Skip to main content
Journal cover image

Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting.

Publication ,  Journal Article
Savage, RM; Lytle, BW; Aronson, S; Navia, JL; Licina, M; Stewart, WJ; Starr, NJ; Loop, FD
Published in: Ann Thorac Surg
August 1997

BACKGROUND: Intraoperative echocardiography is a valuable monitoring and diagnostic technology used in cardiac surgery. This reports our clinical study of the usefulness of intraoperative echocardiography to both surgeons and anesthesiologists for high-risk coronary artery bypass grafting. METHODS: From March to November 1995, 82 consecutive high-risk patients undergoing coronary artery bypass grafting were studied in a four-stage protocol to determine the efficacy of intraoperative echocardiography in management planning. Alterations in surgical and anesthetic/hemodynamic management initiated by intraoperative echocardiography findings were documented in addition to perioperative morbidity and mortality. RESULTS: Intraoperative echocardiography initiated at least one major surgical management alteration in 27 patients (33%) and at least one major anesthetic/hemodynamic change in 42 (51%). Mortality and the rate of myocardial infarction in this consecutive high-risk study population using intraoperative echocardiography and in a similar group of patients without the use of intraoperative echocardiography was 1.2% versus 3.8% (not significant) and 1.2% versus 3.5% (not significant), respectively. CONCLUSIONS: We conclude that when all of the isolated diagnostic and monitoring applications of perioperative echocardiography are routinely and systematically performed together, it is a safe and viable tool that significantly affects the decision-making process in the intraoperative care of high-risk patients undergoing primary isolated coronary artery bypass grafting and may contribute to the optimal care of these patients.

Duke Scholars

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

August 1997

Volume

64

Issue

2

Start / End Page

368 / 373

Location

Netherlands

Related Subject Headings

  • Risk Factors
  • Respiratory System
  • Myocardial Infarction
  • Middle Aged
  • Intraoperative Period
  • Intraoperative Complications
  • Humans
  • Echocardiography
  • Coronary Disease
  • Coronary Artery Bypass
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Savage, R. M., Lytle, B. W., Aronson, S., Navia, J. L., Licina, M., Stewart, W. J., … Loop, F. D. (1997). Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting. Ann Thorac Surg, 64(2), 368–373. https://doi.org/10.1016/S0003-4975(97)00612-7
Savage, R. M., B. W. Lytle, S. Aronson, J. L. Navia, M. Licina, W. J. Stewart, N. J. Starr, and F. D. Loop. “Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting.Ann Thorac Surg 64, no. 2 (August 1997): 368–73. https://doi.org/10.1016/S0003-4975(97)00612-7.
Savage RM, Lytle BW, Aronson S, Navia JL, Licina M, Stewart WJ, et al. Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting. Ann Thorac Surg. 1997 Aug;64(2):368–73.
Savage, R. M., et al. “Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting.Ann Thorac Surg, vol. 64, no. 2, Aug. 1997, pp. 368–73. Pubmed, doi:10.1016/S0003-4975(97)00612-7.
Savage RM, Lytle BW, Aronson S, Navia JL, Licina M, Stewart WJ, Starr NJ, Loop FD. Intraoperative echocardiography is indicated in high-risk coronary artery bypass grafting. Ann Thorac Surg. 1997 Aug;64(2):368–373.
Journal cover image

Published In

Ann Thorac Surg

DOI

ISSN

0003-4975

Publication Date

August 1997

Volume

64

Issue

2

Start / End Page

368 / 373

Location

Netherlands

Related Subject Headings

  • Risk Factors
  • Respiratory System
  • Myocardial Infarction
  • Middle Aged
  • Intraoperative Period
  • Intraoperative Complications
  • Humans
  • Echocardiography
  • Coronary Disease
  • Coronary Artery Bypass