#Candidates for cabg surgery

[lisaoshiola]

India is a leading destination for coronary artery bypass graft (CABG) surgery, offering exceptional cardiac care at affordable prices. Here's why India is the top choice for cardiac patients worldwide.

[crossborderscare]

Uncovering From Robotic Coronary Artery Bypass Surgery in Delhi

Coronary artery bypass surgery, or CABG, is a proven and widely used procedure for curing coronary artery disease. However, have you ever thought there was one more option? Robotic coronary artery bypass surgery is an advanced technological approach that offers more precise treatment for your disease. It is less invasive and highly recommended by several cardiac specialists in Delhi. 

In this blog, we will discover how robotic coronary artery bypass surgery in India is the most reliable choice for you. Let's begin… 

What is Robotic Coronary Artery Bypass Surgery?

Robotic CABG surgery involves robotic systems that assist the surgeon in performing the procedure accurately. Unlike the traditional CABG method, which frequently requires large incisions and longer recovery time, robotic medical procedures utilize small cuts and modern mechanical arms to treat. 

Benefits of Choosing Robotic CABG

Lower Risk of Complications

Each patient wants minimal or no risk before, after, or during the surgery. Various studies have shown that robotic CABG surgery in India has a low risk of infections and complications, which makes the process safer for the patients. 

Less Recovery Time

Individuals who undergo robotic coronary artery bypass surgery experience short-term recovery time, which helps them go back to their daily routine. It also results in short hospital stays and reduces the cost of surgery. 

Our Latest Post

Minimal Invasive Technique

Most patients opt for robotic CABG for its minimally invasive technique. The small incision not only reduces trauma to the body but also reduces pain and the scar, which is more concerning. 

Advanced Technology for Precision

With time, this advanced technology has cured a lot of patients' lives. That's why surgeons also recommend robotic options for more precise movements. 

Visit Our Best And Specialist Doctor And Top Hospital 

Best Hospital for Robotic Thyroidectomy Surgery in India Best Liver Transplant Hospitals In India Best Kidney Transplant Hospitals in India Best Bone Marrow Transplant hospitals in India Best Corneal Transplant Hospitals in India

The Procedure of Robotic Approach: What to Expect

In robotic CABG, surgeons make small incisions in the chest area, and a camera is inserted through an incision to view the heart in high definition. Later, robotic arms perform the bypass surgery, which the surgeon controls. 

The patient is under general anesthesia throughout this procedure. The robotic CABG method can also efficiently perform complex cases. 

Best Plastic Surgery Doctors in India

Best Surgical Oncologist in Delhi, India Best brain tumor doctors in india Best Doctors For Bone Cancer Doctors in India Best Ewing’s Sarcoma Doctors in India Doctors For Osteosarcoma Treatment In India

Who is a Candidate for Robotic CABG Surgery?

Robotic CABG surgery is suitable for patients who are dealing with coronary artery disease, especially those who are at a young age, fit, and have minimal extensive heart problems. However, not all patients are ideal for the robotic system. So, personalized talk with a cardiac surgeon is necessary to understand the most appropriate treatment for you.

Over to You

Robotic coronary artery bypass surgery is becoming one of the popular minimally invasive approaches for many patients with cardiac problems. If you are from Bangladesh, Uzbekistan, Kenya or any other country and looking for the best place for CABG surgery in India, contact Cross Border Care, a leading consultant firm that provides a path to better health. 

According to cardiac surgeons in Delhi, the robotic procedure is easily applicable to complex anatomies. So, to determine if it's the right choice for you, call us today. Take a proactive step towards a healthier heart. Stay tuned for more!

[drsaurabhjaiswal12]

Total Arterial Beating Heart Surgery in Jaipur

Total Arterial Beating Heart Surgery is an advanced cardiac surgical technique that has revolutionized the field of heart surgery. This innovative approach is primarily used for patients requiring coronary artery bypass grafting (CABG) while preserving the heart’s natural rhythm and function. In Jaipur, several leading cardiac surgeons are adopting this technique, offering patients a less invasive and more effective solution for treating coronary artery disease. Our services: Total Arterial Beating Heart Surgery in Jaipur

What is Total Arterial Beating Heart Surgery?

