Awake OPCAB: Initial Experience / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 598-603, 2006.
Article
in Korean
| WPRIM
| ID: wpr-134286
ABSTRACT
BACKGROUND:
High thoracic epidural anesthesia allows awake coronary artery bypass grafting, avoiding the drawbacks of mechanical ventilation and general anesthesia. Materian andMethod:
From April, 2005 to September, 2005, 12 patients were underwent awake coronary artery bypass grafting using high thoracic epidural anesthesia. There were 1 female and 11 male patients, with a mean age of 66+/-6 years. Off pump coronary artery bypass grafting was performed through a median sternotomy using arterial grafts.RESULT:
There were no mortality. Pneumothorax was developed during surgery in 8 patients. Five patients required secondary intubation because of pneumothorax (n=3), bowel herniation (n=1), and hemothorax after chest tube insertion (n=1). Postoperative coronary angiography was performed before discharge in all patients and all the grafts were patent.CONCLUSION:
Our intial experience demonstrated the feasibility of awake off-pump coronary artery bypass grafting. Further study is required to define the indications, advantages and limitations of this strategy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumothorax
/
Respiration, Artificial
/
Chest Tubes
/
Coronary Artery Bypass
/
Mortality
/
Coronary Angiography
/
Transplants
/
Coronary Artery Bypass, Off-Pump
/
Sternotomy
/
Hemothorax
Type of study:
Prognostic study
Limits:
Female
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2006
Type:
Article
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