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Register a new userOFF pump coronary artery by- pass- Why? History and the benefiles
القلب النابض في المجازات الاكليلية لماذا؟ تاريخيا و فوائد الاستخدام
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Tishreen University ورقة بحثية
Publication date
2016
fields
Medicine
and research's language is
العربية
Authors
منتجب أحمد صالح( باحث )
Created by
Shamra Editor
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تم في هذا البحث دراسة القلب النابضة لثلاثين مريضاً تم إجراء عمل جراحي لهم /مجازات إكليلية/ على قلب نابض في مشفى الأسد الجامعي في اللاذقية و قد بين البحث أن جراحة القلب النابض تكنيك آمن يمكنه أن يحقق إجراء تروية إكليلية كاملة شرط أن تتم بأيدي حيزة و هي تتجنب مخاطر الاختلاطات الناجمة عن الجراحة باستخدام دارة خارج الجسم و التي يمكن أن تتسبب بسكتة دماغية أو قصور كلوي إضافة إلى الحاجة إلى نقل كميات من الدم.
OFF pump coronary artery by pass surgery when It is done by experienced surgeons and with new cardiac stabilizer which allows to perform a complete revascularization with a good results. In additionally OFF PUMP decrease the morbidity coronary artery by pass such as stroke , renal failure and need for blood transfuration.
References used
Diegeler ,A, Doll , N , Rauch , T, et al humoral immune response during coronary bypass grafiting : a comparison of limited approach off-pump technique, and conventional cardiopulmonary bypass. Circulation 2000 ; 102 : Suppl 3 : 111 – 95
Puskas , JD, William, WH, Mahoney, EM, et al OFF-PUMP vs .conventional coronary artery bypass grafting: early and 1-year grft patency, cost, and quality – of- life outcomes: a randomized trial. JAMA 2004 ; 291 : 1841 – 1849
Houlind, K, Kjeldsen, BJ, Madsen ,SN, et al ON-PUMP versus OFF-PUMP coronary artery bypass surgery in elderly patients: resultsfrom the Danish on-pumpversus OFF-PUMP randomization study. Circulation 2012; 125: 2431- 2439
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Protection against cardiac ischemia/reperfusion injury is the basic objective in open heart surgery, and it may be achieved by pharmacological preconditioning or Postconditioning. In this study, we aimed to compare the effects of two different anest
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Postoperative levels of troponine I were significantly lower in the Sevoflurane group with less using of inotrops and less staying in the ICU post-op . We conclude that the use of a volatile anesthetic regimen in CABG surgery associate with better preservation of myocardial function and a reduced postoperative release of
troponine I.
This study was carried out in AL-ASSAD and Tishreen University Hospitals during
the years 2013-2015, and included 174 patients who have been treated. Male: Female ratio
was 1:2, and the average age of the sample of patients was 63. Great saphenous
vein
(medial) and internal thoracic artery Were used as grafts. analyzes blood values were
normal in all patients before surgery. after surgery it has never been transfer platelets in the
case of the beating heart .In the open-heart the average transfer platelet in patients was
(0.23), the average amount of bleeding into Drainage in the beating heart surgeries was
(902 ml) and was in the open-heart (1279 ml), the number of patients bled and the chest
was opened again because of bleeding was (14 patients) it is (8%) of total patients ,
prolonged ACT was the most important cause of the bleeding with rate (64.2%), the
percentage of patients who had Tamponade was (42.8%), the using of CPB more than 100
minutes has the greatest impact of bleeding with rate (78.5) .
Heart disease, particularly coronary artery disease is a major cause of
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In addition to the increased clinical incidence of coronary artery disease ,
the extent of coronary arteries st
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T his study showes that diabetics, compared to non-diabetics ,have a higher
incidence of multiple vessel disease (٨٤٪ vs ٤٨٪) and lower incidence of one
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It also showes that left ventricular function and left ventricular wall
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Spontaneous coronary artery dissection (SCAD) is an infrequent and often missed diagnosis among patients presenting with acute coronary syndrome (ACS). Unfortunately, SCAD can result in significant morbidities such as myocardial ischemia and infarcti
on, ventricular arrhythmias and sudden cardiac death. Lack of angiographic recognition from clinicians is a major factor of under-diagnosis. With the advent of new imaging modalities, particularly with intracoronary imaging, there has been improved diagnosis of SCAD. The aim of this paper is to review the epidemiology, etiology, presentation, diagnosis and management of SCAD.
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