Comparison of intestinal ischemia after on-pump versus off-pump coronary artery bypass grafting surgery
| Autor: | Murat Kurtoğlu, Sedat Karademir, Oguz Aydin, Hacer Serdaroğlu, Mehmet Yildiz, Lütfi Soylu |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Mesenteric ischemia cardiac surgery risk factors complication medicine.medical_treatment complication 030204 cardiovascular system & hematology Article law.invention 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors law Laparotomy Cardiopulmonary bypass medicine Humans cardiovascular diseases Coronary Artery Bypass Aged Retrospective Studies Off-pump coronary artery bypass Aged 80 and over 0303 health sciences 030306 microbiology business.industry Mortality rate General Medicine Middle Aged medicine.disease Surgery Cardiac surgery Mesenteric ischemia surgical procedures operative medicine.anatomical_structure Female Complication business cardiac surgery Artery |
| Zdroj: | Volume: 49, Issue: 1 11-15 Turkish Journal of Medical Sciences |
| ISSN: | 1303-6165 1300-0144 |
| DOI: | 10.3906/sag-1705-131 |
| Popis: | Background/aim Acute mesenteric ischemia (AMI), one of the gastrointestinal system complications, which occurs following cardiac surgery, is challenged in the literature with a diminished incidence of AMI by heart surgery without cardiopulmonary bypass (CPB) or with pulsatile CPB. This study aims to compare the incidence and mortality rate of mesenteric ischemia in a series of consecutive patients undergoing coronary artery bypass grafting (CABG) through on-pump and off-pump techniques. Materials and methods This study included patients who underwent CABG between 1 January 2010 and 31 June 2016. All patients were divided into two groups: Group 1 comprised 6396 CABG patients operated on with the off-pump technique. Group 2 included 1210 patients who received CABG with the on-pump technique. Preoperative data were collected on the studied variables. Postoperative data included the development of intestinal ischemia and in-hospital mortality. Results Of 7606 consecutive CABG patients, a total of 31 (0.4%) developed intestinal ischemia. The incidence of postoperative mesenteric ischemia was 0.28% in Group 1 and 1.07% in Group 2 (P = 0.000). The survival rates after AMI were 61.1% in Group 1 (off-pump) and 7.7% in Group 2 (on-pump) (P = 0.003). Time from the first occurrence of nonspecific GI complaints to laparotomy was similar in the off-pump and on-pump groups and had no effect on mortality. Conclusions With regard to the incidence of mesenteric ischemia and survival after laparotomy, off-pump CABG patients revealed significant improvement compared with those operated on with the on-pump technique. |
| Databáze: | OpenAIRE |
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