Title of article :
Comparison of Unstable Hemodynamic Patients Undergoing Coronary Artery Bypass Graft Surgery with on- or off-Pump Methods
Author/Authors :
عليزاده اناركي، كامبيز نويسنده دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي;دانشگاه شهيد بهشتي; , , طبري، معصومه نويسنده دانشگاه علوم پزشكي مشهد Tabari , M , آخوندي ، محسن نويسنده ,
Issue Information :
فصلنامه با شماره پیاپی 0 سال 2014
Abstract :
Introduction: Coronary artery disease (CAD) is the most common type of heart
disease, with a mortality rate of 385,000 person per year in the United States. There
are two main methods for CAD treatments: angioplasty and bypass surgery.
Coronary Artery Bypass Grafting (CABG) is one of the greatest surgical operations
of the 20th century and it is presented as most effective and long?term therapies in
the treatment of ischemic heart disease. There are two different methods of CABG;
on?pump and off?pump. While off?pump CABG is a newer method, it decreases
stroke and maintains higher mental function. We conducted the assessment of
patients’ outcome that underwent on? or off?pump CAGB with hemodynamic
instability.
Materials and Methods: In this cross?sectional study, we evaluated cardiogenic
shock patients with CABG who referred to Ghaem hospital for emergency operation
from January 2012 to November 2013. We collected medical records archive from
this hospital and all patientsʹ information including demographic data, clinical
variables, and past medical history separately. We performed on and off?pump
CABG surgery for the patients. In on pump group, we performed beating on pump
method, without aortic cross clamping.
Results: Twenty?eight patients who underwent CABG in two forms: on?pump and
off?pump were studied. The minimal age of the patients was 34 and the maximal
was 78. Patients’ weight had a range between 60 to 95 kg. The minimum used graft
were two and the maximum were five. Ejection fraction was diversified between
15% (min) and 50% (max). Operation time ranged 1.50 to 5.50 hours. The ICU stay
time was between 2(min) to 11 (max) days. Finally death was occurred in 5(17.9%)
of patients.
Conclusion: Our findings showed that CABG with beating heart could increase the
survival of hemodynamic unstable patients in comparison with off?pump CABG.
Journal title :
Journal of Cardio- Thoracic Medicine
Journal title :
Journal of Cardio- Thoracic Medicine