Prognostic Impact of Prolonged Cross-Clamp Time in Coronary Artery Bypass Grafting
| Affiliation auteurs | !!!! Error affiliation !!!! |
| Titre | Prognostic Impact of Prolonged Cross-Clamp Time in Coronary Artery Bypass Grafting |
| Type de publication | Journal Article |
| Year of Publication | 2018 |
| Auteurs | Ruggieri VG, Bounader K, Verhoye JPhilippe, Onorati F, Rubino AS, Gatti G, Tauriainen T, De Feo M, Reichart D, Dalen M, Svenarud P, Faggian G, Santarpino G, Maselli D, Gherli R, Mariscalco G, Salsano A, Nicolini F, Gherli T, Saccocci M, Airaksinen JKE, Chocron S, Perrotti A, Biancari F |
| Journal | HEART LUNG AND CIRCULATION |
| Volume | 27 |
| Pagination | 1476-1482 |
| Date Published | DEC |
| Type of Article | Article |
| ISSN | 1443-9506 |
| Mots-clés | CABG, Cardiac surgery, Coronary artery bypass, Cross clamp, Cross-clamping, Myocardial ischaemia |
| Résumé | {Background The prognostic impact of cross-clamp time (XCT) in patients undergoing isolated coronary artery bypass grafting (CABG) has not been thoroughly investigated. Material and Methods 2957 patients who underwent on-pump isolated CABG from the prospective multicentre E-CABG study were the subjects of this analysis. Results The mean XCT in this series was 58 +/- 25 minutes Cross-damp time was >60 minutes in 1134 patients (38.3%), >75 minutes in 619 patients (20.9%) and >90 minutes in 296 patients (10.0%). Multivariate analysis showed that XCT was an independent predictor of 30-day mortality (p < 0.0001, OR 1.027, 95%CI 1.015-1.039) along with age (p < 0.0001), female gender (p = 0.001), pulmonary disease (p = 0.001), poor mobility (p = 0.002), urgency status (p = 0.007), critical preoperative status (p = 0.002) and participating centres (p = 0.015). Adjusted risk of 30-day mortality was highest for XCT >75 minutes (2.9% vs. 1.7% |
| DOI | 10.1016/j.hlc.2017.09.006 |