Awake OPCAB: Initial Experience / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 598-603, 2006.
Article
Dans Coréen
| WPRIM
| ID: wpr-134287
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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Pneumothorax
/
Ventilation artificielle
/
Drains thoraciques
/
Pontage aortocoronarien
/
Mortalité
/
Coronarographie
/
Transplants
/
Pontage coronarien à coeur battant
/
Sternotomie
/
Hémothorax
Type d'étude:
Étude pronostique
Limites du sujet:
Femelle
/
Humains
/
Mâle
langue:
Coréen
Texte intégral:
The Korean Journal of Thoracic and Cardiovascular Surgery
Année:
2006
Type:
Article
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