A meta-analysis of computerized tomography scan for reducing complications following repeat sternotomy for cardiac surgery
| Autor: | Raed Azzam, Sanjeevan Sriskandarajah, Daniel J.M. Keenan, Bilal H. Kirmani, Andrew Brazier |
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| Rok vydání: | 2016 |
| Předmět: |
Reoperation
Pulmonary and Respiratory Medicine medicine.medical_specialty Computed Tomography Angiography 030204 cardiovascular system & hematology Aortography 030218 nuclear medicine & medical imaging 03 medical and health sciences Postoperative Complications 0302 clinical medicine Predictive Value of Tests Risk Factors Preoperative Care Odds Ratio Humans Medicine Major complication Cardiac Surgical Procedures Stroke Chi-Square Distribution business.industry Retrospective cohort study Protective Factors medicine.disease Sternotomy Confidence interval Surgery Cardiac surgery Treatment Outcome Meta-analysis Tomography Radiology Cardiology and Cardiovascular Medicine business Perfusion |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 22:472-479 |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivv367 |
| Popis: | Cardiac reoperation carries additional risks compared with surgery in patients who are sternotomy-naïve. To identify if preoperative computerized tomography (CT) can reduce this risk, we performed a systematic review of the literature and meta-analysis. Literature search identified 178 studies of which 4 retrospective cohort studies incorporating 900 patients met inclusion criteria. There were no statistically significant differences in the risk of death, re-entry injury, renal failure or perfusion/ischaemic times. CT scan reduced the risk of stroke by 0.42 [95% confidence interval (CI): 0.19-0.93, P = 0.03] and a composite of major complications by 0.65 (95% CI: 0.47-0.88, P = 0.006). The use of preoperative cross-sectional imaging to reduce the risk of complications following cardiac reoperation is advocated. |
| Databáze: | OpenAIRE |
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