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Journals / Koşuyolu Heart Journal / 2018 / Cilt: 21 - Sayı: 1

The Effect of Pump on Early Postoperative Mortality and Cerebrovascular Accident in Coronary Bypass Surgery Patients

Açık Kalp Cerrahisinde, Pompanın Erken Postoperatif Mortalite ve Serebrovasküler Olay Üzerine Etkisi

Fatih AYGÜN
Mehmet ÖZÜLKÜ
Pages
9–15
Publication Date
2018-04-01
DOI
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The rates of cerebral accidents (2.4% vs. 2.1%) and deaths (1.8% vs. 1%) have the same ratios and are not statistically significant in on-pump CABG surgeries compared with off-pump CABG surgeries.

📌 3 Key Takeaways

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Objective & Hypothesis:Introduction: This study investigated the mortality rates during the postoperative early period (one month) in patients who underwent on- or off-pump coronary artery bypass grafting (CABG) and explored the effects of cardiopulmonary bypass (CPB) on early mortality and cerebral accident.
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Key Findings & Data:Patients and Methods: This study comprises a total of 260 subjects that underwent CABG surgery in our clinic.
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Conclusion & Impact:Conclusion: The rates of cerebral accidents (2.4% vs. 2.1%) and deaths (1.8% vs. 1%) have the same ratios and are not statistically significant in on-pump CABG surgeries compared with off-pump CABG surgeries.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Koroner arter hastalığı · koroner arter baypas operasyonu · off pump koroner arter baypas operasyonu

Abstract

Introduction: This study investigated the mortality rates during the postoperative early period (one month) in patients who underwent on- or off-pump coronary artery bypass grafting (CABG) and explored the effects of cardiopulmonary bypass (CPB) on early mortality and cerebral accident. Patients and Methods: This study comprises a total of 260 subjects that underwent CABG surgery in our clinic. Patients who underwent CABG were grouped according to two different surgical techniques: the first group (Group 1) consisted of patients who underwent CABG using CPB and cross-clamp (on-pump); the second group (Group 2) consisted of patients who underwent CABG by beating heart (off-pump) technique. Proximal anastomoses were performed using side clamps in all cases. Results: Postoperative follow-up was conducted on patients until Day 30 for mortality. We encountered four dead cases and six cerebrovascular accidents. Conclusion: The rates of cerebral accidents (2.4% vs. 2.1%) and deaths (1.8% vs. 1%) have the same ratios and are not statistically significant in on-pump CABG surgeries compared with off-pump CABG surgeries.

Özet

Giriş: Bu çalışma, son gelişmelerle pompalı/pompasız koroner arter baypas grafting (KABGO) uygulanan hastalarda, postoperatif erken dönemde (bir ayda), kardiyopulmoner baypas (KPB)'ın erken mortalite ve serebral olay üzerine etkileri araştırıldı. Hastalar ve Yöntem: Çalışmamız, kliniğimizde koroner arter baypas greftleme ameliyatı yapılan toplam 260 olguyu içermektedir. KABGO uygulanan hastalar iki farklı cerrahi tekniğe göre gruplandırıldı. Birinci grup (Grup 1), CPB ve X klemp (on-pump) kullanılarak KABGO uygulanan hastalardan oluştu. İkinci grup (Grup 2), atan kalp (off-pump) tekniği ile KABGO uygulanan hastalardan oluştu. Proksimal anastomozlar tüm olgularda yan klemp kullanılarak yapıldı. Bulgular: Hastalar postoperatif otuzuncu güne kadar mortalite açısından takip edildi. Dört ölüm olgusu ve altı serebrovasküler olayla karşı karşıya kaldık. Sonuç: On-pump KABGO ameliyatlarında off-pump KABGO ameliyatlarına kıyasla serebral kaza oranları (%2.4’e karşı %2.1) ve ölüm (%1’e karşı %1.8) benzer oranda görülürken istatistiksel olarak anlamlı değildir.

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Cite This Article

AYGÜN, F., ÖZÜLKÜ, M. (2018). The Effect of Pump on Early Postoperative Mortality and Cerebrovascular Accident in Coronary Bypass Surgery Patients. Koşuyolu Heart Journal, Cilt: 21 - Sayı: 1, 9–15. https://ajindex.com/articles/63893

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References (11)

  1. Beckermann J, Van Camp J, Li S, Wahl SK, Collins A, Herzog CA. On-pump versus off-pump coronary surgery outcomes in patients requiring dialysis: perspectives from a single center and the United States experience. J Thorac Cardiovasc Surg 2006;131:1261-6
  2. Diegeler A, Hirsch R, Schneider F, Schilling LO, Falk V, Rauch T, et al. Neuromonitoring and neurocognitive outcome in off-pump versus conventional coronary bypass operation. Ann Thorac Surg 2000;69:1162-6
  3. Bucerius J, Gummert JF, Walther T, Schmitt DV, Doll N, Falk V, et al. On-pump versus off-pump coronary artery bypass grafting: impact on postoperative renal failure requiring renal replacement therapy. Ann Thorac Surg 2004;77:1250-6
  4. Puskas J, Williams W, Duke P, Staples JR, Glas KE, Marshall JJ, et al. Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and length of stay: a prospective randomized comparison of two hundred unselected patients undergoing off-pump versus conventional coronary artery bypass grafting. J Thorac Cardiovasc Surg 2003;125:797-808
  5. Mack M, Bachand D, Acuff T, Edgerton J, Prince S, Dewey T, et al. Improved outcomes in coronary artery bypass grafting with beating-heart techniques. J Thorac Cardiovasc Surg 2002;124:598-607
  6. Reiner Z, Catapano AL, Backer GD, Backer GD, Grahem I, Taskinen MR, et al. The Task for the management of dyslipidaemias of th European Society of Cardiology (ESC) and the European Atherosclerosis Society (EAS). Eur Heart J 2011;32:1769-818
  7. Salis S, Mazzanti VV, Merli G, Salvi L, Tedesco CC, Veglia F, et al. Cardiopulmonary bypass duration is an indipendent predictor of morbidity and mortality after cardiac surgery. J Cardiothorac Vasc Anesth 2008;22:814-22
  8. Puskas JD, Williams WH, Mahoney EM, Huber PR, Block PC, Duke PG, et al. Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost, and quality-of-life outcomes. JAMA 2004;291:1841-9
  9. Williams ML, Muhlbaier LH, Schroder JN, Hata JA, Peterson ED, Smith PK, et al. Risk-adjusted short-and long-term outcomes for on-pump versus off-pump coronary artery bypass surgery. Circulation 2005;112(Suppl 9): s366-70
  10. Raja SG, Husain M, Popescu FL, Chudasama D, Daley S, Amrani M. Does off-pump coronary artery bypass grafting negatively impact long-term survival and freedom from reintervention? Biomed Res Int 2013:602871
  11. Dalen M, Ivert T, Holzmann MJ, Sartipy U. Long-ter