WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
  • IFSIJ Measure of Journal Quality
  • Scientific Journal Impact Factor (SJIF)
  • International Scientific Indexing, UAE (ISI) (Under Process)
  • International Impact Factor Services (IIFS)
  • Web of Science Group (Under Process)
  • Directory of Research Journals Indexing
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Abstract

PROGNOSTIC IMPACT OF AORTIC- CROSS CLAMP TIME IN CORONARY ARTERY BYPASS GRAFTING SURGERY

Mahmoud Shamaly*, Mudar Abdulatif and Akil Khadam

ABSTRACT

Objective: The aim of this study is to estimate the prognostic value of aortic- cross clamping time in predicting outcomes after on-pump CABG and to identify the limits of the safe time. Patients and Methods: Retrospective Analytical Prognostic Study conducted for the period four years(January 2017- January 2020) at Tishreen University Hospital and Al-Bassel hospital in Lattakia-Syria. 318 patients who underwent on-pump CABG were included in the study. Results: Mean age was 58.8±8.6years, 74.5% were males. When the peak aortic-clamp time during CABG reached 74 min, in hospital mortality could be predicted with an area under the ROC curve of 0.69(95% CI:0.48-0.90) with a sensitivity of 71% and specificity of 64.6%. The time of CPB and operation was longer with increasing cross-clamp time(153.4±27.1 vs. 114.3±26.7, p: 0.0001) and( 5.5±0.7 vs. 4.5±0.7, p:0.01) respectively. Using bilateral internal mammary arteries and radial artery was more frequently in patients with longer cross-clamp time(p

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