COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY
| Autor: | Hanan Mamdouh Hemead |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Mechanical ventilation
education.field_of_study medicine.medical_specialty Aorta Bypass grafting business.industry medicine.medical_treatment Population Atrial fibrillation General Medicine medicine.disease Revascularization Surgery surgical procedures operative medicine.artery Postoperative results Medicine cardiovascular diseases business education Adverse effect |
| Zdroj: | ALEXMED ePosters. |
| ISSN: | 2682-2636 |
| DOI: | 10.21608/alexpo.2021.56871.1104 |
| Popis: | Assisted by cardiopulmonary machine (CPB), CABG surgery is performed safely with excellent outcomes. Due to the adverse events linked to the CPB, the off-pump CABG becomes an acceptable alternative particularly in patients with calcified proximal aorta. Critics of off-pump CABG often refer to the long learning curve and difficult building cumulative surgical experience. Off-pump CABG has been always a matter of debate. Off-pump CABG becomes highly appealing due to minimal invasiveness of the procedure, suitability to some population and better early outcomes.Aim: This study evaluates the early postoperative outcomes of off-pump CABG compared to on-pump CABG.Subjects& methods:First eligible comers in the period between 2018-2019.The following points were compared between the two groups Amount of bleeding, length of stay, duration of mechanical ventilation, operative time, completion of revascularization, complications; atrial fibrillation, neurological deficits, acute kidney injury.Conclusion:The argument surrounding the potential advantages and safety of the off-pump is difficult to be settled. Off-pump CABG, in the hands of trained surgeons, offers favorable short-term outcomes particularly in patients with complex co-morbidities. It is highly indicated in heavily calcified aorta to avoid the thromboembolic events.The decision should be made on individual basis, taking into consideration the potential long-term adverse outcomes. |
| Databáze: | OpenAIRE |
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