Matches in SemOpenAlex for { <https://semopenalex.org/work/W1905218202> ?p ?o ?g. }
Showing items 1 to 81 of
81
with 100 items per page.
- W1905218202 endingPage "S6" @default.
- W1905218202 startingPage "S2" @default.
- W1905218202 abstract "To assess the sequelae of temporary coronary artery occlusion in off-pump, beating heart CABG, i.e. ischemia, hemodynamic instability and the need for conversion to cardiopulmonary bypass.In 200 patients (150 male), mean age 60 (range 35-81) years, 365 distal anastomoses were performed, i.e. 1.8 anastomoses per patient through limited and full access. One hundred seventy six LAD, 61 diagonal, 71 RCA, 7 RPD and 50 circumflex branches were grafted. Patients were pretreated with calcium antagonists, long-acting beta-blockade and had thoracic epidural blockade. The anastomosis was constructed using two microvascular clamps, preceded by ischemic preconditioning in non-occlusive disease. Myocardial ischemia was defined as > 1 mm S-T segment elevation. A simple aorto-coronary shunt, consisting of two intravenous catheters and a 10 cm connecting tube (flow > 20 ml/min), was used in critical ischemia.Ischemia occurred during 35 (10%) temporary coronary artery occlusions. Fifteen of these (43%) were RCA. In five of these 15 patients, all with non-occlusive disease, critical ischemia occurred with bradycardia, third-degree heart block and subsequently severe hypotension, which normally requires conversion to cardio-pulmonary bypass. Following introduction of the shunt (4 patients) electrocardiographic and hemodynamic parameters normalized within 30 s. The off-pump procedures could be continued uneventfully. There were no peri-operative infarctions.Temporary segmental occlusion is an effective method for anastomosis suturing in off-pump, beating heart CABG. Critical ischemia was observed rarely, only in the RCA and in non-occlusive disease. Temporary aorto-coronary shunting could avoid conversion to cardiopulmonary bypass and myocardial infarction." @default.
- W1905218202 created "2016-06-24" @default.
- W1905218202 creator A5001887359 @default.
- W1905218202 creator A5005162122 @default.
- W1905218202 creator A5082606589 @default.
- W1905218202 date "1999-11-01" @default.
- W1905218202 modified "2023-09-26" @default.
- W1905218202 title "When and how to shunt the coronary circulation in off-pump coronary artery bypass grafting*1" @default.
- W1905218202 cites W1971896030 @default.
- W1905218202 cites W2012222265 @default.
- W1905218202 cites W2016792804 @default.
- W1905218202 cites W2017315969 @default.
- W1905218202 cites W2026826353 @default.
- W1905218202 cites W2028855727 @default.
- W1905218202 cites W2039037260 @default.
- W1905218202 cites W2039988311 @default.
- W1905218202 cites W2062485840 @default.
- W1905218202 cites W2069071634 @default.
- W1905218202 cites W2137438493 @default.
- W1905218202 cites W2146217294 @default.
- W1905218202 cites W2155480145 @default.
- W1905218202 cites W2248049923 @default.
- W1905218202 cites W2397617338 @default.
- W1905218202 doi "https://doi.org/10.1016/s1010-7940(99)00260-2" @default.
- W1905218202 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/10613547" @default.
- W1905218202 hasPublicationYear "1999" @default.
- W1905218202 type Work @default.
- W1905218202 sameAs 1905218202 @default.
- W1905218202 citedByCount "23" @default.
- W1905218202 countsByYear W19052182022015 @default.
- W1905218202 crossrefType "journal-article" @default.
- W1905218202 hasAuthorship W1905218202A5001887359 @default.
- W1905218202 hasAuthorship W1905218202A5005162122 @default.
- W1905218202 hasAuthorship W1905218202A5082606589 @default.
- W1905218202 hasConcept C126322002 @default.
- W1905218202 hasConcept C141071460 @default.
- W1905218202 hasConcept C164705383 @default.
- W1905218202 hasConcept C178853913 @default.
- W1905218202 hasConcept C2776268601 @default.
- W1905218202 hasConcept C2776820930 @default.
- W1905218202 hasConcept C2778881276 @default.
- W1905218202 hasConcept C2780069944 @default.
- W1905218202 hasConcept C3017915907 @default.
- W1905218202 hasConcept C42219234 @default.
- W1905218202 hasConcept C541997718 @default.
- W1905218202 hasConcept C71924100 @default.
- W1905218202 hasConcept C8443397 @default.
- W1905218202 hasConceptScore W1905218202C126322002 @default.
- W1905218202 hasConceptScore W1905218202C141071460 @default.
- W1905218202 hasConceptScore W1905218202C164705383 @default.
- W1905218202 hasConceptScore W1905218202C178853913 @default.
- W1905218202 hasConceptScore W1905218202C2776268601 @default.
- W1905218202 hasConceptScore W1905218202C2776820930 @default.
- W1905218202 hasConceptScore W1905218202C2778881276 @default.
- W1905218202 hasConceptScore W1905218202C2780069944 @default.
- W1905218202 hasConceptScore W1905218202C3017915907 @default.
- W1905218202 hasConceptScore W1905218202C42219234 @default.
- W1905218202 hasConceptScore W1905218202C541997718 @default.
- W1905218202 hasConceptScore W1905218202C71924100 @default.
- W1905218202 hasConceptScore W1905218202C8443397 @default.
- W1905218202 hasLocation W19052182021 @default.
- W1905218202 hasLocation W19052182022 @default.
- W1905218202 hasOpenAccess W1905218202 @default.
- W1905218202 hasPrimaryLocation W19052182021 @default.
- W1905218202 hasRelatedWork W2028751651 @default.
- W1905218202 hasRelatedWork W2060165305 @default.
- W1905218202 hasRelatedWork W2162263880 @default.
- W1905218202 hasRelatedWork W2358147355 @default.
- W1905218202 hasRelatedWork W2397461728 @default.
- W1905218202 hasRelatedWork W2415066785 @default.
- W1905218202 hasRelatedWork W2428950329 @default.
- W1905218202 hasRelatedWork W2803154976 @default.
- W1905218202 hasRelatedWork W2827685789 @default.
- W1905218202 hasRelatedWork W4361242828 @default.
- W1905218202 hasVolume "16" @default.
- W1905218202 isParatext "false" @default.
- W1905218202 isRetracted "false" @default.
- W1905218202 magId "1905218202" @default.
- W1905218202 workType "article" @default.