Off-pump versus on-pump coronary artery revascularization: effects on pulmonary function

Silva, Ana M.R.P. e; Saad, Roberto; Stirbulov, Roberto; Rivetti, Luiz Antonio

doi:10.1510/icvts.2009.229617

Cited by 16 publications

(16 citation statements)

References 14 publications

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“…Other studies previously showed that less invasive surgical approaches to cardiac surgery have advantages over the standard median sternotomy in terms of postoperative pulmonary function and the recovery of pulmonary status [2, 3]. These reports presented similar results to our study.…”

Section: Discussionsupporting

confidence: 91%

“…This would suggest that faster mobilisation and more efficient early recovery of pulmonary function are more likely for patients who have had minimally invasive RT-AVR surgery [3]. …”

Section: Discussionmentioning

confidence: 99%

“…The patients who underwent RT-AVR surgery had less impaired postoperative respiratory function. This was probably due to their chest wall integrity being better preserved in comparison to patients who undergo a median sternotomy [3, 4]. …”

Section: Discussionmentioning

confidence: 99%

“…Reports describing the pulmonary function of patients after conventional or minimally invasive cardiac surgery are infrequent [2, 3]. …”

Section: Introductionmentioning

confidence: 99%

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Respiratory functional status after conventional and minimally invasive aortic valve replacement surgery – a propensity score analysis

Stoliński

Musiał

Plicner

et al. 2017

kitp

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IntroductionReports describing respiratory function of patients after conventional or minimally invasive cardiac surgery are infrequent.AimTo compare pulmonary functional status after conventional (AVR) and after minimally invasive, through right anterior minithoracotomy, aortic valve replacement (RT-AVR).Material and methodsThis was an observational analysis of 212 patients scheduled for RT-AVR and 212 for AVR between January 2011 and December 2014 selected using propensity score matching. Respiratory function based on spirometry examinations is presented.ResultsHospital mortality was 1.4% in RT-AVR and 1.9% in AVR (p = 0.777). Predicted mortality (EuroSCORE II) was 3.2 ±1.1% in RT-AVR and 3.1 ±1.6% in AVR (p = 0.298). Mechanical ventilation time in intensive care unit (ICU) was 7.3 ±3.9 h for RT-AVR and 9.6 ±5.5 h for AVR patients (p < 0.001). Seven days and 1 month after surgery, the reduction of spirometry functional tests was greater in the AVR group than in the RT-AVR group (p < 0.001). Three months after surgery, all spirometry parameters were still reduced and had not returned to preoperative values in both RT-AVR and AVR groups. However, the difference in spirometry values was no longer statistically significant between RT-AVR and AVR groups. Presence of chronic obstructive pulmonary disease and conventional AVR surgical technique were associated with lower values of spirometry parameters after surgery in linear median regression.ConclusionsRespiratory function based on spirometry examinations was less impaired after minimally invasive RT-AVR surgery in comparison to conventional AVR surgery through median sternotomy.

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Section: Discussionsupporting

confidence: 91%

“…This would suggest that faster mobilisation and more efficient early recovery of pulmonary function are more likely for patients who have had minimally invasive RT-AVR surgery [3]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Reports describing the pulmonary function of patients after conventional or minimally invasive cardiac surgery are infrequent [2, 3]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Respiratory functional status after conventional and minimally invasive aortic valve replacement surgery – a propensity score analysis

Stoliński

Musiał

Plicner

et al. 2017

kitp

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“…Guizilini et al [8] demonstrated that patients underwent off-pump surgery had better preservation of pulmonary function when compared to those on-pump. Recently, Silva et al [12] demonstrated that significant deterioration in lung function occurs following either on-and off-pump CABG. However, a greater decrease was found in patients undergoing onpump CABG.…”

Section: Data Expressed As Mean ± Standard Deviation P Values For Comentioning

confidence: 99%

Dreno pleural subxifoide confere menor comprometimento da força muscular respiratória, oxigenação e menor dor torácica após cirurgia de revascularização do miocárdio sem circulação extracorpórea

Cancio¹,

Guizilini²,

Bolzan³

et al. 2012

Rev Bras Cir Cardiovasc

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Dreno pleural subxifoide confere menor comprometimento da força muscular respiratória, oxigenação e menor dor torácica após cirurgia de revascularização do miocárdio sem circulação extracorpórea: estudo controlado randomizado Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after off-pump coronary artery bypass grafting: a randomized controlled trial Abstract Objective: To evaluate respiratory muscle strength, oxygenation and chest pain in patients undergoing off-pump coronary artery bypass (OPCAB) using internal thoracic artery grafts comparing pleural drain insertion site at the subxyphoid region versus the lateral region.Methods: Forty patients were randomized into two groups in accordance with the pleural drain site. Group II (n = 19) -pleural drain exteriorized in the intercostal space; group (SI) (n = 21) chest tube exteriorized at the subxyphoid region. All patients underwent assessment of respiratory muscle strength (inspiratory and expiratory) on the pre, 1, 3 and 5 postoperative days (POD). Arterial blood gas analysis was collected on the pre and POD1. The chest pain sensation was measured 1, 3 and 5 POD.Results: A significant decrease in respiratory muscle strength (inspiratory and expiratory) was seen in both groups until POD5 (P <0.05). When compared, the difference between groups remained significant with greater decrease in the II (P <0.05). The blood arterial oxygenation fell in both groups (P <0.05), but the oxygenation was lower in the II (P <0.05). Referred chest pain was higher 1, 3 and 5 POD in the II group (P <0.05). The orotracheal intubation time and postoperative length of hospital stay were higher in the II group (P <0.05).Conclusion: Patients submitted to subxyphoid pleural drainage showed less decrease in respiratory muscle strength, better preservation of blood oxygenation and reduced thoracic pain compared to patients with intercostal drain on early OPCAB postoperative. 104Cancio ASA, et al. -Subxyphoid pleural drain confers lesser impairment in respiratory muscle strength, oxygenation and lower chest pain after off-pump coronary artery bypass grafting: a randomized controlled trial Bras Cir Cardiovasc 2012;27(1):103-9 Rev

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Pulmonary outcomes of off-pump vs on-pump coronary artery bypass grafting: a prospective randomised controlled study

Sayed

Katewa

Agrawal

et al. 2014

Indian J Thorac Cardiovasc Surg

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Off-pump versus on-pump coronary artery revascularization: effects on pulmonary function

Cited by 16 publications

References 14 publications

Respiratory functional status after conventional and minimally invasive aortic valve replacement surgery – a propensity score analysis

Respiratory functional status after conventional and minimally invasive aortic valve replacement surgery – a propensity score analysis

Dreno pleural subxifoide confere menor comprometimento da força muscular respiratória, oxigenação e menor dor torácica após cirurgia de revascularização do miocárdio sem circulação extracorpórea

Pulmonary outcomes of off-pump vs on-pump coronary artery bypass grafting: a prospective randomised controlled study

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