Navigation Links
Beating heart surgery may increase risk to patients
Date:3/14/2012

Coronary artery bypass surgery performed whilst the heart is still beating may carry an increased likelihood of death, according to a systematic review by Cochrane researchers. The researchers suggest beating heart surgery should not be recommended except in specific cases where stopping the heart might be risky.

Heart surgery in patients with heart disease caused by narrowed arteries has for many years been performed "on-pump", by stopping the heart and introducing a bypass to artificially pump the patient's blood. It is now possible to perform surgery without stopping the heart, using stabilisation devices. This "off-pump" approach is intended to reduce complications. However, previous systematic reviews found high quality evidence was lacking.

The new review included 86 trials, involving a total of 10,716 patients. According to the results, rather than improving outcomes for patients, off-pump approaches actually increased the risk of death slightly when compared with on pump bypass. Overall, the risk increased from 3.1% on-pump to 3.7% off-pump. Patients enrolled in many of the trials were on average younger and with a lower risk of complications than patients typically undergoing coronary artery bypass surgery. The majority of trials had a high risk of bias and short follow-up. But, when the researchers carried out an analysis of ten trials that had low risk of bias and long follow-up, the gap between on-pump and off-pump became wider, with the risk of death increasing from 4.6% on-pump to 6.2% off-pump.

"Our data raise a warning regarding coronary artery bypass surgery performed while the heart is beating," said lead researcher Christian Mller of the Department of Cardiothoracic Surgery and The Copenhagen Trial Unit at The Copenhagen University Hospital in Copenhagen, Denmark. "By comparison, the traditional on-pump method seems less risky and, based on this evidence, should remain the standard surgical treatment."

However, beating heart surgery may be a better option in certain patients for whom stopping the heart poses a particular risk. The researchers say more high quality trials are required to improve the evidence base. "We need more trials assessing the potential benefit of beating heart approaches in patients with contraindications to on-pump surgery," said Mller. "In these patients, off-pump could still be considered."


'/>"/>

Contact: Jennifer Beal
healthnews@wiley.com
44-124-377-0633
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Beating superbugs with a high-tech cleanser
2. Overall Health May Be Key to Beating Breast Cancer
3. Small particles show big promise in beating unpleasant odors
4. Going live to the beating heart
5. Beating doctor burnout and protecting patients
6. Professional Web Design Agency Discovers Winning Web Development Formula for Beating the Recession.
7. Vaccination, Prevention Is Beating Back Hepatitis
8. Marriage: A powerful heart drug in short supply
9. Heart Failure Patients Urged to Discuss Care With Docs
10. Depression Could Worsen Mental Decline in Heart Patients
11. Heart healthy choices now pay off later
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/23/2017)... (PRWEB) , ... August 23, 2017 , ... ... of the American Academy of Orthopaedic Surgeons , points out that therapeutic ... suffering from pain or injury. According to the report, a wider scope of ...
(Date:8/22/2017)... ... 22, 2017 , ... The old adage “you are what ... eating healthy foods. But this well-known piece of nutrition advice ignores that an ... carbohydrates—depends not only on properties of the food but also on properties of ...
(Date:8/22/2017)... del Rey, CA (PRWEB) , ... August 22, ... ... of revenue cycle management (RCM) solutions, announced recently the availability of a new ... HIM community in appreciation for their service to the healthcare industry. E/M coding ...
(Date:8/22/2017)... ... ... “Wilderness Voices”: a collection of poetry inspired by life on a Kentucky ... published author, Martha McKown, an ordained United Methodist minister with graduate degrees in Religious ... her older sisters studied High School literature. She loved the early English folk ...
(Date:8/22/2017)... ... August 22, 2017 , ... ... is the Founder and Managing Member for t4 Leadership Development & Consulting. He ... to his definition of “success”: physician leadership development, servant leadership, data driven process ...
Breaking Medicine News(10 mins):
(Date:8/15/2017)... Inc. announced today that its fully owned USA ... York City Office in Yonkers, New York ... (TWO 2 ) homecare therapy. This new East Coast location has ... under the company,s DMEPOS accreditation for Home/Durable Medical Equipment Services. ... Advanced Oxygen Therapy Inc. New ...
(Date:8/11/2017)... 11, 2017 DarioHealth Corp. (NASDAQ: DRIO), a ... big data solutions, today announced that it will release ... and host a conference call at 9:00am ET. The ... financial results and its strategy and outlook for the ... Erez Raphael , Chief Executive Officer, and ...
(Date:8/8/2017)... Aug. 8, 2017  BioLineRx Ltd. (NASDAQ/TASE: BLRX), a ... reports its financial results for the second quarter ended ... the second quarter 2017 and to date: ... development programs for the Company,s lead project, BL-8040: ... study with BL-8040 as novel stem cell mobilization treatment ...
Breaking Medicine Technology: