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Tytuł oryginału: Early results of standard versus "off-pump" coronary artery by-pass grafting - two centre study.
Tytuł polski: Pomostowanie tętnic wieńcowych bez krążenia pozaustrojowego. Czy lepsze wyniki wczesne? Analiza doświadczeń dwóch ośrodków.
Autorzy: Jasiński Marek J., Woś Stanisław, Knapik Piotr, Ridgeway Dan, Olszówka Piotr, Bachowski Ryszard, Szurlej Dariusz, Spyt Tom J.
Opracowanie edytorskie: Narkiewicz Mirosława (koment.).
Źródło: Kardiol. Pol. 2002: 56 (4) s.375-385, il., tab., bibliogr. 19 poz. - Tekst równol. w jęz. pol.
Sygnatura GBL: 313,397

Hasła klasyfikacyjne GBL:
  • kardiologia

    Typ dokumentu:
  • praca kliniczna

    Wskaźnik treści:
  • ludzie
  • dorośli 45-64 r.ż.
  • dorośli = 65 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Background. Coronary artery by-pass grafting (CABG) without cardiopulmonary by-pass (CPB) but with the use of a new generation of stabilisers has been recently shown to be a safe and reproducible procedure, and is increasingly used in cardiac surgery. Aim. To compare early results of CABG performed with or without CPB. Methods. 150 consecutive patients who underwent VABG in 1999 were recruited to the study. Peri-operative and early in-hospital post-operative data were analsed in three groups of patients who underwent different strategies of CABG. One group had CABG with CPB whereas the two other groups underwent "off-pump" CABG (OPCAB) with different post-operataive protocols. All groups were comparable with regard to the peri-operative risk factors. The early post-operative period in the intensive care unit was analysed including ventilation time (IPPV), inotropic agents usage, blood and fluid transfusions, urine output, overall fluid balance, drainage, and various laboratory results. Results. Compared with patients who underwent standard CABG, the OPCAB patients had higher haemoglobin and platelet levels, lower transfusion rate, lower inotropic drug usage and shorter duration of hhospitalisation. Different post-operative strategies in the OPCAB patients significantly influenced the IPPV time, urine output, transfusion rate, duration of hospitalisation and the frequency of post-operative atrial fibrillation. Conclusions. Patients selcted for OPCAB were characterised by a similar risk profile to that of patients who undergo CBG with CPB. However, the former group had shorter duration...

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