| Elective intraaortic balloon counterpulsation in high-risk off-pump coronary artery bypass grafting. | |
| | |
MedLine Citation:
|
PMID: 16426339 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The beneficial effects of intraaortic balloon pump (IABP) in CABG with cardiopulmonary bypass (CPB) have been reported. However, the benefits of insertion of IABP electively in high-risk off-pump coronary artery bypass grafting (OPCAB) have not been established. Six hundred and twenty-five patients who underwent OPCAB form the study group. High-risk patients fulfilling two or more of the following: left main stem stenosis >70%, unstable angina, and poor left ventricular function, who had elective insertion of IABP preoperatively by the open technique (group I; n = 20) were compared with a similar high-risk group that did not (group II; n = 25). There were no significant differences in risk factors between the two groups (Euroscore 5.68). The mean number of grafts was similar. Postoperatively, there were no significant differences in the need for inotropes, duration of ventilation, arrhythmias, cerebrovascular, gastrointestinal, and infective complications (p = NS). There were no IABP-related complications. Acute renal failure requiring hemofiltration was higher in group II (n = 5; p < 0.05). Four patients (16%) in group II required postoperative IABP. Although intensive care stay was longer in group I (27.6 +/- 15.3 vs. 18.6 +/- 9.1 hours; p < 0.05), patients in group I were discharged earlier from hospital. There was no difference in mortality between the two groups (n = 1 in each group). In high-risk patients undergoing OPCAB, routine preoperative insertion of IABP electively reduces the incidence of acute renal failure. In addition it avoids the need for emergency insertion postoperatively and may result in earlier discharge. |
| | |
Authors:
|
Hunaid A Vohra; Wadih R Dimitri |
Related Documents
:
|
12963199 - Off-pump coronary artery bypass surgery technique for total arterial myocardial revascu... 11403659 - A new intracardiac microaxial pump: first results of a multicenter study. 19682819 - Effects of angiotensin-converting enzyme inhibitor therapy on clinical outcome in patie... 19855269 - High-sensitivity c-reactive protein and plaque composition in patients with stable angi... 1907669 - A regional prospective study of in-hospital mortality associated with coronary artery b... 1520569 - Physiologic capacity of well-developed collaterals in patients with isolated left anter... 15947609 - Treatment of chronic bacterial prostatitis with levofloxacin and ciprofloxacin lowers s... 1955449 - Luque rod instrumentation in the treatment of adolescent idiopathic scoliosis. a compar... 21804509 - Effectiveness of levofloxacin in enteric fever. |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Journal of cardiac surgery Volume: 21 ISSN: 0886-0440 ISO Abbreviation: J Card Surg Publication Date: 2006 Jan-Feb |
Date Detail:
|
Created Date: 2006-01-23 Completed Date: 2006-05-09 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 8908809 Medline TA: J Card Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1-5 Citation Subset: IM |
Affiliation:
|
Department of Cardiothoracic Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Walsgrave Hospital, Coventry, United Kingdom. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Coronary Artery Bypass, Off-Pump
/
methods* Female Follow-Up Studies Humans Intra-Aortic Balloon Pumping* Kidney Failure, Acute / etiology, prevention & control Male Middle Aged Myocardial Contraction Myocardial Ischemia / complications, physiopathology, surgery* Retrospective Studies Risk Factors Treatment Outcome Ventricular Dysfunction, Left / complications, physiopathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Sirolimus-associated heavy proteinuria in a renal transplant recipient: evidence for a tubular mecha...
Next Document: Midterm results of off-pump coronary artery bypass surgery in 136 patients: an angiographic control ...