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Difference Between Cardiopulmonary Bypass Time and Aortic Cross-Clamping Time as a Predictor of Complications After Coronary Artery Bypass Grafting
Jucá, Fabiano Gonçalves; Freitas, Fabiane Letícia de; Goncharov, Maxim; Pes, Daniella de Lima; Jucá, Maria Eduarda Coimbra; Dallan, Luis Roberto Palma; Lisboa, Luiz Augusto Ferreira; Jatene, Fábio B.; Mejia, Omar Asdrúbal Vilca.
Affiliation
  • Jucá, Fabiano Gonçalves; Hospital de Messejana Dr. Carlos Alberto Studart Gomes. Department of Cardiovascular Surgery. Fortaleza. BR
  • Freitas, Fabiane Letícia de; Universidade de São Paulo. Faculdade de Medicina. Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas. São Paulo. BR
  • Goncharov, Maxim; Hospital do Coração. Instituto de Pesquisa Hcor. São Paulo. BR
  • Pes, Daniella de Lima; Universidade de São Paulo. Faculdade de Medicina. Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas. São Paulo. BR
  • Jucá, Maria Eduarda Coimbra; Unichristus. Faculdade de Medicina. Fortaleza. BR
  • Dallan, Luis Roberto Palma; Universidade de São Paulo. Faculdade de Medicina. Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas. São Paulo. BR
  • Lisboa, Luiz Augusto Ferreira; Universidade de São Paulo. Faculdade de Medicina. Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas. São Paulo. BR
  • Jatene, Fábio B.; Universidade de São Paulo. Faculdade de Medicina. Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas. São Paulo. BR
  • Mejia, Omar Asdrúbal Vilca; Universidade de São Paulo. Faculdade de Medicina. Department of Cardiovascular Surgery, Instituto do Coração, Hospital das Clínicas. São Paulo. BR
Rev. bras. cir. cardiovasc ; Rev. bras. cir. cardiovasc;39(2): e20230104, 2024. tab
Article ي En | LILACS-Express | LILACS | ID: biblio-1535539
المكتبة المسؤولة: BR1.1
ABSTRACT
ABSTRACT

Introduction:

Along with cardiopulmonary bypass time, aortic cross-clamping time is directly related to the risk of complications after heart surgery. The influence of the time difference between cardiopulmonary bypass and cross-clamping times (TDC-C) remains poorly understood.

Objective:

To assess the impact of cardiopulmonary bypass time in relation to cross-clamping time on immediate results after coronary artery bypass grafting in the Registro Paulista de Cirurgia Cardiovascular (REPLICCAR) II.

Methods:

Analysis of 3,090 patients included in REPLICCAR II database was performed. The Society of Thoracic Surgeons outcomes were evaluated (mortality, kidney failure, deep wound infection, reoperation, cerebrovascular accident, and prolonged ventilation time). A cutoff point was adopted, from which the increase of this difference would affect each outcome.

Results:

After a cutoff point determination, all patients were divided into Group 1 (cardiopulmonary bypass time < 140 min., TDC-C < 30 min.), Group 2 (cardiopulmonary bypass time < 140 min., TDC-C > 30 min.), Group 3 (cardiopulmonary bypass time > 140 min., TDC-C < 30 min.), and Group 4 (cardiopulmonary bypass time > 140 min., TDC-C > 30 min.). After univariate logistic regression, Group 2 showed significant association with reoperation (odds ratio 1.64, 95% confidence interval 1.01-2.66), stroke (odds ratio 3.85, 95% confidence interval 1.99-7.63), kidney failure (odds ratio 1.90, 95% confidence interval 1.32-2.74), and in-hospital mortality (odds ratio 2.17, 95% confidence interval 1.30-3.60).

Conclusion:

TDC-C serves as a predictive factor for complications following coronary artery bypass grafting. We strongly recommend that future studies incorporate this metric to improve the prediction of complications.
Key words

النص الكامل: 1 الفهرس: LILACS اللغة: En مجلة: Rev. bras. cir. cardiovasc موضوع المجلة: CARDIOLOGIA / CIRURGIA GERAL السنة: 2024 نوع: Article / Project document

النص الكامل: 1 الفهرس: LILACS اللغة: En مجلة: Rev. bras. cir. cardiovasc موضوع المجلة: CARDIOLOGIA / CIRURGIA GERAL السنة: 2024 نوع: Article / Project document