HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Sotirios N. Prapas Dimitrios A. Protogeros Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Prapas, S. N. Articles by Danou, F. N. Search for Related Content PubMed PubMed Citation Articles by Prapas, S. N. Articles by Danou, F. N. Related Collections Coronary disease Minimally invasive surgery

Eur J Cardiothorac Surg 2007;32:488-492. doi:10.1016/j.ejcts.2007.05.025
Copyright © 2007, European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved

Predictors of prolonged mechanical ventilation following aorta no-touch off-pump coronary artery bypass surgery

^a Department of Cardiac Surgery, Henry Dunant Hospital, Athens, Greece
^b Department of Anesthesia, Henry Dunant Hospital, Athens, Greece

Received 3 March 2007; received in revised form 22 May 2007; accepted 24 May 2007.

^_* Corresponding author. Current address: Department of Cardiothoracic Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Tel.: +20105197377. (Email: ashrafhamid73{at}yahoo.com).

Objective: To identify parameters associated with prolonged mechanical ventilation (PMV) (>48 h) after off-pump coronary artery bypass (OPCAB) in our patient population. Materials and methods: From February 2001 to November 2005, we operated on 1359 patients for isolated coronary revascularization with the -circuit technique, consisting of: (1) beating heart, (2) OPCAB, (3) aorta no-touch, (4) use of composite grafts, and (5) arterial revascularization. Results: From the total number of our patients, 1320 patients had been extubated within 48 h postoperatively (Group A) and 39 patients needed PMV (Group B). In our study we have found that PMV were associated with advanced age (64.74 ± 9.85 Group A vs 68.43 ± 10.03 Group B, p < 0.02) as well as higher incidence with octogenarians (4.4% Group A vs 10.2% Group B, p = 0.09). Patients with preoperative history of transient ischemic attacks (TIAs) or stroke were more likely to belong to Group B (1.5% Group A vs 7.7% Group B, p < 0.02; 2.8% Group A vs 10.3% Group B, p < 0.02, respectively). Preoperative intra-aortic balloon pump (IABP) insertion was associated with PMV (1.6% Group A vs 15.4% Group B, p < 0.0005). Unexpectedly, neither COPD nor obesity was associated with PMV (4.9% Group A vs 7.7% Group B, p = NS, 21.7% Group A vs 23.1% Group B, p = NS, respectively). Conclusion: In this study, PMV following aorta no-touch OPCAB was related to preoperative variables: age, octogenarians, preoperative IABP, TIA, and stroke. There was no relation between PMV and any of the operative data.

Key Words: OPCAB • Aorta no-touch • Mechanical ventilation

This article has been cited by other articles:

				S. G. Raja, H. Siddiqui, C. D. Ilsley, and M. Amrani In-hospital outcomes of off-pump multivessel total arterial and conventional coronary artery bypass grafting: single surgeon, single center experience. Ann. Thorac. Surg., July 1, 2009; 88(1): 47 - 52. [Abstract] [Full Text] [PDF]

				R. Bhindi, G. A. Figtree, J. L. Edwards, R. J.L. Brereton, M. Misfeld, D. E. Ross, A. B. Shil, T. Aung, M. P. Strohm, R. F. Bonvini, et al. Percutaneous coronary intervention versus coronary-artery bypass grafting. N. Engl. J. Med., June 18, 2009; 360(25): 2672 - 2673. [Full Text] [PDF]