Document Detail


Postoperative chest radiographic changes after on- and off-pump coronary surgery.
MedLine Citation:
PMID:  16038697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: A variety of chest radiograph abnormalities are recognized after coronary artery bypass grafting (CABG). This study analyzes the appearance of preoperative and postoperative chest radiographs in two groups of patients undergoing myocardial revascularization with or without the use of cardiopulmonary bypass (CPB). METHODS: Chest radiographs (preoperative and at 1 day, 6 days and 6 to 8 weeks post operatively) were analyzed according to a detailed protocol in cases of conventional CABG on CPB (n=60) or off-pump coronary artery bypass (OPCAB) (n=60) surgery. On each film 17 different major potential postoperative abnormalities were analyzed. RESULTS: Clinical findings were similar in the two groups. Patients undergoing OPCAB surgery had decreased blood loss, decreased red cell and platelet transfusion, significantly lower intubation time and required less postoperative inotropic support compared with patients undergoing CPB. The CPB group had a significantly higher incidence of left band atelectasis than the OPCAB group (37.6% vs 17.5%, p=0.01) at 6 days postoperatively. There was no other statistically significant difference in any of the 16 remaining major chest radiograph findings between the two groups. CONCLUSION: Although OPCAB surgery is associated with improved clinical outcome compared with conventional CABG surgery, the analysis of postoperative chest radiographs demonstrated only a minor benefit as shown by a reduced degree of left band atelectasis in the OPCAB group.
Authors:
P Narayan; M Caputo; J Jones; S Al-Tai; G D Angelini; P Wilde
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical radiology     Volume:  60     ISSN:  0009-9260     ISO Abbreviation:  Clin Radiol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-25     Completed Date:  2005-09-06     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  1306016     Medline TA:  Clin Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  693-9     Citation Subset:  IM    
Affiliation:
Bristol Heart Institute, Bristol Royal Infirmary, Bristol, UK.
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MeSH Terms
Descriptor/Qualifier:
Aged
Blood Loss, Surgical
Blood Transfusion
Chi-Square Distribution
Coronary Artery Bypass
Coronary Artery Bypass, Off-Pump*
Coronary Disease / radiography,  surgery*
Female
Follow-Up Studies
Humans
Intensive Care
Lung / radiography*
Male
Middle Aged
Pulmonary Atelectasis / radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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