Short-term graft patency of sequential and Y-graft in open heart surgery with transit time flow measurement

Acipayam M., Uncu H., Taraktaş M., Altinay L., Hakan Zor M., Doʇan P., ...Daha Fazla

Journal of Cardiovascular Surgery, cilt.56, sa.5, ss.793-797, 2015 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 56 Sayı: 5
  • Basım Tarihi: 2015
  • Dergi Adı: Journal of Cardiovascular Surgery
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.793-797
  • Anahtar Kelimeler: Coronary artery bypass, Coronary disease, Transplants
  • Hatay Mustafa Kemal Üniversitesi Adresli: Evet

Özet

Aim: In this prospective study, we aimed to compare flow characteristics and the short term patency of sequential and y-grafts by intraoperative transit time flow measurement. Methods: Sixty patients were selected from 1374 isolated coronary bypass operations. Group 1 (N.=36) consisted of sequential grafted, Group 2 (N.=24) consisted of y-grafted patients. Intraoperative graft flow measurement was done with a transit time flow meter at stable hemodynamic conditions. We follow up the groups at the 30th day of the operation. Results: The mean flows at measurement set up were 43-2±19-7 niL/min in Group 1 and 43.6±21.7 ml/min in Group 2. After distal graft clamp removal the same values were 63.4±20.9 niL/min in Group 1 and 67.3±35.3 ml/mins in Group 2. At the 30th day of the operation no patients died, and none of them had an acute myocardial infarction. Conclusion: The percent of flow increase in sequential graft group was higher but the difference of the percent of flow increase between groups was not statistically significant.