Faculty Opinions recommendation of Low-Level Laser and Light-Emitting Diode Therapy for Pain Control in Hyperglycemic and Normoglycemic Patients Who Underwent Coronary Bypass Surgery with Internal Mammary Artery Grafts: A Randomized, Double-Blind Study with Follow-Up.

SummaryTwenty patients accepted for coronary bypass surgery were randomized to receive either a concentrated ethylester compound of n-3 fatty acids, with a daily dose of 3.15 g of eicosapentaenoic acid (EPA) and 1.89 g of docosahexaenoic acid (DHA), or corn oil (controls) in a double blind study, to evaluate the effect on lipids, platelets and coagulation during the pre- and postoperative phase.Only patients with fasting triglyceride (TG) levels ≥1.6 mmol/1 at recruitment were eligible. The study was continued for 5 to 6 months. Surgery was usually performed at mid-intervention. Blood samples were collected during morning hours in fasting subjects, just prior to intervention, preoperatively and at final postoperative follow-up. Moreover, blood loss was accurately accounted for postoperatively.A threefold increase (p = 0.0001) of EPA was noted at pre-and postoperative follow-up. TG-levels were reduced 20 and 39%, respectively, in patients on n-3 fatty acids, reaching statistical significance at end of intervention (p = 0.034). TG-levels in controls remained largely unchanged. In patients on n-3 fatty acids, there was a statistically significant increase in serum total cholesterol preoperatively, but this change was no longer present at completion of the study.No significant changes were noted in platelet function, as judged by bleeding time, collagen induced platelet aggregation and release of TxB2 during aggregation. Parameters of extrinsic coagulation, including phospholipase C-sensitive factor VII (PLC-VII) and extrinsic pathway inhibitor (EPI), also remained essentially unchanged in both groups of patients. However, fibrinogen was significantly reduced in controls (p <0.05) at end of intervention. Moreover, a strong positive correlation was noted between PLC-VII and TG (r = 0.77, p = 0.0001).No significant difference in postoperative bleeding was noted between the two groups of patients.

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Early Patency Evaluation of New Distal Anastomotic Device in Internal Mammary Artery Grafts Using Computed Tomography Angiography

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1097/imi.0b013e3181d714ba ◽

2010 ◽

Vol 5 (2) ◽

pp. 109-113 ◽

Cited By ~ 17

Author(s):

Husam H. Balkhy ◽

L. Samuel Wann ◽

Susan Arnsdorf

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Multidetector Computed Tomography ◽

Coronary Artery Bypass ◽

Bypass Surgery ◽

Internal Mammary Artery ◽

Artery Bypass ◽

Coronary Bypass ◽

Graft Patency ◽

Internal Mammary

Introduction Traditional coronary artery bypass grafting is performed using a hand sewn technique. The C-Port xA and Flex A anastomotic stapling devices (Cardica Inc., Redwood City, CA) were cleared by the Food and Drug Administration for use in distal coronary anastomoses in November 2006 and April 2007, respectively. They provide the ability to create a compliant, consistently reproducible, and automated anastomosis. Multidetector computed tomography (CT) has been shown to be effective in evaluating coronary artery bypass graft patency. Methods The first 24 patients to undergo internal mammary artery (IMA) anastomosis using the automated device in our practice were included in the study. Twenty-five IMA grafts (24 left IMA and 1 right IMA) were created using the C-Port xA or Flex A anastomotic device as part of multivessel off-pump coronary revascularization by sternotomy. Graft patency was evaluated at 30 days in the first 10 grafts and at 90 days in the next 15 grafts using multidetector (64 slice) CT. Results There were no device failures. There were no perioperative strokes, myocardial infarctions, or deaths. All 10 IMA grafts evaluated at 30 days were patent using multidetector CT. One of the 15 IMA grafts studied at 90 days was occluded using multidetector computed tomography. Conclusions The C-Port xA and Flex A distal anastomotic devices provided a safe and effective means to create a left IMA-left anterior descending artery anastomoses in coronary bypass surgery with excellent short to midterm patency in this early experience. Long-term follow-up is warranted. These findings will have important implications for future sternal sparing coronary bypass surgery.

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The Shelhigh No-React® bovine internal mammary artery: a questionable alternative conduit in coronary bypass surgery?☆

European Journal of Cardio-Thoracic Surgery ◽

10.1016/j.ejcts.2007.11.006 ◽

2008 ◽

Vol 33 (2) ◽

pp. 222-224 ◽

Cited By ~ 4

Author(s):

Lars Englberger ◽

Jasmin Noti ◽

Franz F. Immer ◽

Mario Stalder ◽

Friedrich S. Eckstein ◽

...

Keyword(s):

Bypass Surgery ◽

Internal Mammary Artery ◽

Coronary Bypass ◽

Coronary Bypass Surgery ◽

Internal Mammary

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SKELETONISED VS. PEDICLE INTERNAL MAMMARY ARTERY HARVESTING: EFFECT ON CHEST NEUROPATHIC PAIN AFTER CORONARY BYPASS SURGERY

Heart Lung and Circulation ◽

10.1016/j.hlc.2007.02.044 ◽

2007 ◽

Vol 16 ◽

pp. S33

Author(s):

Phuong Markman ◽

Michael Rowland ◽

Jee-Yoong Leong ◽

Silvana Marasco ◽

Justin Negri ◽

...

Keyword(s):

Neuropathic Pain ◽

Bypass Surgery ◽

Internal Mammary Artery ◽

Coronary Bypass ◽

Coronary Bypass Surgery ◽

Internal Mammary

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Coronary Bypass Surgery in Patient with Malaria

Asian Cardiovascular and Thoracic Annals ◽

10.1177/021849230201000216 ◽

2002 ◽

Vol 10 (2) ◽

pp. 160-161 ◽

Cited By ~ 4

Author(s):

Mehmet Balkanay ◽

Denyan Mansuroğlu ◽

Kaan Kirali ◽

Suat Nail Ömeroğlu ◽

Cevat Yakut

Keyword(s):

Bypass Surgery ◽

Internal Mammary Artery ◽

Left Internal Mammary Artery ◽

Artery Bypass ◽

Coronary Bypass ◽

Early Postoperative Period ◽

Beating Heart ◽

Bypass Grafting ◽

Antimalarial Therapy ◽

Internal Mammary

A 65-year-old man with unstable angina pectoris developed malaria prior to coronary artery bypass grafting. After 3 weeks on antimalarial therapy, left internal mammary artery-toleft anterior descending artery anastomosis was performed on the beating heart to avoid the effects of cardiopulmonary bypass. There was no complication in the early postoperative period.

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