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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2016, Number 4

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Cir Card Mex 2016; 1 (4)

Estudio comparativo entre la cirugía de revascularización coronaria con circulación extracorpórea convencional y de mínima invasión en un servicio de cirugía cardiotorácica

Lezama-Urtecho CA, De La Cerda-Belmont GA, Saucedo-Castillo J, Rincón-Salas JJ

Language: Spanish
References: 24
Page: 129-134
PDF size: 253.75 Kb.


ABSTRACT

Objective. To determine the inflammatory response and the clinical subset in coronary artery bypass grafting with conventional cardiopulmonary bypass versus with minimized extracorporeal circulation circuit.
Methods. Patients underwent coronay artery bypass grafting with conventional cardiopulmonary bypass and with minimized extracorporeal circulation circuit were studied focused on perioperative markers before and after surgery, as well as at 24, 48, 72 hours. A descriptive statistics to compare two proportions with mean values and their standard deviation for continuous variables and proportions for categorical variables was used. P value ‹ 0.05 was taken as significative.
Results. Forty patients were included. Behavior of leucocyte count, fibrinogen, C4 pre and postoperative, at 24, 48, 72 hours away from the cardioplumonary bypass did not show any statistical differenc. Regarding to the bleeding into the first 24 hours, extubation time, and use of blood products between both systems did not show significative statistical differences.
Conclusions. Coronary artery bypass grafting with minimized extracorporeal circulation circuit is a safe, effective and reproducible procedure. Clinical and biochemistry results obtained using minimized extracorporeal circulation circuit are similar than those obtained with conventional cardiopulmonary bypass. Both types of extracorporeal circulation can be considered for myocardial revascularization as safe options in short term.


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