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Cardiovascular Function during First 24 Hours after Off-Pump and On-Pump CABG—A Prospective Observational Comparative Study

DOI: 10.4236/wjcs.2023.134007, PP. 71-83

Keywords: Off-Pump CABG, On-Pump CABG, Cardiac Index, Stroke Volume, Left Ventricular Stroke Work Index, Systemic Vascular Resistance Index

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Abstract:

Purpose: Myocardial revascularization by coronary artery bypass grafting (CABG) in ischemic heart disease patients has direct impact on hemodynamic parameters in the immediate post-operative period. The peri-operative cardiovascular functioning is an important determinant for outcome of surgery. In On-Pump CABG (ONCAB), the cardiopulmonary bypass has a negative effect on myocardium. Off-Pump CABG (OPCAB) avoids the effect of CPB but complete revascularization with difficult positioning of heart is technically demanding. This study is aimed to compare the cardiovascular functioning in the immediate post-operative period after OPCAB and ONCAB. Methods: Total 106 patients were operated for CABG from January 2015 to June 2016, of which 75 patients were operated for OPCAB and 31 patients were operated for ONCAB. For the comparison, hemodynamic parameters were measured during anesthesia before surgery, postoperatively after 1 and 4 hours (h) in the ICU, and in the morning after surgery, approximately after 20 h. Results: The time-dependent rise of hemodynamic parameters like Cardiac Output (CO), Cardiac Index (CI), Stroke volume