Total Arterial Beating Heart Surgery involves the use of arterial grafts — primarily the internal mammary artery and radial artery — to bypass blocked or narrowed coronary arteries. Unlike traditional CABG, where the heart is often stopped and a heart-lung machine is used, this technique maintains the heart’s natural beating. This allows for better blood flow, reduces the risk of complications, and enhances recovery time for patients.

Advantages of Total Arterial Beating Heart Surgery

Improved Blood Flow: Using arterial grafts instead of veins results in improved long-term blood flow. Arteries have a stronger structure and can handle the pressure of blood more effectively than veins.

Reduced Complications: Since the heart remains beating during the procedure, there is a lower risk of complications associated with the use of a heart-lung machine, such as stroke or organ dysfunction.

Faster Recovery: Patients who undergo Total Arterial Beating Heart Surgery often experience shorter hospital stays and faster recovery times. This technique allows patients to return to their daily activities sooner compared to traditional methods.

Better Long-Term Outcomes: Studies have shown that patients who receive arterial grafts have better long-term outcomes, including a lower risk of graft failure and improved survival rates.

Minimal Invasive Approach: In many cases, this procedure can be performed through smaller incisions, leading to less pain and scarring for the patient.

The Procedure

Total Arterial Beating Heart Surgery is typically performed under general anesthesia. The surgeon makes a small incision in the chest and uses specialized instruments to access the heart while it continues to beat. The internal mammary artery is commonly harvested and grafted to the coronary artery, while other arteries, such as the radial artery, may be used as additional grafts. The surgeon carefully sutures the grafts to ensure optimal blood flow.

Throughout the procedure, the surgical team monitors the heart’s function closely to ensure everything is stable. Once the grafts are in place, the team assesses the success of the surgery before closing the incision.

Who is a Candidate?

Total Arterial Beating Heart Surgery is ideal for patients with significant coronary artery disease who require bypass surgery. However, candidates are carefully evaluated based on their overall health, the severity of their condition, and other factors. It is essential for patients to discuss their medical history and any underlying health issues with their cardiac surgeon to determine the most appropriate treatment plan.

Conclusion

Total Arterial Beating Heart Surgery represents a significant advancement in cardiac surgery, offering patients in Jaipur a safer, more effective option for treating coronary artery disease. With numerous skilled cardiac surgeons employing this technique, patients can access cutting-edge care and enjoy the benefits of improved recovery times and better long-term outcomes. If you or a loved one is facing heart surgery, consider consulting with a qualified cardiac specialist in Jaipur to learn more about Total Arterial Beating Heart Surgery and whether it is the right choice for your needs. The future of cardiac care is bright, and advancements like these are leading the way toward safer, more effective treatments for heart disease.

[forerunnershealthcareconsultants]

India is a leading destination for coronary artery bypass graft (CABG) surgery, offering exceptional cardiac care at affordable prices. Here's why India is the top choice for cardiac patients worldwide.

👉 Topics Covered

What is CABG Surgery? Who are the Good candidates for CABG surgery? How is the Cardiac Bypass Surgery Performed? How Does the Recovery Generally Look After a Cardiac Bypass Surgery? What are the types of Cardiac Bypass Surgery? What are the results seen after the Heart Bypass Surgery? How can you select India's best surgeon and hospital for cardiac bypass surgery? What is the cost of Cardiac Bypass surgery in India?

Cost of Coronary Artery Bypass Graft Surgery in India:The cost of CABG surgery in India is significantly lower than in many Western countries, without compromising on quality and care.

Recovery After Coronary Artery Bypass Graft Surgery in India:Recovery from CABG surgery in India typically involves:

Hospital Stay: A stay of 5-7 days in the hospital. Post-Surgery Care: Comprehensive care including pain management, wound care, and regular monitoring.

Rehabilitation: Personalized rehabilitation programs to support your recovery, including physiotherapy and lifestyle counseling.Follow-Up: Regular follow-ups with your cardiologist to ensure a smooth and healthy recovery.

