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Journals / Anadolu Kardiyoloji Dergisi / 2008 / Cilt: 8 - Sayı: 5

Plörotomi yapılmaksızın internal torasik arter grefti hazırlanmasının solunum fonksiyonları ve erken dönem iyileşme periyodu üzerine etkileri

The effects of internal thoracic artery preparation with intact pleura on respiratory function and patients' early outcomes

Özge KÖNER
Cenk Eray YILDIZ
Ahmet ÖZKARA
Can Çağlar ERDEM
Kaya SÜZER
Gürkan ÇETİN
Sertaç HAYDIN
Serdar ÇELEBİ
Alican HATEMİ
Murat MERT
Mete GÜRSOY
Pages
368–373
Publication Date
2022-10-10
DOI
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⚡ TL;DR(Too Long; Didn't Read)

The increase in intrapulmonary shunts (Qs/Qt ratio) after the operation was more pronounced in Group 2 patients than in Group 1 patients (p

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Objective & Hypothesis:Objective: Postoperative respiratory functions, arterial blood gases, blood loss and clinical outcome following coronary artery bypass surgery (CABG) were assessed in a prospective randomized single-blind (patient- blind) clinical study comparing two different techniques of internal thoracic artery (ITA) harvesting.
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Key Findings & Data:In a Group 1 (n=26) ITA was prepared keeping the pleura intact and in a Group 2 (n=28) pleura was opened.
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Conclusion & Impact:The increase in intrapulmonary shunts (Qs/Qt ratio) after the operation was more pronounced in Group 2 patients than in Group 1 patients (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Postoperative respiratory functions, arterial blood gases, blood loss and clinical outcome following coronary artery bypass surgery (CABG) were assessed in a prospective randomized single-blind (patient- blind) clinical study comparing two different techniques of internal thoracic artery (ITA) harvesting. Methods: Fifty-four patients admitted for CABG were allocated into two groups according to ‘random numbers’ technique. In a Group 1 (n=26) ITA was prepared keeping the pleura intact and in a Group 2 (n=28) pleura was opened. Both groups were compared in terms of postoperative respiratory functions, arterial blood gases, bleeding and clinical outcomes using ANOVA for repeated measurements analysis.Results: Analysis of spirometric and partial oxygen pressure data showed that postoperative reductions in forced expiratory volume (0.17±0.18 lt vs. 0.28±0.14 lt, p=0.016), forced vital capacity (0.18±0.19 lt vs. 0.28±0.13 lt, p=0.037) and arterial oxygen measurements (-0.03±0.22 mmHg vs. 0.15±0.4 mmHg, p=0.023) were less pronounced in patients of Group 1 as compared with patients of Group 2. The increase in intrapulmonary shunts (Qs/Qt ratio) after the operation was more pronounced in Group 2 patients than in Group 1 patients (p

Özet

Amaç: Koroner arter baypas greftleme uygulanan hastalarda internal torasik arterin (ITA) iki ayrı teknikle hazırlandığı iki hasta grubunda postoperatif solunum fonksiyonları, arteryel kan gazları, kanama miktarı ve klinik seyir prospektif randomize tek kör (hasta kör) çalışmada karşılaştırıldı. Yöntemler: Kurumumuza KABG için başvuran ve çalışma koşullarını karşılayan 54 hasta randomize numaralama yöntemiyle iki gruba ayrıldı. Grup 1’de (n=26) ITA; plevra açılmadan, grup 2’de (n=28) plevra açılarak hazırlandı. İki grup postoperatif solunum fonksiyonları, arteryel kan gazları, kanama miktarı ve klinik seyir açısından grup içi ve gruplar arasında preoperatif ve postoperatif olarak farklar açısından “ANOVA for repeated measurements” analizi ile istatistiksel olarak kıyaslandı. Bulgular: Spirometrik ölçümler ve parsiyewl oksijen basıncı verileri zorlu ekspiratuvar volüm (0.17±0.18 lt; 0.28±0.14 lt, p=0.016), zorlu vital kapasite (0.18±0.19 lt; . 0.28±0.13 lt, p=0.037), ve arteryel oksijen basınçları (-0.03±0.22 mmHg; 0.15±0.4 mmHg, p=0.023) değerlerinde postoperatif değerlerde preoperatif ölçümlere göre düşüşün Grup 1 hastalarında Grup 2’ye göre daha az belirgin olduğunu gösterdi. Postoperatif 24. saat ortalama QS/Qt değerleri Grup 2’de Grup 1’e göre daha yüksekti (0.100±0.063; 0.054±0.048, p=0.001). Radyolojik değerlendirme kostofrenik sinüs kapanmasının Grup 2 hastalarında (14/28 hasta) Grup 1‘e göre (0/26) daha sık görüldüğünü ortaya koydu (p

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Cite This Article

KÖNER, Ö., YILDIZ, C. E., ÖZKARA, A., ERDEM, C. Ç., SÜZER, K., ÇETİN, G., HAYDIN, S., ÇELEBİ, S., HATEMİ, A., MERT, M., GÜRSOY, M. (2022). Plörotomi yapılmaksızın internal torasik arter grefti hazırlanmasının solunum fonksiyonları ve erken dönem iyileşme periyodu üzerine etkileri. Anadolu Kardiyoloji Dergisi, Cilt: 8 - Sayı: 5, 368–373. https://ajindex.com/articles/437069

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