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Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis

INTRODUCTION: The aim of this study is to compare the postoperative outcomes and early mortality of peripheral and central cannulation techniques in cardiac reoperations using propensity score matching analysis. METHODS: In this retrospective cohort, patients who underwent cardiac reoperations with...

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Autores principales: Duman, Zihni Mert, Kadiroğulları, Ersin, Kaplan, Mustafa Can, Timur, Barış, Başgöze, Aylin, Yaşar, Emre, Bayram, Muhammed, Aydın, Ünal, Onan, Burak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550105/
https://www.ncbi.nlm.nih.gov/pubmed/37801428
http://dx.doi.org/10.21470/1678-9741-2022-0463
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author Duman, Zihni Mert
Kadiroğulları, Ersin
Kaplan, Mustafa Can
Timur, Barış
Başgöze, Aylin
Yaşar, Emre
Bayram, Muhammed
Aydın, Ünal
Onan, Burak
author_facet Duman, Zihni Mert
Kadiroğulları, Ersin
Kaplan, Mustafa Can
Timur, Barış
Başgöze, Aylin
Yaşar, Emre
Bayram, Muhammed
Aydın, Ünal
Onan, Burak
author_sort Duman, Zihni Mert
collection PubMed
description INTRODUCTION: The aim of this study is to compare the postoperative outcomes and early mortality of peripheral and central cannulation techniques in cardiac reoperations using propensity score matching analysis. METHODS: In this retrospective cohort, patients who underwent cardiac reoperations with median resternotomy were analyzed in terms of propensity score matching. Between November 2010 and September 2020, 257 patients underwent cardiac reoperations via central (Group 1) or peripheral (Group 2) cannulation. A 1:1 propensity score matching was performed to balance the influence of potential confounding factors to compare postoperative data and mortality rate. RESULTS: There were no significant differences when comparing the matched groups regarding early mortality (P=0.51), major cardiac injury (P=0.99), prolonged ventilation (P=0.16), and postoperative stroke (P=0.99). The development of acute renal failure (P=0.02) was statistically less frequent in Group 1. CONCLUSIONS: Performing cardiopulmonary bypass via peripheral cannulation increases acute renal failure in cardiac reoperations. In contrast, peripheral or central cannulation have similar early mortality rate in cardiac reoperations.
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spelling pubmed-105501052023-10-05 Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis Duman, Zihni Mert Kadiroğulları, Ersin Kaplan, Mustafa Can Timur, Barış Başgöze, Aylin Yaşar, Emre Bayram, Muhammed Aydın, Ünal Onan, Burak Braz J Cardiovasc Surg Original Article INTRODUCTION: The aim of this study is to compare the postoperative outcomes and early mortality of peripheral and central cannulation techniques in cardiac reoperations using propensity score matching analysis. METHODS: In this retrospective cohort, patients who underwent cardiac reoperations with median resternotomy were analyzed in terms of propensity score matching. Between November 2010 and September 2020, 257 patients underwent cardiac reoperations via central (Group 1) or peripheral (Group 2) cannulation. A 1:1 propensity score matching was performed to balance the influence of potential confounding factors to compare postoperative data and mortality rate. RESULTS: There were no significant differences when comparing the matched groups regarding early mortality (P=0.51), major cardiac injury (P=0.99), prolonged ventilation (P=0.16), and postoperative stroke (P=0.99). The development of acute renal failure (P=0.02) was statistically less frequent in Group 1. CONCLUSIONS: Performing cardiopulmonary bypass via peripheral cannulation increases acute renal failure in cardiac reoperations. In contrast, peripheral or central cannulation have similar early mortality rate in cardiac reoperations. Sociedade Brasileira de Cirurgia Cardiovascular 2023-09-11 /pmc/articles/PMC10550105/ /pubmed/37801428 http://dx.doi.org/10.21470/1678-9741-2022-0463 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Duman, Zihni Mert
Kadiroğulları, Ersin
Kaplan, Mustafa Can
Timur, Barış
Başgöze, Aylin
Yaşar, Emre
Bayram, Muhammed
Aydın, Ünal
Onan, Burak
Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis
title Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis
title_full Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis
title_fullStr Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis
title_full_unstemmed Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis
title_short Central vs. Peripheral Cannulation During Reoperations: A Propensity Score Matching Analysis
title_sort central vs. peripheral cannulation during reoperations: a propensity score matching analysis
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10550105/
https://www.ncbi.nlm.nih.gov/pubmed/37801428
http://dx.doi.org/10.21470/1678-9741-2022-0463
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