Key result
Epiaortic ultrasound was compared to TEE and palpation for the prevention of early post-operative stroke during CABG, but the abstract reports no quantitative results.
Why the study?
To assess the value of epiaortic ultrasound in preventing stroke and other postoperative complications, and whether it alters planned surgical management compared with TEE during CABG surgery.
Does intra-operative epiaortic scanning reduce early post-operative stroke and complications compared to transesophageal echocardiography and palpation in patients undergoing primary isolated CABG?
RCT (n=100)
prospectively randomized
No
Does intra-operative epiaortic scanning reduce early post-operative stroke and complications compared to transesophageal echocardiography and palpation in patients undergoing primary isolated CABG?
Intra-operative epiaortic scanning during CABG led to a significantly shorter hospital stay and more frequent modifications in surgical management compared to TEE and palpation, although early stroke rates were 0% in both groups.
The aim of the work to assess the value of epiaortic ultrasound prevention of stroke and other postoperative complications, and whether its use leads to changes of planned intra-operative surgical management in patients undergoing CABG surgery compared its performance to TEE. 100 patients who underwent primary isolated CABG from may 2016 into may 2017 as it represent 40% of total primary isolated CABG was done in this time. Patients were prospectively randomized into Two groups. These study was performed in KOBRY EL KOBA Military Hospital. Patients were divided into Epiaortic group "Group A" and TEE & palpation group "Group B ". The primary endpoint of this study was an incidence of early post-operative stroke. The secondary endpoint of this study was an incidence of early post-operative MI, AF, renal failure, deep wound infection.
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Atta et al. (2022) conducted an RCT in primary isolated CABG (n=100). Epiaortic ultrasound vs. TEE & palpation was evaluated on incidence of early post-operative stroke. Epiaortic ultrasound was compared to TEE and palpation for the prevention of early post-operative stroke during CABG, but the abstract reports no quantitative results.
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