2015Journal of Cardiothoracic SurgeryOpen access

Outcomes of single institutional experience with Single Cross-Clamp technique

Rajani Rajnish, David Rose, John Massey, Royan Richards, Mohamad N Bittar, Ioannis Dimarakis

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Abstract

All clinical data were prospectively collected with the study design and analysis being retrospective in nature. A single surgeon's procedures were included for the period October 2007 to January 2014 712 (male 77.5%) patients were operated on, with 609 (85.54%) being isolated CABG and 103 (14.46%) combined CABG with AVR. Average age in isolated CABG and combined groups were 66 and 73 years respectively. Average additive EuroScores were 3.5 and 7.29. 21.6% cases were performed by trainee or staff grade surgeon. In hospital mortality was 0.16% in isolated CABG and 0% in CABG with AVR group. Postoperative complications in isolated CABG group included reoperation for bleeding or tamponade (2.13%), renal impairment requiring temporary haemodialysis (0.82%), and respiratory failure requiring reintubation (0.65%). We did not experience any cerebrovascular events. In the combined CABG with AVR group we experienced reoperation for bleeding or tamponade (2.91%), respiratory failure requiring reintubation (1.94%), and cerebrovascular events (1.94%). Kaplan Meier survival at 1, 3, and 5 years was 98.35%, 95.85% and 92.61% (isolated CABG), and 96%, 86.4% and 79.4% (combined CABG with AVR).

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What this paper is about

All clinical data were prospectively collected with the study design and analysis being retrospective in nature. A single surgeon's procedures were included for the period October 2007 to January 2014 712 (male 77.5%) patients were operated on, with 609 (85.54%) being isolated CABG and 103 (14.46%) combined CABG with AVR. Average age in isolated CABG and combined groups were 66 and 73 years respectively. Average additive EuroScores were 3.5 and 7.29. 21.6% cases were performed by trainee or staff grade surgeon. In hospital mortality was 0.16% in isolated CABG and 0% in CABG with AVR group. Postoperative complications in isolated CABG group included reoperation for bleeding or tamponade (2.13%), renal impairment requiring temporary haemodialysis (0.82%), and respiratory failure requiring reintubation (0.65%). We did not experience any cerebrovascular events. In the combined CABG with AVR group we experienced reoperation for bleeding or tamponade (2.91%), respiratory failure requiring reintubation (1.94%), and cerebrovascular events (1.94%). Kaplan Meier survival at 1, 3, and 5 years was 98.35%, 95.85% and 92.61% (isolated CABG), and 96%, 86.4% and 79.4% (combined CABG with AVR).

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Available abstract

All clinical data were prospectively collected with the study design and analysis being retrospective in nature. A single surgeon's procedures were included for the period October 2007 to January 2014 712 (male 77.5%) patients were operated on, with 609 (85.54%) being isolated CABG and 103 (14.46%) combined CABG with AVR. Average age in isolated CABG and combined groups were 66 and 73 years respectively. Average additive EuroScores were 3.5 and 7.29. 21.6% cases were performed by trainee or staff grade surgeon. In hospital mortality was 0.16% in isolated CABG and 0% in CABG with AVR group. Postoperative complications in isolated CABG group included reoperation for bleeding or tamponade (2.13%), renal impairment requiring temporary haemodialysis (0.82%), and respiratory failure requiring reintubation (0.65%). We did not experience any cerebrovascular events. In the combined CABG with AVR group we experienced reoperation for bleeding or tamponade (2.91%), respiratory failure requiring reintubation (1.94%), and cerebrovascular events (1.94%). Kaplan Meier survival at 1, 3, and 5 years was 98.35%, 95.85% and 92.61% (isolated CABG), and 96%, 86.4% and 79.4% (combined CABG with AVR).

Key concepts: Cardiac surgery, Cardiothoracic surgery, Single Center, Medicine, Clamp, Aortic valve replacement, Aortic cross-clamp, Cardiology

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