A Retrospective Study of Coronary Artery Bypass Grafting with Low-Thermal Plasma Dissection Device Compared to Conventional Monopolar Electrosurgery

Introduction: The objective of this study is to compare the effects of conventional monopolar electrosurgery (CMES) and low-thermal plasma kinetic cautery (PKC) on complications such as bleeding, abnormal wound healing, pain, and drainage in patients who underwent on-pump coronary artery bypass graf...

Full description

Saved in:
Bibliographic Details
Published in:Revista brasileira de cirurgia cardiovascular 2021-01, Vol.36 (3), p.379-387
Main Authors: Uysal, Dincer, Ibrisim, Erdogan
Format: Article
Language:English
Subjects:
Ablation
Anesthesia
Aneurysms
Anticoagulants
Blood pressure
CARDIAC & CARDIOVASCULAR SYSTEMS
Cardiovascular disease
Coronary Artery Bypass
Coronary vessels
Ejection fraction
Electrodes
Electrosurgery
Energy
Gastrointestinal surgery
Heart surgery
Ischemia
Laboratories
Original
Pain
Patients
Plasma
Postoperative
Radio frequency
SURGERY
Thymus gland
Veins & arteries
Visual Analog Scale
Wound healing
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction: The objective of this study is to compare the effects of conventional monopolar electrosurgery (CMES) and low-thermal plasma kinetic cautery (PKC) on complications such as bleeding, abnormal wound healing, pain, and drainage in patients who underwent on-pump coronary artery bypass grafting (CABG). Methods: This retrospective clinical study included 258 patients undergoing CABG; the patients were randomized to PKC (PEAK PlasmaBlade, n=153) and CMES (n=105) groups. The patients’ clinical data were examined retrospectively for biochemical variables, postoperative drainage, post-surgery erythrocyte suspension transfusion count, surgical site pain examined with visual analogue scale (VAS), and wound healing. Two-sided P-value > 0.05 was considered as statistically significant. Results: The median post-surgery erythrocyte suspension transfusion number was significantly lower with PKC compared to CMES (0 [0-1] vs. 1 [1-4], respectively, P
ISSN:1678-9741
0102-7638
1678-9741
DOI:10.21470/1678-9741-2020-0386