P3610Comparative analysis of the myocardial impairment between usage of intracoronary shunt and ischemic preconditioning during off-pump coronary artery bypass grafting
نویسندگان
چکیده
منابع مشابه
Regional ischemic preconditioning enhances myocardial performance in off-pump coronary artery bypass grafting.
OBJECTIVES We intended to investigate whether ischemic preconditioning (IP) enhances myocardial performance in patients who undergo off-pump coronary artery bypass grafting (CABG). DESIGN A controlled, randomized, prospective study. SETTING A university hospital. PATIENTS Thirty-two patients with left anterior descending coronary artery (LAD) or two-vessel heart disease (including LAD) wh...
متن کاملTechniques and results of off-pump coronary artery bypass grafting using homemade intracoronary shunt.
BACKGROUND The outcome of the off-pump coronary artery bypass grafting (CABG) is highly dependent on surgical techniques. To overcome problems of intraoperative hemodynamic instability and avoid potential injury to coronary artery arising from occlusive technique, the authors have modified the strategy of performing distal anastomosis by using the authors' homemade intracoronary artery shunt. ...
متن کاملInfluence of intracoronary shunt size on coronary endothelial function during off-pump coronary artery bypass.
OBJECTIVE The insertion of intracoronary shunts during off-pump coronary artery bypass surgery may induce severe endothelial dysfunction in the target arteries. The purpose of this study was to determine the role of the ratio of the shunt diameter to the target artery diameter in the development of endothelial dysfunction and to develop guidelines for selecting the most appropriate shunt size. ...
متن کاملPerfusion flow assessment of coronary shunt during off-pump coronary artery bypass grafting.
BACKGROUND Coronary shunts are widely used to prevent myocardial ischemia during off-pump coronary artery bypass graft (OPCAB) procedures. Although clinical effectiveness has been reported, actual perfusion flow has not been well assessed. The purpose of this study was to evaluate actual shunt flow and its pattern during passive coronary perfusion in clinical OPCAB. METHODS In 15 OPCAB cases,...
متن کاملMyocardial conditioning techniques in off-pump coronary artery bypass grafting
Off-pump coronary artery bypass surgery by avoiding cardioplegic arrest seems to reduce the risk of ischemic myocardial injury. However, even short-term regional ischemic periods, hemodynamic instability and arrhythmias associated with the procedure can be responsible for myocardial damage. Conditioning, a potential cardio-protective tool during on-pump cardiac surgery, has hardly been investig...
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ژورنال
عنوان ژورنال: European Heart Journal
سال: 2018
ISSN: 0195-668X,1522-9645
DOI: 10.1093/eurheartj/ehy563.p3610