Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery

Mehmet Ezelsoy; Kerem Oral; Kemal Tolga Saraçoğlu; Ayten Saraçoğlu; Belhhan Akpınar

doi:10.5505/ktd.2019.95866

January 1, 2019Kocaeli Medical JournalOpen Access

Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery

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Why the study?

The study was conducted to determine the effectiveness of the posterior pericardial window technique in preventing the development of pericardial effusion after CABG surgery.

Does the posterior pericardial window technique prevent postoperative pericardial effusion, cardiac tamponade, and atrial fibrillation in patients undergoing CABG?

Structured PICO

Does the posterior pericardial window technique prevent postoperative pericardial effusion, cardiac tamponade, and atrial fibrillation in patients undergoing CABG?

P

Population

220 patients undergoing coronary artery bypass grafting (CABG) surgery, mean age ~67 years, 63% male. Exclusion criteria: previous cardiac or thoracic operation, valvular heart surgery or combined valvular heart and CABG surgeries, left-sided pleural adhesions, rhythm disturbances such as atrial fibrillation, hyperthyroidism, renal failure with a plasma creatinine level of >2.0 mg/dL.

I

Intervention

Posterior pericardial window (PW) technique performed before removal of the aortic cross-clamp, with pericardial fenestration performed far away from the phrenic nerve.

C

Comparator

Control group undergoing standard CABG without the posterior pericardial window technique.

O

Outcome

Development of early and late pericardial tamponade and effusion-related atrial fibrillation.hard clinical

The posterior pericardial window technique during CABG safely reduces the incidence of late cardiac tamponade and postoperative atrial fibrillation, though it increases the rate of postoperative pleural effusion.

Limitations

Limited ability to find associations with other baseline patient characteristics
Small sample size
Not planned as a randomized study

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Posterior pericardial window was associated with reduced post-CABG effusion; leaves open need for prospective RCTs before practice change.

Abstract

Z GR ve AMA: Posterior perikardiyal pencere tekniinin, koroner arter bypass greftleme (CABG) ameliyat sonras perikardiyal efzyon geliimini nlemedeki etkinliini belirlemekti. YNTEM ve GERELER: Koroner cerrahi geirecek hastalar rastgele bir kontrole veya perikardiyal pencere teknii grubuna ayrld. Toplamda 210 hastay 2 gruba ayrdk, posterior perikardiyal pencere grubu (n = 110) ve kontrol grubu (n = 110). Preoperatif, intraoperatif ve postoperatif klinik veriler retrospektif olarak topland. Preoperatif, taburcu olmadan nce ve postoperatif 7. ve 30. gnlerde yaplan deerlendirmelere elektrokardiyografi, gs radyografisi, ekokardiyografik incelemeler yapld. Postoperatif morbidite nedenleri ve youn bakm nitesinde ve hastanede kal sreleri kaydedildi. BULGULAR: ki grup arasnda demografik veriler asndan anlaml fark yoktu (P >.05). Ekokardiyografi incelemeleri ameliyat ncesi gruplar arasnda anlaml bir farkllk yoktu; bununla birlikte, taburcu edilmeden nce, kontrol grubunda

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Cite This Study

Ezelsoy et al. (2019) studied this question.

synapsesocial.com/papers/6a70b813af0c21e939287a55 https://doi.org/10.5505/ktd.2019.95866

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Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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