scholarly journals Transit Time Flowmetry in Coronary Artery Bypass Grafting-experience at Queen Alia Heart Institute, Jordan

2012 ◽  
Vol 27 (6) ◽  
pp. 475-477 ◽  
Author(s):  
Basel Harahsheh
2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
George Kassimis ◽  
George Krasopoulos

Intraoperative Transit Time Flowmetry is currently recommended to assess graft patency during coronary artery bypass grafting (CABG), especially in presence of haemodynamic instability or inability to wean the patient from cardiopulmonary bypass, new regional wall motion abnormalities, or significant ventricular arrhythmias. The VeriQ™ system is one of the currently available systems, which detects imperfections that may be corrected by graft revision. In this case report, multivessel coronary spasm (CS) post-CABG interferes with these intraoperative parameters misleading initially into false results. Cardiac surgeons should bear in mind the limit of VeriQ in distinguishing between graft failure and CS. Angiography may be considered in patients with decreased graft flow despite revision of anastomosis and vasodilatory treatment for the definitive diagnosis.


JAMA Surgery ◽  
2014 ◽  
Vol 149 (11) ◽  
pp. 1182 ◽  
Author(s):  
Jacquelyn Quin ◽  
John Lucke ◽  
Brack Hattler ◽  
Sandeep Gupta ◽  
Janet Baltz ◽  
...  

2005 ◽  
Vol 79 (3) ◽  
pp. 854-857 ◽  
Author(s):  
Derek K.H. Leong ◽  
Venkataraman Ashok ◽  
Arulkumaran Nishkantha ◽  
Yue Hong Shan ◽  
Eugene K.W. Sim

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 164 ◽  
Author(s):  
Ahmad Farouk Musa ◽  
Chou Zhao Quan ◽  
Low Zheng Xin ◽  
Trived Soni ◽  
Jeswant Dillon ◽  
...  

Background: Atrial fibrillation (AF) is common after cardiac surgery and has been associated with poor outcome and increased resource utilization. The main objective of this study is to determine the incidence of POAF in Malaysia and identify the predictors of developing POAF. The secondary outcome of this study would be to investigate the difference in mortality and morbidity rates and the duration of intensive care unit (ICU), high dependency unit (HDU) and hospital stay between the two. Methods: This is a retrospective single-center, cross sectional study conducted at the National Heart Institute, Malaysia. Medical records of 637 who underwent coronary artery bypass grafting (CABG) surgery in 2015 were accrued. Pre-operative, operative and post-operative information were subsequently collected on a pre-formulated data collection sheet. Data were then analyzed using IBM SPSS v23. Results: The incidence of POAF in our study stands at 28.7% with a mean onset of 45±33 hours post operatively. Variables with independent association with POAF include advancing age, Indian population, history of chronic kidney disease, left ventricular ejection fraction and beta-blocker treatment. The mortality rate is significantly higher statistically (p < 0.05), and similarly the incidence of stroke. The incidence of other post-operative complications was also significantly higher statistically. The duration of ICU, HDU and hospital stays were statistically longer (p < 0.001) with higher rates of ICU readmissions and reintubations seen. Conclusion: We conclude that the incidence of POAF in Malaysia is comparable to the figures in Western countries, making POAF one of the most commonly encountered condition after CABG with similar higher rates of mortality, poor outcomes and longer duration of stay, and therefore increased cost of care. Strategies to reduce the incidence of AF after cardiac surgery should favorably affect surgical outcomes and reduce utilization of resources and thus lower cost of care.


2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
Pheng Hian Tan ◽  
Muhammad Ibrahim Azmi ◽  
Zhafri Zulkifli ◽  
Mohd Afiq Amin ◽  
Syed Nasir Syed Hassan ◽  
...  

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