Journal of cardiothoracic and vascular anesthesia
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Multicenter Study Observational StudyRisk Stratification in Off-Pump Coronary Artery Bypass (OPCAB) Surgery-Role of EuroSCORE II.
To evaluate the EuroSCORE II for risk stratification in patients undergoing off-pump coronary artery bypass (OPCAB) surgery. ⋯ The EuroSCORE II has satisfactory calibration and discrimination power to predict mortality after OPCAB surgery. Intraoperative conversion to ONCAB is a major complication of OPCAB surgery. A higher EuroSCORE II also predicts higher probability of conversion to ONCAB.
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Randomized Controlled TrialWall Thickness, Pulmonary Hypertension, and Diastolic Filling Abnormalities Predict Response to Postoperative Biventricular Pacing.
Post-cardiopulmonary bypass biventricular pacing improves hemodynamics but without clearly defined predictors of response. Based on preclinical studies and prior observations, it was suspected that diastolic dysfunction or pulmonary hypertension is predictive of hemodynamic benefit. ⋯ There may be an effect of biventricular pacing related to amelioration of abnormal diastolic filling patterns rather than electrical resynchronization in the postoperative state.
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J. Cardiothorac. Vasc. Anesth. · Oct 2015
Pre- and Post-Bypass Platelet Function Testing With Multiple Electrode Aggregometry and TEG Platelet Mapping in Cardiac Surgery.
To investigate the differences between pre- and post-cardiopulmonary bypass platelet function tests and to examine whether post-bypass tests could predict postoperative bleeding. ⋯ Post-bypass platelet function testing showed reductions in ADP and arachidonic acid-triggered aggregation but not in TRAP-triggered aggregation compared with pre-bypass testing. There was no relationship between the post-bypass tests and bleeding.