دوره 16، شماره 63 - ( 4-1387 )                   جلد 16 شماره 63 صفحات 38-31 | برگشت به فهرست نسخه ها

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Karimian E, Montazerghaem H, Safaee N. Comparison of Results of Using Intracoronary Shunt in the Off Pump Coronary Artery Bypass Surgery Versus not Using It. J Adv Med Biomed Res 2008; 16 (63) :31-38
URL: http://journal.zums.ac.ir/article-1-628-fa.html
کریمیان عنایت اله، منتظر قائم حسین، صفایی ناصر. مقایسه‌ی نتایج استفاده از شانت داخل عروق کرونر در عمل بای‌پس عروق کرونر بدون پمپ نسبت به عدم استفاده از آن. Journal of Advances in Medical and Biomedical Research. 1387; 16 (63) :31-38

URL: http://journal.zums.ac.ir/article-1-628-fa.html


1- ، enayat allah karimian@yahoo.com
چکیده:   (221563 مشاهده)

Background and Objective: Off pump coronary artery bypass graft can be done with or without using intracoronary shunt. We have compared these two methods in early postoperative period, in this study. Materials and Methods: 208 candidate patients for off pump coronary artery bypass graft were devided in to two groups randomly for using intracoronary shunt or not. Variables including peri and postoperative changes in electrocardiography and echocardiography, rate of myocardial infarction, mortality, morbidity, and cardiac enzymes, were estimated. Results: There was no significant difference between two groups in electrocardiographic changes, myocardial infarction, left ventricular ejection fraction,hospital mortality and intensive care unit stay but Creatine Kinase Myocardial Band enzymes were higher in group not using intracoronary shunt. In contrast troponin I was increased in group using intracoronary shunt. Conclusion: Using intracoronary shunt in off pump coronary artery bypass graft leads to lesser change in cardiac enzymes but does not impact peri and postoperative evidence of myocardial infarction, left ventricular ejection fraction,mortality and morbidity. Using intra coronary shunt is suggested however because of simpler surgical procedure and less intra operative hemodynamic changes.

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نوع مطالعه: مقاله پژوهشی |
دریافت: 1387/9/5 | پذیرش: 1393/4/8 | انتشار: 1393/4/8

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