Symptom progression following on-pump versus off-pump coronary artery bypass graft surgery in patients with peripheral arterial disease

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dc.contributor.authorSevuk, Utkan
dc.contributor.authorBahadir, Mehmet Veysi
dc.date.accessioned2024-04-24T16:02:32Z
dc.date.available2024-04-24T16:02:32Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective This study aims to examine whether cardiac surgery leads to symptom progression in the early postoperative period in patients with the peripheral arterial disease (PAD) and evaluate the difference between on-pump (OPCAB) and off-pump (ONCAB) coronary artery bypass graft surgery with regard to the symptom progression. Methods This retrospective study included one hundred consecutive adult patients with PAD at Fontaine stage 2b (pain-free walking distance less than 100 m) undergoing ONCAB and one hundred consecutive adult patients with PAD at Fontaine stage 2b (pain-free walking distance less than 100 m) undergoing OPCAB. Symptom progression was defined as the development of ischemic rest pain (Fontaine stage 3). Results In the first week after surgery, 12 patients in the OPCAB group and 53 patients in the ONCAB group had postoperative symptom progression (p < 0.001). Rest pain resolved in most of these patients on the 15th postoperative day. At the end of the second month, rest pain resolved in all patients. Logistic regression analysis revealed that cardiac surgery with CPB, ABI < 0.5, postoperative nadir hct levels <= 25%, and intraoperative tissue hypoxia were independently associated with postoperative symptom progression. Conclusions In summary, we found that cardiac surgery may lead to symptom progression in patients with severe claudication in the early postoperative period. Our results suggest that OPCAB may lead to lower rates of symptom progression compared to ONCAB.en_US
dc.identifier.doi10.1007/s11748-022-01855-x
dc.identifier.endpage166en_US
dc.identifier.issn1863-6705
dc.identifier.issn1863-6713
dc.identifier.issue3en_US
dc.identifier.pmid35943642
dc.identifier.scopus2-s2.0-85135618950
dc.identifier.scopusqualityQ2
dc.identifier.startpage158en_US
dc.identifier.urihttps://doi.org/10.1007/s11748-022-01855-x
dc.identifier.urihttps://hdl.handle.net/11468/14832
dc.identifier.volume71en_US
dc.identifier.wosWOS:000837919500001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Japan Kken_US
dc.relation.ispartofGeneral Thoracic and Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCardiopulmonary Bypassen_US
dc.subjectOff-Pump Coronary Artery Bypass Surgeryen_US
dc.subjectPeripheral Arterial Diseaseen_US
dc.subjectSymptom Progressionen_US
dc.subjectCardiac Surgeryen_US
dc.titleSymptom progression following on-pump versus off-pump coronary artery bypass graft surgery in patients with peripheral arterial diseaseen_US
dc.titleSymptom progression following on-pump versus off-pump coronary artery bypass graft surgery in patients with peripheral arterial disease
dc.typeArticleen_US

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