Coronary artery bypass surgery pulmonary artery catheterization

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Patient Information

Overview

Pathophysiology

Saphenous Vein Graft Disease
Other Non-Atherosclerotic Saphenous Vein Graft Diseases

Indications for CABG

Prognosis

Diagnosis

Imaging in the Patient Undergoing CABG

Chest X Ray

Angiography

CT Angiography
MRI Angiography

Trans-Esophageal Echocardiography

Treatment

Goals of Treatment

Perioperative Management

Perioperative Monitoring

Electrocardiographic Monitoring
Pulmonary Artery Catheterization
Central Nervous System Monitoring

Surgical Procedure

Anesthetic Considerations
Intervention in left main coronary artery disease
The Traditional Coronary Artery Bypass Grafting Procedure (Simplified)
Minimally Invasive CABG
Hybrid coronary revascularization
Conduits Used for Bypass
Videos on Spahenous Vein Graft Harvesting
Videos on Coronary Artery Bypass Surgery

Post-Operative Care and Complications

Recommendation for Duration of DAPT in Patients With ACS Treated With CABG

Special Scenarios

Anomalous Coronary Arteries
COPD/Respiratory Insufficiency
Existing Renal Disease
Concomitant Valvular Disease
Previous Cardiac Surgery
Menopause
Carotid Disease evaluation before surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]

Pulmonary Artery Catheterization (DO NOT EDIT)[1]

Class I
"1. Placement of a pulmonary artery catheter is indicated, preferably before the induction of anesthesia or surgical incision, in patients in cardiogenic shock undergoing CABG. (Level of Evidence: C)"
Class IIa
"1. Placement of a pulmonary artery catheter can be useful in the intraoperative or early postoperative period in patients with acute hemodynamic instability.[2][3][4][5][6] (Level of Evidence: B)"
Class IIb
"1. Placement of a pulmonary artery catheter may be reasonable in clinically stable patients undergoing CABG after consideration of baseline patient risk, the planned surgical procedure, and the practice setting.[2][3][4][5][6] (Level of Evidence: B)"

Guidelines Resources

  • 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[1]

References

  1. 1.0 1.1 1.2 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
  2. 2.0 2.1 "Practice guidelines for pulmonary artery catheterization: an updated report by the American Society of Anesthesiologists Task Force on Pulmonary Artery Catheterization". Anesthesiology. 99 (4): 988–1014. 2003. PMID 14508336. Retrieved 2011-12-16. Unknown parameter |month= ignored (help)
  3. 3.0 3.1 Pearson KS, Gomez MN, Moyers JR, Carter JG, Tinker JH (1989). "A cost/benefit analysis of randomized invasive monitoring for patients undergoing cardiac surgery". Anesthesia and Analgesia. 69 (3): 336–41. PMID 2505641. Retrieved 2011-12-16. Unknown parameter |month= ignored (help)
  4. 4.0 4.1 Resano FG, Kapetanakis EI, Hill PC, Haile E, Corso PJ (2006). "Clinical outcomes of low-risk patients undergoing beating-heart surgery with or without pulmonary artery catheterization". Journal of Cardiothoracic and Vascular Anesthesia. 20 (3): 300–6. doi:10.1053/j.jvca.2006.01.017. PMID 16750726. Retrieved 2011-12-16. Unknown parameter |month= ignored (help)
  5. 5.0 5.1 Schwann TA, Zacharias A, Riordan CJ, Durham SJ, Engoren M, Habib RH (2002). "Safe, highly selective use of pulmonary artery catheters in coronary artery bypass grafting: an objective patient selection method". The Annals of Thoracic Surgery. 73 (5): 1394–401, discussion 1401–2. PMID 12022523. Unknown parameter |month= ignored (help); |access-date= requires |url= (help)
  6. 6.0 6.1 Stewart RD, Psyhojos T, Lahey SJ, Levitsky S, Campos CT (1998). "Central venous catheter use in low-risk coronary artery bypass grafting". The Annals of Thoracic Surgery. 66 (4): 1306–11. PMID 9800825. Retrieved 2011-12-16. Unknown parameter |month= ignored (help)

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