Top Coronary Artery Bypass Graft Surgeons in India:India is home to some of the world’s most skilled cardiac surgeons, known for their expertise and high success rates.

Leading Coronary Artery Bypass Graft Surgery Hospitals in India: India boasts several world-class hospitals specializing in CABG surgery, including: These hospitals offer state-of-the-art technology, experienced medical staff, and a patient-centric approach to ensure the highest standards of care.

Are you considering coronary artery bypass graft surgery? Learn why India is the preferred destination for high-quality, affordable cardiac care.

Subscribe to our channel for more information and inspiring patient stories!

👉 Follow for more health tips!

Social Media: / 61562610098718 / medicalcaresurgeryindia

Contact us: Medical Care & Surgery in India Call & Whatsapp Us: +91-9860755000, +91-9371136499, Email Us: surgeryindia123@gmail.com

[micsheart]

Who is a Candidate for Minimally Invasive Bypass Surgery?

Minimally invasive bypass surgery is a cutting-edge procedure that offers significant advantages over traditional open-heart surgery. This article delves into the qualifications and conditions that make a patient a suitable candidate for this advanced medical intervention.

Understanding Minimally Invasive Bypass Surgery

Minimally invasive bypass surgery, also known as Minimally Invasive Direct Coronary Artery Bypass (MIDCAB), is a procedure where surgeons perform coronary artery bypass grafting (CABG) through small incisions instead of the large incision required in traditional open-heart surgery. This technique minimizes trauma, reduces recovery time, and lowers the risk of complications.

Key Benefits of Minimally Invasive Bypass Surgery

Reduced Recovery Time

Patients undergoing minimally invasive bypass surgery often experience faster recovery compared to those who have traditional open-heart surgery. The smaller incisions lead to less pain and quicker healing.

Lower Risk of Complications

The minimally invasive approach significantly reduces the risk of infections and other complications. Patients benefit from shorter hospital stays and a quicker return to normal activities.

Cosmetic Advantages

With smaller incisions, the cosmetic outcomes are far superior. Patients have less noticeable scars, which can be particularly important for younger or more self-conscious individuals.

Ideal Candidates for Minimally Invasive Bypass Surgery

Patients with Single or Double Vessel Disease

Minimally invasive bypass surgery is typically recommended for patients with single or double vessel disease. These patients have blockages in one or two of the coronary arteries, making them ideal candidates for this less invasive approach.

Patients with Localized Blockages

Patients whose blockages are localized and accessible via small incisions are good candidates for minimally invasive surgery. Surgeons can effectively bypass the blocked arteries without the need for a large chest incision.

Individuals with a Healthy Body Mass Index (BMI)

Maintaining a healthy BMI is crucial for candidates of minimally invasive bypass surgery. Patients who are significantly overweight or obese may not be suitable due to the increased complexity and risk associated with the procedure.

Patients without Severe Comorbidities

Candidates should ideally be free from severe comorbidities such as advanced chronic obstructive pulmonary disease (COPD) or severe renal dysfunction. These conditions can complicate the surgery and recovery process.

Younger Patients

Younger patients often benefit the most from minimally invasive procedures. Their bodies typically heal faster, and the cosmetic advantages are more pronounced.

Individuals Motivated for Quick Recovery

Patients who are motivated to recover quickly and return to their daily activities often choose minimally invasive bypass surgery. The shorter hospital stay and reduced recovery time align well with their goals.

Pre-Surgical Assessments

Comprehensive Medical Evaluation

Before being considered for minimally invasive bypass surgery, patients undergo a comprehensive medical evaluation. This includes a detailed medical history, physical examination, and diagnostic tests to assess the heart’s condition and overall health.

Imaging Studies

Advanced imaging studies such as coronary angiography, echocardiography, and CT scans are performed to provide a clear picture of the coronary arteries. These studies help the surgical team plan the procedure with precision.

Consultation with a Cardiologist and Surgeon

Patients have detailed consultations with both a cardiologist and a cardiac surgeon. These specialists evaluate the suitability of minimally invasive surgery and discuss the potential risks and benefits with the patient.

