Urgent MICS-CABG patients had higher renal dysfunction (serum creatinine 1.86±1.79 vs. 1.14±0.58 mg/dL) and increased acute respiratory failure (39.1% vs. 17.5%) compared to elective patients.
Does urgent MICS-CABG increase early postoperative complications compared to elective MICS-CABG in patients requiring isolated coronary revascularization?
Urgent MICS-CABG carries a higher risk of early postoperative respiratory failure and renal dysfunction compared to elective procedures, highlighting the need for careful preoperative optimization and hemodynamic management.
Absolute Event Rate: 0% vs 0%
Abstract Background Surgical urgency in minimally invasive coronary artery bypass grafting (MICS-CABG) is associated with increased perioperative risk. This study evaluates the impact of surgical urgency on early postoperative outcomes in patients undergoing isolated MICS-CABG. Methods A retrospective cohort study was conducted at Shar Hospital, Erbil, Iraq, including 311 patients who underwent isolated MICS-CABG between September 2021 and December 2024. Patients were classified as elective group ( n = 285) and urgent group ( n = 26) according to Society of Thoracic Surgeons criteria. Baseline demographics, intraoperative variables, and early postoperative outcomes were compared using appropriate statistical tests with a significance level of p < 0.05. Results Baseline characteristics, including, gender, and body mass index, showed no significant differences between elective and urgent groups. However, the urgent group had significantly lower preoperative left ventricular ejection fraction (49.2% ± 12.0 vs. 53.8% ± 10.0, p = 0.032) and higher preoperative serum creatinine levels (1.59 ± 1.58 vs. 1.19 ± 1.94 mg/dL, p = 0.008). Intraoperatively, urgent patients required more vasopressor support (adrenaline: 26.9% vs. 10.2%, p = 0.020; noradrenaline: 73.1% vs. 40.7%, p = 0.001). Postoperatively, urgent cases had higher serum creatinine (1.86 ± 1.79 vs. 1.14 ± 0.58 mg/dL, p = 0.037) and more frequent incidence of acute respiratory failure in urgent group (39.1% vs. 17.5%, p = 0.023). Conclusions Urgent MICS-CABG was associated with increased vasopressor use, renal dysfunction, and respiratory complications. Trial registration Not applicable.
Abdullah et al. (Wed,) reported a other. Urgent MICS-CABG patients had higher renal dysfunction (serum creatinine 1.86±1.79 vs. 1.14±0.58 mg/dL) and increased acute respiratory failure (39.1% vs. 17.5%) compared to elective patients.
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