On-pump beating-heart coronary artery bypass grafting after acute myocardial infarction has lower mortality and morbidity

Miyahara, Kazuya; Matsuura, Akio; Takemura, Haruki; Saito, Shu; Sawaki, Shunji; Yoshioka, Teruaki; Ito, Hideki

doi:10.1016/j.jtcvs.2007.10.006

Cited by 60 publications

(72 citation statements)

References 28 publications

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“…The early mortality rate of CABG for AMI is reported to be between 8.2% and 42.6%. [2][3][4][5][6][7] In addition, many patients show delayed cardiac events and cardiac death. In the SHOCK trial for AMI patients with cardiogenic shock, White et al reported that patients treated with CABG had a greater prevalence of diabetes and more severe coronary disease than did those treated with PCI.…”

Section: Introductionmentioning

confidence: 99%

Results of Emergency Coronary Artery Bypass Grafting for Acute Myocardial Infarction: Importance of Intraoperative and Postoperative Cardiac Medical Therapy

Sezai¹,

Hata²,

Yoshitake³

et al. 2012

Ann Thorac Cardiovasc Surg

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Background: The results of emergency coronary artery bypass grafting (CABG) for acute myocardial infarction (AMI) are less than satisfactory, and readmission for cardiac events is common. Methods and Results: 105 patients underwent emergency CABG for AMI. We examined the long-term results of emergency CABG for AMI from the viewpoints of preoperative, intraoperative, and postoperative factors. The operative mortality rate was 11.4%. Risk factors for early death were age ≥80 years, shock, veno-arterial bypass, creatine kinase isoenzyme Mb ≥100 U/L, non-use of a left internal thoracic artery graft and an extracorporeal circulation time ≥120 min. Risk factors for late cardiac events were ejection fraction <40%, non-use of human atrial natriuretic peptide (hANP) therapy, angiotensin II receptor blockers (ARB) and aldosterone blockers, and a 3-month postoperative brain natriuretic peptide level ≥200 pg/ml. Conclusions: Early results of this study are similar to those seen in previous reports, whereas late phase results yield some new and interesting findings. We suggest that intraoperative hANP, and postoperative aldosterone blocker and ARB, following CABG for AMI, will, through control of the renin-angiotensin-aldsterone system, inhibit left ventricular remodelling, reduce the extent of infarction, and improve cardiac function, yielding a favourable long-term prognosis.

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Section: Introductionmentioning

confidence: 99%

Results of Emergency Coronary Artery Bypass Grafting for Acute Myocardial Infarction: Importance of Intraoperative and Postoperative Cardiac Medical Therapy

Sezai¹,

Hata²,

Yoshitake³

et al. 2012

Ann Thorac Cardiovasc Surg

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“…Recently, a novel hybrid procedure of beating heart surgery with the use of CPB to support the systemic circulation but without CA has been used in an increasing number of centres to treat high-risk patients with either poor left ventricular function or recent myocardial infarction [13][14][15][16][17]. Yet, to date, very little data exist as part of a clinical trial to validate this surgical approach.…”

Section: Introductionmentioning

confidence: 99%

On-pump coronary surgery with and without cardioplegic arrest: comparison of inflammation, myocardial, cerebral and renal injury and early and late health outcome in a single-centre randomised controlled trial

Narayan

Rogers

Bayliss

et al. 2011

European Journal of Cardio-Thoracic Surgery

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“…As such, the authors hypothesized that the on-pump beating heart approach eliminates intraoperative global myocardial ischemia compared to the arrested heart that depends on cardioplegia for myocardial protection. In 2008, Miyahara and colleagues compared conventional CABG to PAD-CAB in acute MI patients [11]. The hospital mortality in the PAD-CAB group was superior to the traditional CABG group (2.6% vs. 21.7%) with two additional findings-more patients needed IABP support in the conventional CABG group following revascularization and fewer patients developed post-operative renal insufficiency in the PAD-CAB group.…”

Section: Discussionmentioning

confidence: 99%

Pump-Assisted Beating-Heart Coronary Artery Bypass Grafting: The Pursuit of Perfection

Samuels¹,

Samuels²

2017

J Clin Exp Cardiolog

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Background: The techniques utilized to accomplish Coronary Artery Bypass Grafting (CABG) include the traditional use of cardiopulmonary bypass (CPB) with aortic cross-clamping and cardioplegic arrest to totally OffPump (i.e. OP-CAB) without CPB. The purpose of this report is to describe a hybrid approach-Pump-Assisted Direct CABG (PAD-CAB)--with the aid of CPB without aortic cross-clamping and cardioplegic arrest.

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On-pump beating-heart coronary artery bypass grafting after acute myocardial infarction has lower mortality and morbidity

Cited by 60 publications

References 28 publications

Results of Emergency Coronary Artery Bypass Grafting for Acute Myocardial Infarction: Importance of Intraoperative and Postoperative Cardiac Medical Therapy

Results of Emergency Coronary Artery Bypass Grafting for Acute Myocardial Infarction: Importance of Intraoperative and Postoperative Cardiac Medical Therapy

On-pump coronary surgery with and without cardioplegic arrest: comparison of inflammation, myocardial, cerebral and renal injury and early and late health outcome in a single-centre randomised controlled trial

Pump-Assisted Beating-Heart Coronary Artery Bypass Grafting: The Pursuit of Perfection

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