Off-pump coronary artery bypass graft surgery assisted with intra-aortic balloon pump in the surgical treatment of ischemic cardiomyopathy

doi:10.3969/j.issn.1006-7795.2018.06.024

Abstract

Abstract: Objective To evaluate the effect and safety of off-pump coronary artery bypass graft surgery (OPCAB) assisted with intra-aortic balloon pump (IABP) in the surgical treatment of ischemic cardiomyopathy. Methods This retrospective study analyzed the clinical data collected from 72 patients with ischemic cardiomyopathy, who were operated on the OPCAB surgery assisted with IABP from January 2012 to December 2017 in Beijing Anzhen Hospital. Results All patients accepted the OPCAB surgery under the assist of IAPB successfully. The average bypass grafts were 3.8±1.2, forty (55.5%) cases, experienced arrhythmias during the surgery and thirty-six got better after dealing with nitroglycerin and lidocaine. All patients were discharged from hospital after recovery, with an average IABP auxiliary time of (29.4±18.3)h. Sixty-three patients were followed-up for 0.5 to 1 year. The mean left ventricular ejection fractions increased significantly (0.45±0.08 vs 0.33±0.05, P<0.05), while mean left ventricular end-diastolic diameter decreased remarkably[(52.3±7.9)mm vs (63.5±8.7)mm, P<0.05]. Conclusion Our study showed that the OPCAB surgery assisted with IABP is an effective and relatively safe surgical treatment of ischemic cardiomyopathy.

Key words: intra-aortic balloon pump, ischemic cardiomyopathy, coronary artery bypass graft surgery, off-pump

CLC Number:

R541

Fang Ying, Wei Hua, Wu Zhen, Song Wei, Gu Chengxiong. Off-pump coronary artery bypass graft surgery assisted with intra-aortic balloon pump in the surgical treatment of ischemic cardiomyopathy[J]. Journal of Capital Medical University, 2018, 39(6): 933-936.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2018.06.024

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2018/V39/I6/933

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