OBJECTIVE Coronary artery bypass grafting is currently the best treatment for dialysis patients with multivessel coronary artery involvement. Vasoplegic syndrome of inflammatory etiology constitutes an important postoperative complication, with highly negative impact on prognosis. Considering that these patients have an intrinsic inflammatory response exacerbation, our goal was to evaluate the ...

BACKGROUND Extracranial-to-intracranial (EC-IC) arterial bypass is a technically demanding procedure used to treat complex cerebral artery diseases. The indications, proper surgical techniques, and outcomes of this procedure have been under debate over the recent decades. METHODS Between January 2004 and December 2012, 28 patients, including patients with cerebral artery occlusion, intracrani...

general concept and major emphasis on off-pump coronary artery bypass surgery (opcab) is maintaining quality of care and patient safety while reducing cost and resource utilization. opcab probably avoids the potential complications of cardiopulmonary bypass. however its acceptance depends on clinical and economic outcome. the aim of this study is to compare clinical and economic outcome of off-...

OBJECTIVE Selected patients appear to benefit from off-pump coronary artery bypass compared with conventional coronary artery bypass with cardiopulmonary bypass. It is unknown whether elderly patients undergoing isolated coronary artery bypass grafting operations derive any benefit when performed off-pump. We hypothesized that off-pump coronary bypass offers a greater operative benefit to elder...

background  : on-pump coronary artery bypass graft (cabg) surgery impairs gas exchange in the early postoperative period. the main object on this study was evaluation of changes in arterial blood gas values in patients underwent on pump cabg surgery receiving different dose of intravenous nitroglycerin (ntg). methods : sixty-seven consecutive patients undergoing elective on-pump cabg randomly e...

abstract background and objectives: patients are oriented towards spirituality after coronary artery bypass grafting (cabg). the aim of this study was to explore the patients’ spiritual experiences after cabg. methods: this qualitative study was conducted using hermeneutic phenomenology. 11 participants (7 males and 4 females) were interviewed in tehran heart center hospital in 2013 using maxim...

background: redo coronary artery bypass grafting surgery (cabg) is associated with a higher risk of mortality than the first operation. however, the impact of percutaneous coronary intervention (pci) on the outcome in such patients is currently unclear. we evaluated the in-hospital and six-month clinical outcomes of post-cabg patients who underwent pci in our center. methods: between april 2008...

iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication . we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. she was intubated  and resuscitated with an epinephrine infus...

background : postoperative neurological injuries, including cognitive dysfunction, sleep disorder, delirium, and anxiety, are the important consequences of coronary artery bypass graft surgery (cabg). evidence has shown that postoperative sleep disturbance is partly due to disturbed melatonin secretion in the perioperative period. the aim of this study was to evaluate the effect of melatonin on...

at the final stages of a coronary artery bypass graft operation on a 64-year-old man, an experienced physician attempted to insert an intra-aortic balloon pump into the femoral artery via the seldinger technique. however, while the balloon pump was being passed over the guide wire, the latter was completely lost. the guide wire should be held at the tip at all times to prevent passage into the ...