Neurological Complications of On-Pump versus Off-Pump Coronary Artery Bypass Graft Surgery
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064

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

Share this Article

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

Download Article PDF



Similar Articles with Keyword 'stroke'

Survey Paper, Medicine Science, Bulgaria, Volume 4 Issue 4, April 2015

Pages: 1572 - 1575

Alcohol and Oral Health

K. Peycheva, D. Krastev

Share this Article

Research Paper, Medicine Science, India, Volume 3 Issue 3, March 2014

Pages: 292 - 298

Effectiveness of Slow Back Massage on Quality of Sleep among ICU Patents

Mahadeo B Shinde, Shabana Anjum

Share this Article

Research Paper, Medicine Science, India, Volume 3 Issue 11, November 2014

Pages: 2470 - 2472

Homocysteinemia in Ischemic Stroke among Young Adults

Chethan Kumar K L, Amith R

Share this Article

Research Paper, Medicine Science, Bulgaria, Volume 4 Issue 4, April 2015

Pages: 3355 - 3359

Is there a Marker to Predict Restenosis After Carotid Stenting?

Petova J, Manolov V, Velchev V, Milev B, Vasilev V, Tzatchev K, Marinov B

Share this Article

Dissertation Chapters, Medicine Science, India, Volume 3 Issue 9, September 2014

Pages: 1481 - 1483

Assessment of Prescription Pattern Associated with Anti-Hypertensive Treatment at Tertiary Care Teaching Hospital in Central Karnataka

Kasi Jagadeesh M, Uday Kumar R.

Share this Article

Similar Articles with Keyword 'encephalopathy'

Case Studies, Medicine Science, India, Volume 8 Issue 11, November 2019

Pages: 1667 - 1668

Kayser Fleischer Ring - An Early Indicator of Wilsons Disease - A Case Study

Mridula V Amarnath

Share this Article

Case Studies, Medicine Science, India, Volume 5 Issue 9, September 2016

Pages: 1014 - 1016

Adult Onset Stills Disease Associated with Necrotic Leukoencephalopathy: An Unusual Presentation

Talib S H, Bhattu S R, Hegde Rohan, Punde Gaurav, Vyawahare Suraj

Share this Article

Research Paper, Medicine Science, India, Volume 6 Issue 8, August 2017

Pages: 1525 - 1528

Spectrum 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

Share this Article

Case Studies, Medicine Science, India, Volume 4 Issue 12, December 2015

Pages: 1249 - 1250

Hashimoto?s Encephalopathy ? A Rare Cause of Neuro-Cognitive Dysfunction

Patange Aparna P, Kiran Babu B, Chaudhari Sumit D

Share this Article

Case Studies, Medicine Science, Sri Lanka, Volume 7 Issue 2, February 2018

Pages: 1641 - 1643

Dengue Encephalitis and Encephalopathy are Different Entity - Case Study

Dr. M. Umakanth

Share this Article
Top