Lymphatic complications after harvesting venous conduits in coronary artery bypass grafting surgery

Complications associated with the disorders of lymphatic outflow in the lower extremities are common in cardiovascular surgery involving the isolation of venous conduits and interventions on the femoral vessels. Despite the relatively low frequency, treatment of these complications requires significant efforts and does not always yield the expected results whereas timely diagnosis of lymphatic drainage disorders is often difficult. This becomes the reason for repeated hospitalizations, surgical interventions, long hospital stays, and disabilities. However, the problem of lymphatic complications is still not getting enough attention. This article discusses the pathogenesis, predictors of lymphatic complications, and the options and approaches to their treatment and diagnosis.

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Faculty Opinions recommendation of Effects of Preoperative β-Blocker Use on Clinical Outcomes after Coronary Artery Bypass Grafting: A Report from the Japanese Cardiovascular Surgery Database.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725891093.793512752 ◽

2015 ◽

Author(s):

Thomas Slaughter

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Clinical Outcomes ◽

Coronary Artery Bypass ◽

Cardiovascular Surgery ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Β Blocker

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PREDICTORS OF NEUROLOGICAL COMPLICATIONS AFTER CARDIAC SURGICAL INTERVENTIONS IN OLDERY PATIENTS

Успехи геронтологии ◽

10.34922/ae.2020.33.2.014 ◽

2020 ◽

pp. 319-324

Author(s):

О. В. Каменская ◽

А. С. Клинкова ◽

В. В. Ломиворотов ◽

В. А. Шмырев ◽

А. М. Чернявский

Keyword(s):

Intraoperative Monitoring ◽

Cerebral Oxygenation ◽

Artery Bypass ◽

Neurological Complications ◽

Myocardial Infarctions ◽

Bypass Grafting ◽

Surgical Interventions ◽

Increased Risk ◽

History Of ◽

Left And Right

Для выявления предикторов неврологических осложнений в госпитальный период после коронарного шунтирования (КШ) проанализированы данные 92 больных 70 лет и старше с ИБС. Интраоперационно проведен мониторинг церебральной оксигенации ( rSO , %). На этапе вводной анестезии средний уровень rSO по правому и левому полушариям составлял 64-65% без значительных изменений во время операции. Снижение rSO во время искусственного кровообращения (ИК) связано с увеличением риска развития неврологических осложнений в раннем послеоперационном периоде. При снижении rSO во время ИК на 20% и более относительно исходных значений по левому и правому полушариям риск неблагоприятных неврологических событий возрастает в 7 и 9 раз соответственно. Два и более инфаркта миокарда в анамнезе в 3 раза увеличивают риск неврологических осложнений после КШ. To identify predictors of neurological complications in the hospital period after coronary artery bypass grafting (CABG), 92 patients with coronary heart disease aged 70 years and over were analyzed. Intraoperative monitoring of cerebral oxygenation ( rSO , %) was carried out. At the stage of induction anesthesia, the average level of rSO for left and right hemispheres was 64-65 % without signiﬁcant changes during the operation. A decrease in rSO during cardiopulmonary bypass (CPB) was associated with increased risk of neurological complications. The risk of neurological complications increase 7-fold and 9-fold with a decrease in rSO by 20 % or more during CPB relative to baseline for left and right hemispheres, respectively. A history of two or more myocardial infarctions increases 3-fold the risk of neurological complications after CABG.

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Use of Quality of Life in Cardiovascular Surgery in Coronary Artery Bypass Grafting: Validation, Reproducibility, and Quality of Life in One Year of Follow-Up

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2019.03.012 ◽

2019 ◽

Vol 108 (3) ◽

pp. 764-769 ◽

Cited By ~ 1

Author(s):

Marina Macedo Kuenzer Bond ◽

Jenny Lourdes Rivas de Oliveira ◽

Pedro Silvio Farsky ◽

Vivian Lerner Amato ◽

Arturo Adrian Jara ◽

...

Keyword(s):

Quality Of Life ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Coronary Artery Bypass ◽

Cardiovascular Surgery ◽

Artery Bypass ◽

Bypass Grafting ◽

One Year

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Off-pump versus on-pump redo coronary artery bypass grafting: a systematic review and meta-analysis

Perfusion ◽

10.1177/0267659120960310 ◽

2020 ◽

pp. 026765912096031

Author(s):

Pengbin Zhang ◽

Liping Wang ◽

Kerong Zhai ◽

Jian Huang ◽

Weifan Wang ◽

...

Keyword(s):

Intensive Care Unit ◽

Mechanical Ventilation ◽

Intensive Care ◽

Meta Analysis ◽

Artery Bypass ◽

Transfusion Rate ◽

Bypass Grafting ◽

Off Pump ◽

Operative Complications ◽

Hospital Stays

Background: Redo coronary artery bypass grafting (redo CABG) is associated with increased mortality and morbidity. The aim of this study was to systematically evaluate the evidence comparing the outcomes of off-pump with on-pump redo CABG. Methods: Studies were systematically searched and identified using PubMed, EMBASE, the Cochrane Library, and the International Clinical Trials Registry Platform (ICTRP) by two researchers independently. The primary outcome was 30-day mortality, and the secondary outcomes were in-hospital mortality, post-operative complications, completeness of revascularization, blood transfusion rate, duration of mechanical ventilation, intensive care unit and hospital stays. Results: The 21 studies including 4,889 patients were enrolled in our meta-analysis. Compared with on-pump, the off-pump technique was associated with significantly reduced 30-day mortality (odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.26-0.72, p = 0.001). Moreover, a notably decreased in-hospital mortality (OR = 0.55, 95% CI = 0.39-0.76, p = 0.0004) and incidence of post-operative new-onset atrial fibrillation, myocardial infarction, acute kidney injury, low cardiac output state, blood transfusion rate (OR = 0.46, 95% CI = 0.35-0.60, p < 0.00001; OR = 0.54, 95% CI = 0.38-0.78, p = 0.0007; OR = 0.51, 95% CI = 0.37-0.70, p < 0.0001; OR = 0.31, 95% CI = 0.20-0.47, p < 0.00001; OR = 0.29, 95% CI = 0.14-0.61, p = 0.001) and significantly shortened duration of mechanical ventilation, intensive care unit and hospital stays (mean difference [MD] = −8.21 h, 95% CI = −11.74 to −4.68, p < 0.00001; MD = −0.77 d, 95% CI = −0.81 to −0.73, p < 0.00001; MD = −2.24 d, 95% CI = −3.17 to −1.32, p < 0.00001) could be observed when comparing the outcomes of off-pump with on-pump redo CABG. There was nonsignificant difference between off-pump and on-pump redo CABG in completeness of revascularization. Conclusion: In patients undergoing redo CABG surgery, the off-pump technique was associated with decreased mortality, less post-operative complications when compared to on-pump.

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