References

[1]  Lee, J.H., Capdeville, M., Marsh, D., Abdelhady, K., Poostizadeh, A. and Murrell, H. (2002) Earlier Recovery with Beating-Heart Surgery: A Comparison of 300 Patients Undergoing Conventional versus Off-Pump Coronary Artery Bypass Graft Surgery. Journal of Cardiothoracic and Vascular Anesthesia, 16, 139-143.
https://doi.org/10.1053/jcan.2002.31053
[2]  Magee, M.J., Jablonski, K.A., Stamou, S.C., Pfister, A.J., Dewey, T.M., Dullum, M.K., Edgerton, J.R., Prince, S.L., Acuff, T.E., Corso, P.J. and Mack, M.J. (2002) Elimination of Cardiopulmonary Bypass Improves Early Survival for Multivessel Coronary Artery Bypass Patients. The Annals of Thoracic Surgery, 73, 1196-1203.
https://doi.org/10.1016/S0003-4975(01)03587-1
[3]  Niranjan, G., Asimakopoulos, G., Karagounis, A., Cockerill, G., Thompson, M. and Chandrasekaran, V. (2006) Effects of Cell Saver Autologous Blood Transfusion on Blood Loss and Homologous Blood Transfusion Requirements in Patients undergoing Cardiac Surgery on- versus off-Cardiopulmonary Bypass: A Randomised Trial. European Journal of Cardio-Thoracic Surgery, 30, 271-277.
https://doi.org/10.1016/j.ejcts.2006.04.042
[4]  Varghese, D., Yacoub, M.H., Trimlett, R. and Amrani, M. (2001) Outcome of Non-Elective Coronary Artery Bypass Grafting without Cardio-Pulmonary Bypass. European Journal of Cardio-Thoracic Surgery, 19, 245-248.
https://doi.org/10.1016/S1010-7940(01)00583-8
[5]  Kerendi, F., Puskas, J.D., Craver, J.M., Cooper, W.A., Jones, E.L., Lattouf, O.M., Vega, J.D. and Guyton, R.A. (2005) Emergency Coronary Artery Bypass Grafting can be Performed Safely without Cardiopulmonary Bypass in Selected Patients. The Annals of Thoracic Surgery, 79, 801-806.
https://doi.org/10.1016/j.athoracsur.2004.08.010
[6]  Larmann, J. and Theilmeier, G. (2004) Inflammatory Response to Cardiac Surgery: Cardiopulmonary Bypass versus Non-Cardiopulmonary Bypass Surgery. Best Practice & Research, Clinical Anaesthesiology, 18, 425-438.
https://doi.org/10.1016/j.bpa.2003.12.004
[7]  Edmunds, L.H. (2003) Advances in the Heart-Lung Machine after John and Mary Gibbon. The Annals of Thoracic Surgery, 76, S2220-S2223.
https://doi.org/10.1016/j.athoracsur.2003.09.013
[8]  Vedin, J., Jensen, U., Ericsson, A., Bitkover, C., Samuelsson, S., Bredin, F. and Vaage, J. (2003) Cardiovascular Function during the First 24 Hours after Off-Pump Coronary Artery Bypass Grafting—A Prospective, Randomized Study. Interactive Cardiovascular and Thoracic Surgery, 2, 489-494.
https://doi.org/10.1016/S1569-9293(03)00119-1
[9]  Boyd, W.D., Desai, N.D., Del Rizzo, D.F., Novick, R.J., McKenzie, F.N. and Menkis, A.H. (1999) Off-Pump Surgery Decreases Postoperative Complications and Resource Utilization in the Elderly. The Annals of Thoracic Surgery, 68, 1490-1493.
https://doi.org/10.1016/S0003-4975(99)00951-0
[10]  Meharwal, Z.S. and Trehan, N. (2002) Off-Pump Coronary Artery Bypass Grafting in Patients with Left Ventricular Dysfunction. The Heart Surgery Forum, 5, 41-45.
[11]  Louagie, Y., Jamart, J., Broka, S., Collard, E., Scavée, V. and Gonzalez, M. (2002) Off-Pump Coronary Artery Bypass Grafting: A Case-Matched Comparison of Hemodynamic Outcome. European Journal of Cardio-Thoracic Surgery, 22, 552-558.
https://doi.org/10.1016/S1010-7940(02)00400-1
[12]  Hammon, J.W. and Edmunds, L.H. (2003) Extracorporeal Circulation: Organ Damage. In: Cohn, L.H. and Edmunds, L.H., Eds., Cardiac Surgery in the Adult, 2nd Edtion, McGraw-Hill Medical Pub., New York, 361-388.
[13]  Downing, S.W., Savage, E.B., Streicher, J.S., Bogen, D.K., Tyson, G.S. and Edmunds, L.H. (1992). The Stretched Ventricle: Myocardial Creep and Contractile Dysfunction after Acute Nonischemic Ventricular Distention. The Journal of Thoracic and Cardiovascular Surgery, 104, 996-1005.
https://doi.org/10.1016/S0022-5223(19)34684-7
[14]  Zangrillo, A., Landoni, G., Sparicio, D., Benussi, S., Aletti, G., Pappalardo, F., Fracasso, G., Fano, G. and Crescenzi, G. (2004) Predictors of Atrial Fibrillation after Off-Pump Coronary Artery Bypass Graft Surgery. Journal of Cardiothoracic and Vascular Anesthesia, 18, 704-708.
https://doi.org/10.1053/j.jvca.2004.08.005
[15]  Ascione, R., Caputo, M., Calori, G., Lloyd, C.T., Underwood, M.J. and Angelini, G.D. (2000) Predictors of Atrial Fibrillation after Conventional and Beating Heart Coronary Surgery: A Prospective, Randomized Study. Circulation, 102, 1530-1535.
https://doi.org/10.1161/01.CIR.102.13.1530
[16]  Archbold, R.A. and Curzen, N.P. (2003) Off-Pump Coronary Artery Bypass Graft Surgery: The Incidence of Postoperative Atrial Fibrillation. Heart, 89, 1134-1137.
https://doi.org/10.1136/heart.89.10.1134
[17]  Raja, S.G., Behranwala, A.A. and Dunning, J. (2004) Does off-Pump Coronary Artery Surgery Reduce the Incidence of Postoperative Atrial Fibrillation? Interactive Cardiovascular and Thoracic Surgery, 3, 647-652.
https://doi.org/10.1016/j.icvts.2004.07.016
[18]  Athanasiou, T., Aziz, O., Mangoush, O., Al-Ruzzeh, S., Nair, S., Malinovski, V., Casula, R. and Glenville, B. (2004) Does Off-Pump Coronary Artery Bypass Reduce the Incidence of Post-Operative Atrial Fibrillation? A Question Revisited. European Journal of Cardio-Thoracic Surgery, 26, 701-710.
https://doi.org/10.1016/j.ejcts.2004.05.053
[19]  Athanasiou, T., Aziz, O., Mangoush, O., Weerasinghe, A., Al-Ruzzeh, S., Purkayastha, S., Pepper, J., Amrani, M., Glenville, B. and Casula, R. (2004) Do Off-Pump Techniques Reduce the Incidence of Postoperative Atrial Fibrillation in Elderly Patients Undergoing Coronary Artery Bypass Grafting? The Annals of Thoracic Surgery, 77, 1567-1574.
https://doi.org/10.1016/j.athoracsur.2003.10.040
[20]  Angelini, G.D., Taylor, F.C., Reeves, B.C. and 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, 1194-1199.
https://doi.org/10.1016/S0140-6736(02)08216-8
[21]  Selvanayagam, J.B., Petersen, S.E., Francis, J.M., Robson, M.D., Kardos, A., Neubauer, S. and Taggart, D.P. (2004) Effects of Off-Pump versus On-Pump Coronary Surgery on Reversible and Irreversible Myocardial Injury: A Randomized Trial Using Cardiovascular Magnetic Resonance Imaging and Biochemical Markers. Circulation, 109, 345-350.
https://doi.org/10.1161/01.CIR.0000109489.71945.BD

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