Dissertation Chapters | Medicine Science | Albania | Volume 6 Issue 7, July 2017
Neurological Complications of On-Pump versus Off-Pump Coronary Artery Bypass Graft Surgery
Brunilda Zllami, Entela Basha, Stavri Llazo, Arben Kojqiqi, Andi Kacani, Bledi Cekrezi, Ilir Alimehmeti, Jera Kruja
Background Neurological complications following cardiac surgery are serious, debilitating and, sometimes, life-threatening. Objective Assessment of neurological complications following on and off pump coronary artery bypass graft surgery. Methods We evaluated 441 consecutive patients undergoing cardiac surgery at the Service of Cardiac Surgery at the American Hospital from January 2012 October 2016. Patients were intervened following two different procedures on-pump by pass (ONCABG) surgery or off-pump bypass surgery (OPCABG). The recorded and analyzed data were as following preoperative status, including age, sex and comorbidities, intraoperative factors, including surgery type and time of surgery, duration of cardiopulmonary bypass, duration of aortic cross clamping, hypothermia, need for blood transfusions, and post operatory outcomes, including neurological complications, type and time of neurological complications, period of intensive care unit treatment. Results Of all 441 patients, 338 underwent OPCABG and 103 underwent ONCABG surgery. There were no significant differences between the groups in terms of age, gender and stroke risk factors. Nevertheless the patients undergoing ONCABG surgery presents a significantly higher prevalence of arrhythmia and prior stroke history. Moreover, more patients of the ONCABG group were treated in emergency conditions. As a result, the off-pump technique presented better neurological outcomes in terms of less stroke complications (4.4 % vs. 14.6 %, p<0.001), less encephalopathic complications (4.1 % vs. 14.6 %, p<0.001), less seizure complications (2.1 % vs. 7.8 %, p=0.045) and lower in-hospital mortality (1.8 % vs. 6.8 %, p=0.008). Conclusion In our observational study, the off-pump CABG surgery was associated with lower neurological complications compared to the on-pump CABG surgery
Keywords: On-pump coronary bypass grafting ONCABG, off-pump coronary bypass grafting OPCABG, stroke, encephalopathy, in-hospital mortality
Edition: Volume 6 Issue 7, July 2017
Pages: 2174 - 2177
How to Cite this Article?
Brunilda Zllami, Entela Basha, Stavri Llazo, Arben Kojqiqi, Andi Kacani, Bledi Cekrezi, Ilir Alimehmeti, Jera Kruja, "Neurological Complications of On-Pump versus Off-Pump Coronary Artery Bypass Graft Surgery", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=ART20175599, Volume 6 Issue 7, July 2017, 2174 - 2177
167 PDF Views | 141 PDF Downloads
Similar Articles with Keyword 'stroke'
Survey Paper, Medicine Science, Bulgaria, Volume 4 Issue 4, April 2015
Pages: 1572 - 1575Alcohol and Oral Health
K. Peycheva, D. Krastev
Research Paper, Medicine Science, India, Volume 3 Issue 3, March 2014
Pages: 292 - 298Effectiveness of Slow Back Massage on Quality of Sleep among ICU Patents
Mahadeo B Shinde, Shabana Anjum
Research Paper, Medicine Science, India, Volume 3 Issue 11, November 2014
Pages: 2470 - 2472Homocysteinemia in Ischemic Stroke among Young Adults
Chethan Kumar K L, Amith R
Research Paper, Medicine Science, Bulgaria, Volume 4 Issue 4, April 2015
Pages: 3355 - 3359Is there a Marker to Predict Restenosis After Carotid Stenting?
Petova J, Manolov V, Velchev V, Milev B, Vasilev V, Tzatchev K, Marinov B
Dissertation Chapters, Medicine Science, India, Volume 3 Issue 9, September 2014
Pages: 1481 - 1483Assessment of Prescription Pattern Associated with Anti-Hypertensive Treatment at Tertiary Care Teaching Hospital in Central Karnataka
Kasi Jagadeesh M, Uday Kumar R.
Similar Articles with Keyword 'encephalopathy'
Case Studies, Medicine Science, India, Volume 8 Issue 11, November 2019
Pages: 1667 - 1668Kayser Fleischer Ring - An Early Indicator of Wilsons Disease - A Case Study
Mridula V Amarnath
Case Studies, Medicine Science, India, Volume 5 Issue 9, September 2016
Pages: 1014 - 1016Adult Onset Stills Disease Associated with Necrotic Leukoencephalopathy: An Unusual Presentation
Talib S H, Bhattu S R, Hegde Rohan, Punde Gaurav, Vyawahare Suraj
Research Paper, Medicine Science, India, Volume 6 Issue 8, August 2017
Pages: 1525 - 1528Spectrum of Precipitating Factors of Hepatic Encephalopathy in Patients with Liver Cirrhosis in Tertiary Care Hospital in North India
Gursewak Singh, Mini Bhatnagar, Amit Saini, Bimal K Agrawal
Case Studies, Medicine Science, India, Volume 4 Issue 12, December 2015
Pages: 1249 - 1250Hashimoto?s Encephalopathy ? A Rare Cause of Neuro-Cognitive Dysfunction
Patange Aparna P, Kiran Babu B, Chaudhari Sumit D
Case Studies, Medicine Science, Sri Lanka, Volume 7 Issue 2, February 2018
Pages: 1641 - 1643Dengue Encephalitis and Encephalopathy are Different Entity - Case Study
Dr. M. Umakanth