Key result
The single aortic cross-clamp technique resulted in similar rates of postoperative stroke compared to the multiple-clamp technique (1.13% vs 1.20%, p>0.05) in octogenarians undergoing CABG.
Why the study?
The study aimed to investigate the effect of the single aortic cross-clamp technique versus the multiple-clamp technique on postoperative stroke in octogenarians undergoing CABG.
Does the single aortic cross-clamp technique reduce postoperative stroke in octogenarians undergoing isolated CABG compared to the multiple-clamp technique?
Cohort (n=171)
No
Does the single aortic cross-clamp technique reduce postoperative stroke in octogenarians undergoing isolated CABG compared to the multiple-clamp technique?
Absolute Event Rate: 1.13% vs 1.2%
p-value: p=>0.05
In octogenarians undergoing isolated CABG, the single aortic cross-clamp technique does not significantly reduce the incidence of postoperative stroke compared to the multiple-clamp technique.
Single aortic cross-clamp shows no stroke reduction in octogenarian CABG; hypothesis-generating and requires randomized confirmation before practice change.
AIM: In this study, we aimed to investigate the effect of the single aortic cross-clamp technique (SCT) (aortic cross-clamp only) versus the multiple-clamp technique (MCT) (aortic cross-clamp + side-biting clamp) on postoperative stroke in octogenarians undergoing coronary artery bypass grafting (CABG). METHODS: = 83) received the MCT. Postoperative stroke was evaluated. CONCLUSIONS: Postoperative stroke in octogenarians may result from not only the cross-clamp technique used but also several other factors. We found that both techniques yielded similar outcomes.
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Tekin et al. (2022) conducted a cohort in Coronary artery disease requiring isolated CABG (n=171). Single aortic cross-clamp technique (SCT) vs. Multiple-clamp technique (MCT) was evaluated on Postoperative stroke (p=>0.05). The single aortic cross-clamp technique resulted in similar rates of postoperative stroke compared to the multiple-clamp technique (1.13% vs 1.20%, p>0.05) in octogenarians undergoing CABG.
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