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  • Meeting abstract
  • Open Access

Outcomes of single institutional experience with Single Cross-Clamp technique

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  • 1,
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Journal of Cardiothoracic Surgery201510 (Suppl 1) :A174

https://doi.org/10.1186/1749-8090-10-S1-A174

  • Published:

Keywords

  • Coronary Artery Bypass Graft
  • Respiratory Failure
  • Hospital Mortality
  • Aortic Valve Replacement
  • Cerebrovascular Event

Background/Introduction

Minimizing cardiac surgery related mortality and furthermore morbidity remains at the center of patient focused care and quality improvement. We present our experience with single cross-clamp technique following coronary artery bypass graft surgery (CABG) with or without aortic valve replacement (AVR).

Aims/Objectives

We hypothesize that a single cross clamp technique can improve survival whilst reducing associated morbidity.

Method

All clinical data were prospectively collected with the study design and analysis being retrospective in nature. A single surgeon's procedures were included for the period October 2007 to January 2014

Results

712 (male 77.5%) patients were operated on, with 609 (85.54%) being isolated CABG and 103 (14.46%) combined CABG with AVR. Average age in isolated CABG and combined groups were 66 and 73 years respectively. Average additive EuroScores were 3.5 and 7.29. 21.6% cases were performed by trainee or staff grade surgeon.

In hospital mortality was 0.16% in isolated CABG and 0% in CABG with AVR group. Postoperative complications in isolated CABG group included reoperation for bleeding or tamponade (2.13%), renal impairment requiring temporary haemodialysis (0.82%), and respiratory failure requiring reintubation (0.65%). We did not experience any cerebrovascular events. In the combined CABG with AVR group we experienced reoperation for bleeding or tamponade (2.91%), respiratory failure requiring reintubation (1.94%), and cerebrovascular events (1.94%).

Kaplan Meier survival at 1, 3, and 5 years was 98.35%, 95.85% and 92.61% (isolated CABG), and 96%, 86.4% and 79.4% (combined CABG with AVR).

Discussion/Conclusion

Our preliminary study has demonstrated outcomes comparable to our nationally reported outcomes for the same time period. Single cross clamp technique for CABG with or without AVR is a safe and reproducible technique.

Authors’ Affiliations

(1)
Department of Cardiothoracic Surgery Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, Lancashire, FY3 8NR, UK

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