Influence of Bicaval Anastomoses on Late Occurrence of Atrial Arrhythmia After Heart Transplantation

Brandt, M.; Harringer, Wolfgang; Hirt, Stephan; Walluscheck, Knut P.; Cremer, Jochen; Sievers, Hans‐H.; Haverich, Axel

doi:10.1016/s0003-4975(97)82822-6

Cited by 76 publications

(50 citation statements)

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“…In a study of 249 patients, Aziz et al report a 19.9% incidence of severe TR in the bOHT group as opposed to 51% for the sOHT group [11]. Since there was evidence that bicaval OHT decreases TR and improves sinus node function [28,29], we used this technique for all patients. If the standard OHT technique had been utilized, the prophylactic TVA might theoretically be of additional benefit.…”

Section: Jeevanandam Et Al Page 9 Of 24mentioning

confidence: 99%

Donor Tricuspid Annuloplasty During Orthotopic Heart Transplantation: Long-Term Results of a Prospective Controlled Study

Jeevanandam

Russell

Mather

et al. 2006

The Annals of Thoracic Surgery

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Section: Jeevanandam Et Al Page 9 Of 24mentioning

confidence: 99%

Donor Tricuspid Annuloplasty During Orthotopic Heart Transplantation: Long-Term Results of a Prospective Controlled Study

Jeevanandam

Russell

Mather

et al. 2006

The Annals of Thoracic Surgery

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“…This can be explained by the preservation of the sinus node integrity when the more recent techniques are used. Also, modifications in the atrial geometry predispose to atrial arrhythmias, as well as to increased internal pressure, since these events prolong the electric conduction time 34,54,55 . An additional risk for arrhytmias are the acute graft rejection episodes 34,56 .…”

Section: Discussionmentioning

confidence: 99%

“…Also, modifications in the atrial geometry predispose to atrial arrhythmias, as well as to increased internal pressure, since these events prolong the electric conduction time 34,54,55 . An additional risk for arrhytmias are the acute graft rejection episodes 34,56 . The severity of arrhythmia is known to be proportional to the severity of rejection 34,56 .…”

Section: Discussionmentioning

confidence: 99%

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O transplante cardíaco biatrial deve ainda ser realizado? Metanálise

Locali¹,

Matsuoka²,

Cherbo³

et al. 2010

Arq. Bras. Cardiol.

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.standard, two other techniques -the total and bicaval transplantation, were developed with the aim of ensuring better anatomical and physiological graft adaptation and better postoperative outcomes [5][6][7][8][9] . In fact, there are evidences in the literature that better results are obtained with the two techniques described more recently [10][11][12][13][14][15][16][17][18][19][20][21] . However, these evidences are weak when considered alone, and thus do not ensure an adequate level of evidence, especially because most of them are from retrospective studies with small case series 11,14,[22][23][24][25] .For this reason, in 2007, Schnoor et al 10 conducted a metaanalysis with the purpose of increasing the statistical power of the evidences that the new techniques are better than the biatrial transplantation 10 . However, these authors excluded retrospective studies from the main assessments; they included the two more recent techniques in a single group and made a limited review of the literature. As such, relevant data may have not been included in the meta-analysis, thus making the evidence incomplete. For this reason, the objective of this study was to determine whether the techniques of total and bicaval heart transplantation are better than the biatrial technique, thus adding to Schnoor et al 10 results. Method Inclusion and exclusion criteria Study selectionProspective controlled studies were included, whether randomized or not. Description of the randomization techiques, masking and patient follow-up, as described in the respective methodology of the studies, were not considered as criteria for inclusion. Retrospective studies including control groups were also included.Studies whose designs did not meet these requirements, like case series and uncontrolled retrospective studies, narrative reviews and systematic reviews of the literature, case reports, letters, brief communications, and experimental animal studies were excluded. Additionally, studies whose results were incomplete, that is, those not reporting information on mean and standard deviation for continuous numeric variables and proportion of events occurred for nominal categorical variables, were also excluded. PatientsNo restrictions were made as to patient gender, age, and ethnicity, or as to the baseline heart diseases that led SummaryThe outcomes of total and bicaval heart transplantation techniques are better than those of the biatrial technique; however, the latter is still considered the gold-standard. The objective of this study was to determine whether the total and bicaval heart transplantation techniques are, in fact, better than the biatrial technique. A systematic review with meta-analysis was carried out. Studies were retrieved from Pubmed™, Lilacs™, Web of Science™, Scirus™, Scopus™, Google Scholar™, and Scielo™ databases, identified by sensitive strategy. Randomized, prospective, and retrospective controlled studies were selected for inclusion. Intra and postoperative parameters were assessed. A total of 11,602 studies were ...

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“…19,22,25,26 The use of the bicaval anastomosis has been shown to decrease the incidence of atrial arrhythmias that occur late after cardiac transplantation, perhaps because of the integrity of the donor right atrium in the bicaval group. 19,22,27 CONCLUSION A permanent pacemaker after heart transplantation may be required in the early postoperative period or much later after the transplant event. Our study and others show a decreased rate of pacemaker use with the bicaval technique when compared with the biatrial method.…”

Section: Discussionmentioning

confidence: 99%