Analysis of the factors of planned and emergent use of cardiopulmonary bypass assistance in beating heart coronary artery bypass grafting operations

  • Ie. A. Nastenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • O. O. Zhurba National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • O. K. Nosovets National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • Yu. V. Shardukova National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
  • A. V. Rudenko National M. M. Amosov Institute of Cardiovascular Surgery National Academy of Medical Sciences of Ukraine
Keywords: coronary artery bypass grafting on the beating heart, cardiopulmonary bypass assistance, reducing the risk of acute circulatory disorders

Abstract

With the clinical material of 3958 beating heart CABG, made in 2009–2013, the factors, associated with use of planned and emergent cardiopulmonary bypass (CPB) assistance were considered. It was shown, that the structures of the significant factors in both cases are similar. The factors that may cause the erroneous decisions concerning to operation tactic were established. The necessity of development of computer decision support systems to minimize the risk of emergent use of CPB assistance use was shown.

References

1. Inflammatory response and myocardial injury following coronary artery bypass grafting with or without cardiopulmonary bypass / Czerny M., Baurmer H., Kilo J. et al. // Eur. J. Cardio-thorac. Surg. – 2000. – Vol. 17 (6). – P. 737–742.

2. Puskas J. Presidential Address, 2009. ISMICS Means Innovation. Innovations. – 2009. – Vol. 4. – № 5. – P. 240–247.

3. Off-pump coronary surgery in selected patients: better early outcome but more recurrence of angina? / Caus T., Serйe Y., Marin P., Khairi M., Bakkali A., Guillen J. C., Bonnet J. L., Mйtras D. // Interact Cardiovasc Thorac Surg. – 2005. – Vol. 4 (4). – P. 322–326.

4. On-pump versus off-pump coronary revascularization: evaluation of renal function / Ascione R., Lloyd C. T., Underwood M. J., Gomes W. J., Angelini G. D. // Ann Thorac Surg. – 1999. – Vol. 68 (2). – P. 493–498.

5. Операции на коронарных артериях на работающем сердце без искусственного кровообращения у больных ишемической болезнью сердца / Михеев А. А., Клю-жев В. М., Кариун Н. А. [и др.]. – М. : Медпрактика-М, 2001. – 80 с.

6. The role of gender in coronary surgery / [Justin D. Blasberg] // European Journal of Cardio-thoracic Surgery. – 2011. – Vol. 40. – P. 715–721.

7. Vassiliades T. A. Hemodynamic collapse during off-pump coronary artery bypass grafting / T. A. Vassiliades, J. L. Nielsen, J. L. Lonquist // Ann Thorac Surg. –2002 Jun. – Vol. 73. – № 6. – Р. 1874–1879.

8. Off or on bypass: what is the safety threshold? / A. LIaco [et al.] // Ann Thorac Surg. – 1999 Oct. – Vol. 68, № 4. – Р. 1486–1489.

9. Chowdhury R. Risk factors for conversion to cardiopulmonary bypass during off-pump coronary artery bypass surgery / R. Chowdhury [et al.] // Ann Thorac Surg. – 2012 Jun. – Vol. 93, № 6. – Р. 1936–1941.

10. Predictors of emergency conversion to on-pump during off-pump coronary surgery / A. Hovakimyan [et al.] // Asian Cardiovasc. Thorac. Ann. – 2008 Jun. – Vol. 16, № 3. – Р. 226–230.

11. Morbidity and mortality following conversion from off-pump to on-pump coronary surgery / B. C. Reevess [et al.] // Eur J Cardiothorac Surg. – 2006 Jun. – Vol. 26. – № 6. – P. 941–947.
Published
2016-12-02
How to Cite
Nastenko, I. A., Zhurba, O. O., Nosovets, O. K., Shardukova, Y. V., & Rudenko, A. V. (2016). Analysis of the factors of planned and emergent use of cardiopulmonary bypass assistance in beating heart coronary artery bypass grafting operations. Ukrainian Journal of Cardiovascular Surgery, (3 (26), 22-27. Retrieved from http://cvs.org.ua/index.php/ujcvs/article/view/196
Section
ISCHEMIC HEART DISEASE