorac Cardiovasc Surg. Skeletonized internal thoracic artery harvest reduces pain and dysesthesia and improves sternal perfusion after coronary artery bypass surgery: Routine use of bilateral skeletonized internal thoracic artery grafting: Two internal thoracic artery dicionario aurelio 2011 are better than one.

Retaining perivascular tissue of human saphenous vein grafts protects against surgical and distension-induced damage and preserves endothelial nitric oxide synthase and nitric oxide synthase activity. To skeletonize the internal thoracic artery or not?

Is that the question? Assessing the environmental footprint of manufactured products: A survey of current literature. International Journal of Production Economics, v.

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A blueprint for survival. A review of utopian themes in sustainable development discourse. Sustainable Solutions for Modern Economies. Royal Society of Chemistry, Understanding the complexity of economic, ecolog- ical, and social systems.

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The evolution of sustainability. Journal of Agricultural and Environmental Ethics, v.

Conditions for sustainability of human-environment systems: Global Environmental Change, v. Promoting a coupled human and natural systems approach to addressing conservation in complex mountainous landscapes of Central Asia.

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Frontiers of Earth Science in China, v.