Intracoronary shunt reduces postoperative troponin leaks: a prospective randomized study

Gürbüz, Ali; Emrecan, Bilgin; Yilik, Levent; Özsöyler, İbrahim; Kestelli, Mert; Özbek, Cengiz; Karahan, Nagihan

doi:10.1016/j.ejcts.2005.11.014

Cited by 25 publications

(20 citation statements)

References 13 publications

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“…We chose intracoronary shunting due to better myocardial protection and smaller postoperative troponin I levels [22]. The flow through each anastomosis was confirmed and quantified by TTF evaluation, and thus the measured parameters included PI and diastolic filling (table 1).…”

Section: Discussionmentioning

confidence: 99%

Does Diabetes Have an Influence on Regional Deformation Parameters in Patients with Normal Systolic Function during Off-Pump Coronary Artery Bypass Grafting?

et al. 2015

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Objectives: The aim of this study was to assess the recovery of regional myocardial function of the left-ventricular septal wall and the septal site of the mitral valve (MV) annulusby tissue Doppler imaging (TDI). Methods: In 63 (32 diabetic and 31 control) patients having off-pump coronary artery bypass grafting (OPCABG), including the left internal mammary artery (LIMA) and the left anterior descending coronary artery (LAD), TDI measurements were performed before operation (baseline), 5 min after LIMA-LAD revascularization (early reperfusion) and after completion of all anastomoses (after revascularization). Results: Compared to the patients with diabetes, the controls had higher peak systolic velocities of the mid septal segments in the early reperfusion measurement (p = 0.002). After revascularization, values of peak systolic strain at the basal (-10.13 vs. -13.36%, p = 0.044) and mid septal segments (-8.25 vs. -12.69%, p = 0.009) were decreased in the diabetic patients compared to the controls. There was no difference between the groups with respect to the velocities acquired at the septal site of the MV annulus. Conclusions: This study demonstrates an insufficient recovery of regional myocardial function in patients with type II diabetes undergoing OPCABG.

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Section: Discussionmentioning

confidence: 99%

Does Diabetes Have an Influence on Regional Deformation Parameters in Patients with Normal Systolic Function during Off-Pump Coronary Artery Bypass Grafting?

et al. 2015

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“…25% of all coronary bypass surgeries are done globally on a beating heart [1][2][3]. An OPCAB (Off-Pump Coronary Artery Bypass) technique is used in 90% of cases at most cardiosurgical centers of the United States and Europe.…”

Section: Introductionmentioning

confidence: 99%

“…Gürbüz et al [1] presented their research, aiming to evaluate the effect of intracoronary shunts on myocardial damage based on cardiac markers during isolated bypassing of the anterior interventricular artery. Forty patients made the study group, and they were divided It is useful to use temporary intracoronary stents to prevent regional ischemia.…”

Section: Usefulness Of Applying Temporary Intracoronary Shunts For Mymentioning

confidence: 99%

“…Many surgeons are certain of the usefulness of intracoronary stents, as long as they allow for more precise bypassing [1][2][3][4][5][6][7][8][9][10]22,23,[25][26][27][28]. The right stunt that fits the corresponding coronary artery ensures hemodynamic and electric myocardial stability, dry surgical field, and prevents the risk of sewing the rear wall of the vessel.…”

Section: The Effectiveness Of Blood Flow In the Intracoronary Shuntmentioning

confidence: 99%

“…Improvement of coronary heart disease (CAD) treatment options, including patients suffering from acute myocardial infarction (AMI), is a pressing issue, in particular in terms of surgical myocardial revascularization techniques [1][2][3][4][5][6][7][8][9][10][11][12][13]. At the moment, coronary angioplasty, involving stenting, and coronary artery bypass graft surgery (CABG) are the basic myocardial revascularization techniques.…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of Applying Temporary Intracoronary Shunts for Myocardial Revascularization

Тодуров¹,

Bitsadze²

2016

Biol Med (Aligarh)

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The latest literature review on application of intracoronary shunts in anastomoses for myocardial revascularization in patients with coronary heart disease has been presented here. Advantages of the use of this technique (continuous myocardial perfusion, improved anastomosis location visualization, unlimited time for bypassing), which minimize any possible complications have been analyzed. B io lo g y and M e d ic in e

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Off-Pump-Koronarrevaskularisation

Rastan

Walther

Falk

et al. 2006

Herz

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Adverse clinical consequences associated with conventional coronary artery bypass surgery (CCAB) have largely been attributed to cardiopulmonary bypass circuit (CPB), hypothermic cardiac arrest, aortic cannulation, and cross-clamping. Consequently, there has been a growing interest in safer alternatives to CCAB including off-pump beating-heart bypass surgery (OPCAB). Initial concerns regarding completeness of revascularization at the lateral wall were addressed by using modern stabilizers and heart positioning devices. First studies tended to be nonrandomized clinical reports rather than controlled clinical trials with the potential risk of unbalanced baseline characteristics leading to biases in favor of OPCAB. Since these early reports, several randomized trials including mixed-risk patient populations have been completed. Most of them failed to reveal superiority of OPCAB concerning mortality and major perioperative morbidity due to statistically underpowered design to detect clinically important but infrequent adverse outcome events. Likewise, in most of the recently published meta-analyses of randomized trials no difference in early mortality, myocardial infarction or stroke rate was found, but OPCAB was superior regarding blood loss, transfusion requirement, rethoracotomy, ventilation time, ICU (intensive care unit) and hospital stay and resource utilization as illustrated in Table 1. Most of the large observational studies comparing OPCAB and CCAB strategies demonstrated a benefit of OPCAB concerning early mortality, myocardial infarction and stroke rate as summarized in Table 2. However, in few published follow-up studies no significant differences concerning recurrence of angina, reintervention rate und late mortality were found. The decision between OPCAB and CCAB has to weigh several factors, including the likely risks and benefits of the two approaches for the particular patient, the experience of the surgeon, the complexity of the coronary disease, and the required coronary revascularization.

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Intracoronary shunt reduces postoperative troponin leaks: a prospective randomized study

Abstract: Intracoronary shunt reduced the postoperative troponin I levels significantly, so it may be indicated in the patients who are thought to be susceptible to transient ischemia.

Cited by 25 publications

References 13 publications

Does Diabetes Have an Influence on Regional Deformation Parameters in Patients with Normal Systolic Function during Off-Pump Coronary Artery Bypass Grafting?

Does Diabetes Have an Influence on Regional Deformation Parameters in Patients with Normal Systolic Function during Off-Pump Coronary Artery Bypass Grafting?

Usefulness of Applying Temporary Intracoronary Shunts for Myocardial Revascularization

Off-Pump-Koronarrevaskularisation

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