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Statements

Subject Item
n2:RIV%2F00179906%3A_____%2F12%3A10124911%21RIV13-MZ0-00179906
rdf:type
n7:Vysledek skos:Concept
rdfs:seeAlso
http://www.cardiothoracicsurgery.org/content/pdf/1749-8090-7-69.pdf
dcterms:description
BACKGROUND: To determine impact of intraluminal-left anterior descending shunt to prevent myocardial damage in minimally invasive coronary artery bypass. METHODS: 38 patients were randomly assigned to external tournique occlusion (n = 19) or intraluminal-left anterior descending shunt group (n = 19). Blood samples for cardiac troponin T were collected at 30 minutes prior to, 6 and 24 hours after surgery. RESULTS: One patient in external tournique occlusion and two patients in intraluminal-left anterior descending shunt group were excluded from futher analysis due to preoperative cardiac troponin T level above the 99th-percentile. Postoperatively, each six patients in external tournique occlusion (33.3%) and intraluminal-left anterior descending shunt (35.3%) group were above the 99th-percentile. Two patients from each group (external tournique occlusion group 11.1% vs. intraluminal-left anterior descending shunt group 11.8%) had peak values above 10-% coeficient of variation cutoff (p = 1). There were no significant differences in between both groups at all studied timepoints. CONCLUSION: There was no protective effect of intraluminal shunting on myocardial damage compared to short-term tournique occlusion. It is upon the surgeon's discretion which method may preferrably be used to achieve a bloodless field in grafting of the non-occluded left anterior descending in minimally invasive coronary artery bypass. BACKGROUND: To determine impact of intraluminal-left anterior descending shunt to prevent myocardial damage in minimally invasive coronary artery bypass. METHODS: 38 patients were randomly assigned to external tournique occlusion (n = 19) or intraluminal-left anterior descending shunt group (n = 19). Blood samples for cardiac troponin T were collected at 30 minutes prior to, 6 and 24 hours after surgery. RESULTS: One patient in external tournique occlusion and two patients in intraluminal-left anterior descending shunt group were excluded from futher analysis due to preoperative cardiac troponin T level above the 99th-percentile. Postoperatively, each six patients in external tournique occlusion (33.3%) and intraluminal-left anterior descending shunt (35.3%) group were above the 99th-percentile. Two patients from each group (external tournique occlusion group 11.1% vs. intraluminal-left anterior descending shunt group 11.8%) had peak values above 10-% coeficient of variation cutoff (p = 1). There were no significant differences in between both groups at all studied timepoints. CONCLUSION: There was no protective effect of intraluminal shunting on myocardial damage compared to short-term tournique occlusion. It is upon the surgeon's discretion which method may preferrably be used to achieve a bloodless field in grafting of the non-occluded left anterior descending in minimally invasive coronary artery bypass.
dcterms:title
Elective minimally invasive coronary artery bypass: Shunt or tournique occlusion? Assessment of a protective role of perioperative left anterior descending shunting on myocardial damage. A prospective randomized study Elective minimally invasive coronary artery bypass: Shunt or tournique occlusion? Assessment of a protective role of perioperative left anterior descending shunting on myocardial damage. A prospective randomized study
skos:prefLabel
Elective minimally invasive coronary artery bypass: Shunt or tournique occlusion? Assessment of a protective role of perioperative left anterior descending shunting on myocardial damage. A prospective randomized study Elective minimally invasive coronary artery bypass: Shunt or tournique occlusion? Assessment of a protective role of perioperative left anterior descending shunting on myocardial damage. A prospective randomized study
skos:notation
RIV/00179906:_____/12:10124911!RIV13-MZ0-00179906
n7:predkladatel
n19:ico%3A00179906
n3:aktivita
n5:I
n3:aktivity
I
n3:cisloPeriodika
1
n3:dodaniDat
n13:2013
n3:domaciTvurceVysledku
n4:2536846 n4:9496548 n4:4858077 n4:1153498
n3:druhVysledku
n6:J
n3:duvernostUdaju
n10:S
n3:entitaPredkladatele
n12:predkladatel
n3:idSjednocenehoVysledku
133807
n3:idVysledku
RIV/00179906:_____/12:10124911
n3:jazykVysledku
n18:eng
n3:klicovaSlova
myocardial damage; external tournique occlusion; intraluminal shunt; MIDCAB
n3:klicoveSlovo
n15:myocardial%20damage n15:intraluminal%20shunt n15:MIDCAB n15:external%20tournique%20occlusion
n3:kodStatuVydavatele
GB - Spojené království Velké Británie a Severního Irska
n3:kontrolniKodProRIV
[92CFF14E7712]
n3:nazevZdroje
Journal of Cardiothoracic Surgery
n3:obor
n16:FA
n3:pocetDomacichTvurcuVysledku
4
n3:pocetTvurcuVysledku
6
n3:rokUplatneniVysledku
n13:2012
n3:svazekPeriodika
7
n3:tvurceVysledku
Harrer, Jan Pudil, Radek Čermáková, Eva Stock, Ulrich A. Vojáček, Jan Šorm, Zdeněk
n3:wos
000311288400001
s:issn
1749-8090
s:numberOfPages
7
n14:doi
10.1186/1749-8090-7-69