Coronary artery bypass surgery cardiopulmonary bypass: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
|||
| Line 7: | Line 7: | ||
==Cardiopulmonary Bypass in CABG Patients== | ==Cardiopulmonary Bypass in CABG Patients== | ||
===2021 ACA Revascularization Guideline=== | |||
{|class="wikitable" | |||
|- | |||
| colspan="1" style="text-align:center; background:LightGreen"|Class 2a Recommendation, Level of Evidence: B-R <ref name="pmid34895950">{{cite journal| author=Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM | display-authors=etal| title=2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=J Am Coll Cardiol | year= 2022 | volume= 79 | issue= 2 | pages= e21-e129 | pmid=34895950 | doi=10.1016/j.jacc.2021.09.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34895950 }} </ref><ref name="pmid22449296">{{cite journal| author=Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E | display-authors=etal| title=Off-pump or on-pump coronary-artery bypass grafting at 30 days. | journal=N Engl J Med | year= 2012 | volume= 366 | issue= 16 | pages= 1489-97 | pmid=22449296 | doi=10.1056/NEJMoa1200388 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22449296 }} </ref><ref name="pmid29495998">{{cite journal| author=Smart NA, Dieberg G, King N| title=Long-Term Outcomes of On- Versus Off-Pump Coronary Artery Bypass Grafting. | journal=J Am Coll Cardiol | year= 2018 | volume= 71 | issue= 9 | pages= 983-991 | pmid=29495998 | doi=10.1016/j.jacc.2017.12.049 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29495998 }} </ref> | |||
|- | |||
| bgcolor="LightGreen"| When significant [[calcification]] of the [[aorta]] is present, usage of techniques such as [[Off-pump coronary artery bypass surgery|off-pump techniques]] or beating [[heart]] (to avoid [[aorta|aortic]] manipulation) is rational to reduce the [[surgery|perioperative]] [[stroke]] [[incidence]] when performed by experienced [[surgeons]]. | |||
|} | |||
{|class="wikitable" | |||
|- | |||
| colspan="1" style="text-align:center; background:yellow"|Class 2b Recommendation, Level of Evidence: B-R <ref name="pmid34895950">{{cite journal| author=Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM | display-authors=etal| title=2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. | journal=J Am Coll Cardiol | year= 2022 | volume= 79 | issue= 2 | pages= e21-e129 | pmid=34895950 | doi=10.1016/j.jacc.2021.09.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34895950 }} </ref><ref name="pmid29495998">{{cite journal| author=Smart NA, Dieberg G, King N| title=Long-Term Outcomes of On- Versus Off-Pump Coronary Artery Bypass Grafting. | journal=J Am Coll Cardiol | year= 2018 | volume= 71 | issue= 9 | pages= 983-991 | pmid=29495998 | doi=10.1016/j.jacc.2017.12.049 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29495998 }} </ref><ref name="pmid16740529">{{cite journal| author=Al-Ruzzeh S, George S, Bustami M, Wray J, Ilsley C, Athanasiou T | display-authors=etal| title=Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial. | journal=BMJ | year= 2006 | volume= 332 | issue= 7554 | pages= 1365 | pmid=16740529 | doi=10.1136/bmj.38852.479907.7C | pmc=1476725 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16740529 }} </ref><ref name="pmid11955537">{{cite journal| author=Angelini GD, Taylor FC, Reeves BC, Ascione R| title=Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials. | journal=Lancet | year= 2002 | volume= 359 | issue= 9313 | pages= 1194-9 | pmid=11955537 | doi=10.1016/S0140-6736(02)08216-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11955537 }} </ref><ref name="pmid22523305">{{cite journal| author=Houlind K, Kjeldsen BJ, Madsen SN, Rasmussen BS, Holme SJ, Nielsen PH | display-authors=etal| title=On-pump versus off-pump coronary artery bypass surgery in elderly patients: results from the Danish on-pump versus off-pump randomization study. | journal=Circulation | year= 2012 | volume= 125 | issue= 20 | pages= 2431-9 | pmid=22523305 | doi=10.1161/CIRCULATIONAHA.111.052571 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22523305 }} </ref><ref name="pmid23477676">{{cite journal| author=Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E | display-authors=etal| title=Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year. | journal=N Engl J Med | year= 2013 | volume= 368 | issue= 13 | pages= 1179-88 | pmid=23477676 | doi=10.1056/NEJMoa1301228 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23477676 }} </ref> | |||
|- | |||
| bgcolor="yellow"| Utilizing [[Off-pump coronary artery bypass surgery|off-pump surgery]] could be rational for [[patients]] with significant [[Pulmonology|pulmonary disease]] in order to decrease [[surgery|perioperative]] risk when performed by experienced [[surgeons]]. | |||
|} | |||
==References== | ==References== | ||
Revision as of 04:41, 15 September 2022
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Synonyms and keywords:
Overview
Cardiopulmonary Bypass in CABG Patients
2021 ACA Revascularization Guideline
| Class 2a Recommendation, Level of Evidence: B-R [1][2][3] |
| When significant calcification of the aorta is present, usage of techniques such as off-pump techniques or beating heart (to avoid aortic manipulation) is rational to reduce the perioperative stroke incidence when performed by experienced surgeons. |
| Class 2b Recommendation, Level of Evidence: B-R [1][3][4][5][6][7] |
| Utilizing off-pump surgery could be rational for patients with significant pulmonary disease in order to decrease perioperative risk when performed by experienced surgeons. |
References
- ↑ 1.0 1.1 Writing Committee Members. Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM; et al. (2022). "2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines". J Am Coll Cardiol. 79 (2): e21–e129. doi:10.1016/j.jacc.2021.09.006. PMID 34895950 Check
|pmid=value (help). - ↑ Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E; et al. (2012). "Off-pump or on-pump coronary-artery bypass grafting at 30 days". N Engl J Med. 366 (16): 1489–97. doi:10.1056/NEJMoa1200388. PMID 22449296.
- ↑ 3.0 3.1 Smart NA, Dieberg G, King N (2018). "Long-Term Outcomes of On- Versus Off-Pump Coronary Artery Bypass Grafting". J Am Coll Cardiol. 71 (9): 983–991. doi:10.1016/j.jacc.2017.12.049. PMID 29495998.
- ↑ Al-Ruzzeh S, George S, Bustami M, Wray J, Ilsley C, Athanasiou T; et al. (2006). "Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial". BMJ. 332 (7554): 1365. doi:10.1136/bmj.38852.479907.7C. PMC 1476725. PMID 16740529.
- ↑ Angelini GD, Taylor FC, Reeves BC, Ascione R (2002). "Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials". Lancet. 359 (9313): 1194–9. doi:10.1016/S0140-6736(02)08216-8. PMID 11955537.
- ↑ Houlind K, Kjeldsen BJ, Madsen SN, Rasmussen BS, Holme SJ, Nielsen PH; et al. (2012). "On-pump versus off-pump coronary artery bypass surgery in elderly patients: results from the Danish on-pump versus off-pump randomization study". Circulation. 125 (20): 2431–9. doi:10.1161/CIRCULATIONAHA.111.052571. PMID 22523305.
- ↑ Lamy A, Devereaux PJ, Prabhakaran D, Taggart DP, Hu S, Paolasso E; et al. (2013). "Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year". N Engl J Med. 368 (13): 1179–88. doi:10.1056/NEJMoa1301228. PMID 23477676.