Effect of Posterior Pericardiotomy on Early and Late Pericardial Effusion After Valve Replacement

Erdil, Nevzat; Nisanoğlu, Vedat; Koşar, Feridun; Erdil, Feray; Cihan, Haşan Berat; Battaloğlu, Bektaş

doi:10.1111/j.0886-0440.2005.200375.x

Cited by 5 publications

(11 citation statements)

References 13 publications

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“…Of those, 18 were further excluded because they were not pertinent to the design of the meta-analysis or did not meet the explicit inclusion criteria. Nineteen RCTs 11,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] that enrolled 3425 patients eventually were included in the analysis. Patients were divided into 2 groups: those with a posterior pericardial drainage (n ¼ 1723) and control group without (n ¼ 1702).…”

Section: Study Selectionmentioning

confidence: 99%

Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing heart surgery

Gozdek

Pawliszak

Hagner

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

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Section: Study Selectionmentioning

confidence: 99%

Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing heart surgery

Gozdek

Pawliszak

Hagner

et al. 2017

The Journal of Thoracic and Cardiovascular Surgery

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“…В рандомизированном клиническом исследовании N. Erdil и коллеги доказали эффективность ЗП в отно-шении перикардиального выпота у больных с изоли-рованными клапанными вмешательствами. Эффектив-ность в отношении ПОФП в данном исследовании не оценивалась [26]. Также проведены исследования со смешанным составом больных, которым выполнялись как коронарные шунтирования, так и вмешательства на клапанах сердца, однако авторов не интересова-ло влияние ЗП на послеоперационную фибрилляцию предсердий, а только на ПВ [27,28].…”

Section: Discussionunclassified

Efficacy of posterior pericardiotomy in prevention of atrial fibrillation and pericardial effusion after aortic valve replacement: a randomized controlled trial

Kaleda¹,

Болдырев²,

Белаш³

et al. 2017

PKiK

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Aim. Postoperative atrial fibrillation is one of the most frequent complications in cardiac surgery. The aim of this trial was to evaluate the effectiveness of posterior pericardiotomy in the prevention of postoperative atrial fibrillation and pericardial effusion in patients undergoing isolated primary aortic valve replacement. Methods. The trial was approved by the local ethics committee. It included adult patients under 70 y.o. who had signed the informed consent for participation in the study and who were planned to undergo isolated primary aortic valve replacement. Exclusion criteria were a history of atrial fibrillation, hyperthyroidism, amiodarone intake, severe chronic obstructive pulmonary disease, left ventricle ejection fraction less than 30%, the size of the left atrium exceeding 50 mm, active infective endocarditis, the presence of adhesions in the pericardium and/or left pleural cavity and mini-sternotomy. From October 2013 to April 2015 607 patients in our clinic underwent different aortic valve procedures. 507 patients were excluded from the study because of the inclusion and exclusion criteria. The remaining 100 patients were randomized into two groups: 49 patients underwent posterior pericardiotomy and 51 patients made up the control group. In both groups the frequency of postoperative atrial fibrillation, pericardial effusion greater than 5 mm, surgery-discharge time, as well as posterior-pericardiotomy-related complications were studied. Trial number: ISRCTN11129539. Results. There were no deaths, stroke or cardiac tamponade during the postoperative stay. Neither were there any complications associated with the performance of posterior pericardiotomy. The incidence of atrial fibrillation, pericardial effusion and average duration of the postoperative stay were similar in both groups: 16% in posterior pericardiotomy group vs 14% in the control group (p=0.71), 10% in posterior pericardiotomy group vs 12% in the control group (p=0.80) and 12.4±4.3 days in posterior pericardiotomy group vs 11.9±4.1 days in the control group (p=0.27), respectively. Conclusion. The trial did not confirm the effectiveness of posterior pericardiotomy in preventing postoperative atrial fibrillation and pericardial effusion during the in-hospital period after isolated primary aortic valve replacement in low risk patients. However, further investigations are needed.Received 1 December 2016. Accepted 14 February 2017.Funding: The trial was carried out within the dissertation research and according to the research calendar of Kuban State Medical University. There was no additional funding except for the resources allocated for postgraduate scholarships.Conflict of interest: The authors declare no conflict of interest.Author contributions Conception and study design: V.I. Kaleda, K.O. Barbuhatti. Data collection and analysis: V.I. Kaleda, S.Yu. Boldyrev, S.A. Belash, I.I. Yakuba, S.S. Babeshko, I.A. Belan. Drafting the article: V.I. Kaleda. Critical revision of the article: V.I. Kaleda. Final approval of the version to be published: V.I. Kaleda, S.Yu. Boldyrev, S.A. Belash, I.I. Yakuba, S.S. Babeshko, I.A. Belan, K.O. Barbuhatti.Acknowledgements: The authors would like to express their gratitude to Cand. Sci. (Engineering) V.P. Leonov (“Biometrika”) for assistance in statistical data processing.

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“…Pericardial effusion is significantly more common after valve replacement than after coronary artery bypass grafting or other types of heart surgery. We have previously postulated that PP was beneficial for reducing the incidence of early and late pericardial effusions in patients who underwent a valve replacement 5 . After this observation, we have been routinely performing a PP during valve surgery.…”

mentioning

confidence: 99%

“…The efficiency of the PP in reducing the incidence of pericardial effusions and related complications has been well‐established in coronary artery surgery; 3,4 however, the effectiveness of the PP in cardiac valve surgery has been shown recently 5 . PP has significantly decreased the early and late pericardial effusions, with a potential to lead tamponade.…”

mentioning

confidence: 99%

“…The efficiency of the PP in reducing the incidence of pericardial effusions and related complications has been well-established in coronary artery surgery; 3,4 however, the effectiveness of the PP in cardiac valve surgery has been shown recently. 5 PP has significantly decreased the early and late pericardial effusions, with a potential to lead tamponade. Although it is a single case report of a patient who had undergone cardiac valve replacement with PP, documentation of the open pericardial window without any adhesion in the posterior part of the pericardium even three years after the first operation, is an evidence of its functionality.…”

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confidence: 99%

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Effectiveness of Posterior Pericardiotomy After Valve Replacement

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Effect of Posterior Pericardiotomy on Early and Late Pericardial Effusion After Valve Replacement

Cited by 5 publications

References 13 publications

Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing heart surgery

Systematic review and meta-analysis of randomized controlled trials assessing safety and efficacy of posterior pericardial drainage in patients undergoing heart surgery

Efficacy of posterior pericardiotomy in prevention of atrial fibrillation and pericardial effusion after aortic valve replacement: a randomized controlled trial

Effectiveness of Posterior Pericardiotomy After Valve Replacement

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