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

EZELSOY, Mehmet; ORAL, Kerem; AKPINAR, Belhan; SARAÇOĞLU, Kemal Tolga; SARAÇOĞLU, Ayten

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

Mehmet EZELSOY, (İstanbul Bilim Üniversitesi, Tıp Fakültesi, Kalp ve Damar Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye)

Kerem ORAL, (İstanbul Bilim Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Ana Bilim Dalı, İstanbul, Türkiye)

Kemal Tolga SARAÇOĞLU, (Sağlık Bilimleri Üniversitesi, Anestezi ve Reanimasyon Ana Bilim Dalı, İstanbul, Türkiye)

Ayten SARAÇOĞLU, (Marmara Üniversitesi, Tıp Fakültesi, Anestezi ve Reanimasyon Ana Bilim Dalı, İstanbul, Türkiye)

Belhan AKPINAR (İstanbul Florence Nightingale Hastanesi, Kalp ve Damar Cerrahisi Bölümü, İstanbul, Türkiye)

Kocaeli Tıp Dergisi

6 2

Yıl: 2019 Cilt: 8 Sayı: 2 Sayfa Aralığı: 78 - 83 Metin Dili: İngilizce İndeks Tarihi: 04-06-2020

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

Öz:

ABSTRACTINTRODUCTION: The aim was to determine the effectiveness of the posterior pericardial window (PW) technique in preventing the development of pericardial effusion (PE) following coronary artery bypass grafting surgery (CABG).METHODS: Patients undergoing coronary surgery were randomly divided into a control or a PW group. We divided 220 patients randomly into 2 groups, the posterior pericardial window group (n=110) and the control group (n=110). Preoperative, intraoperative and postoperative clinical data were collected retrospectively, including incidence of pericardial tamponade, drainage volume, ventilation time andmoderate to large pericardial effusion. Evaluations were completed preoperatively, before discharge, and on postoperative 7 and 30 days including electrocardiography,chest radiography, echocardiography. Postoperative causes of morbidity, the duration of intensive care unit and hospital stay were recorded.RESULTS: There was no significant difference in demographic data between two groups (P>.05). Echocardiography evaluations revealed no significant difference between groups preoperatively; however, before discharge the control group had a significantly higher number of patients with early and late cardiac tamponade comparedwith the PW group (P<.05). The incidence of postoperative pleural effusion in the PW group was significantly higher than control group. New onset atrial fibrillation was significantly more common in control subjects than in the PW group (P <.05).DISCUSSION and CONCLUSION: Posterior pericardial window technique is a safe and effective method which is easy to perform without any serious complication. This procedure may reduce late cardiac tamponade events and effusion-relatedatrial fibrillation which may be a fatal complication in CABG patients

Anahtar Kelime:

Kalp Cerrahisinde Postoperatif Perikardiyal Efüzyonun Önlenmesi İçin Posterior Perikardiyal Pencere Tekniği

Öz:

ÖZGİRİŞ ve AMAÇ: Posterior perikardiyal pencere tekniğinin, koroner arter bypass greftleme (CABG) ameliyatı sonrası perikardiyal efüzyon gelişimini önlemedeki etkinliğini belirlemekti.YÖNTEM ve GEREÇLER: Koroner cerrahi geçirecek hastalar rastgele bir kontrole veya perikardiyal pencere tekniği grubuna ayrıldı. Toplamda 210 hastayı 2 gruba ayırdık, posterior perikardiyal pencere grubu (n = 110) ve kontrol grubu (n = 110). Preoperatif, intraoperatif ve postoperatif klinik veriler retrospektif olarak toplandı. Preoperatif, taburcu olmadan önce ve postoperatif 7. ve 30. günlerde yapılan değerlendirmelere elektrokardiyografi, göğüs radyografisi, ekokardiyografik incelemeler yapıldı. Postoperatif morbidite nedenleri ve yoğun bakım ünitesinde ve hastanede kalış süreleri kaydedildi.BULGULAR: İki grup arasında demografik veriler açısından anlamlı fark yoktu (P >.05). Ekokardiyografi incelemeleri ameliyat öncesi gruplar arasında anlamlı bir farklılık yoktu; bununla birlikte, taburcu edilmeden önce, kontrol grubunda, perikardiyal pencere grubuna kıyasla, erken ve geç kardiyak tamponad anlamlı olarak yüksek bulundu (P <.05). Perikardiyal pencere grubunda postoperatif plevral efüzyon insidansı kontrol grubundan anlamlı olarak yüksek olarak tespit edildi. Yeni başlangıçlı atriyal fibrilasyon, kontrollerde perikardiyal pencere grubundan anlamlı olarak daha yaygındı (P <.05).TARTIŞMA ve SONUÇ: Posterior perikardiyal pencere tekniği, ciddi komplikasyonlar olmadan kolay uygulanabilir ve güvenli bir yöntemdir. Bu prosedür, geç kardiyak tamponadı ve CABG hastalarında ölümcül bir komplikasyon olabilen efüzyonla ilişkili atriyal fibrilasyonu azaltabilir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	EZELSOY M, ORAL K, SARAÇOĞLU K, SARAÇOĞLU A, AKPINAR B (2019). Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. , 78 - 83.
Chicago	EZELSOY Mehmet,ORAL Kerem,SARAÇOĞLU Kemal Tolga,SARAÇOĞLU Ayten,AKPINAR Belhan Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. (2019): 78 - 83.
MLA	EZELSOY Mehmet,ORAL Kerem,SARAÇOĞLU Kemal Tolga,SARAÇOĞLU Ayten,AKPINAR Belhan Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. , 2019, ss.78 - 83.
AMA	EZELSOY M,ORAL K,SARAÇOĞLU K,SARAÇOĞLU A,AKPINAR B Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. . 2019; 78 - 83.
Vancouver	EZELSOY M,ORAL K,SARAÇOĞLU K,SARAÇOĞLU A,AKPINAR B Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. . 2019; 78 - 83.
IEEE	EZELSOY M,ORAL K,SARAÇOĞLU K,SARAÇOĞLU A,AKPINAR B "Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery." , ss.78 - 83, 2019.
ISNAD	EZELSOY, Mehmet vd. "Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery". (2019), 78-83.

APA	EZELSOY M, ORAL K, SARAÇOĞLU K, SARAÇOĞLU A, AKPINAR B (2019). Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. Kocaeli Tıp Dergisi, 8(2), 78 - 83.
Chicago	EZELSOY Mehmet,ORAL Kerem,SARAÇOĞLU Kemal Tolga,SARAÇOĞLU Ayten,AKPINAR Belhan Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. Kocaeli Tıp Dergisi 8, no.2 (2019): 78 - 83.
MLA	EZELSOY Mehmet,ORAL Kerem,SARAÇOĞLU Kemal Tolga,SARAÇOĞLU Ayten,AKPINAR Belhan Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. Kocaeli Tıp Dergisi, vol.8, no.2, 2019, ss.78 - 83.
AMA	EZELSOY M,ORAL K,SARAÇOĞLU K,SARAÇOĞLU A,AKPINAR B Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. Kocaeli Tıp Dergisi. 2019; 8(2): 78 - 83.
Vancouver	EZELSOY M,ORAL K,SARAÇOĞLU K,SARAÇOĞLU A,AKPINAR B Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery. Kocaeli Tıp Dergisi. 2019; 8(2): 78 - 83.
IEEE	EZELSOY M,ORAL K,SARAÇOĞLU K,SARAÇOĞLU A,AKPINAR B "Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery." Kocaeli Tıp Dergisi, 8, ss.78 - 83, 2019.
ISNAD	EZELSOY, Mehmet vd. "Posterior Pericardial Window Technique to Prevent Postoperative Pericardial Effusion in Cardiac Surgery". Kocaeli Tıp Dergisi 8/2 (2019), 78-83.