Preparation for Minimally Invasive Bypass Surgery

Preoperative Instructions

Patients receive detailed preoperative instructions, including dietary restrictions, medications to avoid, and guidelines for the day of surgery. Adhering to these instructions is crucial for a successful outcome.

Lifestyle Modifications

Patients are often advised to make lifestyle modifications before surgery. These may include quitting smoking, improving diet, and increasing physical activity to enhance overall health and optimize surgical outcomes.

Mental and Emotional Preparation

Mental and emotional preparation is equally important. Patients are encouraged to discuss any concerns or anxieties with their healthcare team and may benefit from support groups or counseling.

The Surgical Procedure

Anesthesia

The procedure begins with the administration of general anesthesia to ensure the patient is completely unconscious and pain-free during surgery.

Small Incisions

Instead of a large chest incision, the surgeon makes several small incisions between the ribs. These incisions provide access to the heart while minimizing trauma to the chest wall.

Use of Specialized Instruments

The surgeon uses specialized instruments and a tiny camera, known as a thoracoscope, to visualize and operate on the heart. This equipment allows for precise movements and effective bypassing of the blocked arteries.

Grafting the Artery

A healthy artery or vein, typically from the leg or chest, is grafted to the blocked coronary artery. This new pathway restores blood flow to the heart muscle, alleviating symptoms and reducing the risk of heart attacks.

Closing the Incisions

Once the grafting is complete, the small incisions are carefully closed with sutures or surgical glue. The use of small incisions promotes faster healing and reduces the risk of infection.

Postoperative Care and Recovery

Monitoring and Initial Recovery

After surgery, patients are closely monitored in the intensive care unit (ICU) for the first 24–48 hours. Vital signs, heart function, and overall condition are continuously assessed to ensure a smooth recovery.

Pain Management

Effective pain management is crucial in the early stages of recovery. Patients receive pain medications to alleviate discomfort and facilitate movement and breathing exercises.

Physical Therapy and Rehabilitation

Physical therapy begins soon after surgery. Patients engage in gentle exercises and breathing techniques to enhance lung function, improve circulation, and prevent complications.

Gradual Return to Activities

Patients gradually return to their daily activities over several weeks. Light activities and short walks are encouraged initially, with a gradual increase in intensity as the patient’s strength and stamina improve.

Follow-Up Appointments

Regular follow-up appointments with the surgical team are essential. These visits allow for monitoring of the healing process, adjustment of medications, and early detection of any potential issues.

Long-Term Outcomes and Benefits

Improved Quality of Life

Minimally invasive bypass surgery significantly improves the quality of life for patients. The restoration of proper blood flow to the heart reduces symptoms such as chest pain and shortness of breath, allowing patients to enjoy a more active lifestyle.

Reduced Risk of Future Cardiac Events

By effectively bypassing blocked arteries, the procedure reduces the risk of future heart attacks and other cardiac events. Patients benefit from a longer and healthier life with fewer cardiac-related issues.

Sustained Health Benefits

The health benefits of minimally invasive bypass surgery are sustained over the long term. Patients who adhere to a heart-healthy lifestyle and follow their healthcare team’s recommendations continue to experience positive outcomes.

Conclusion

Minimally invasive bypass surgery offers a highly effective and less traumatic alternative to traditional open-heart surgery. By understanding the ideal candidate profile, the surgical procedure, and the recovery process, patients can make informed decisions about their heart health. If you believe you may be a candidate for this innovative surgery, consult with your cardiologist to explore your options.

[drpriya]

Cardiac surgery encompasses a range of procedures aimed at treating various heart conditions and abnormalities.

Here are some of the most common types of cardiac surgeries:

Coronary Artery Bypass Grafting (CABG): CABG is a procedure used to treat coronary artery disease (CAD), where blockages in the coronary arteries restrict blood flow to the heart muscle. During CABG, a surgeon grafts blood vessels from elsewhere in the body to bypass the blocked coronary arteries, restoring blood flow to the heart.

Heart Valve Repair or Replacement: This surgery is performed to repair or replace damaged or diseased heart valves. There are several types of heart valve surgeries, including mitral valve repair or replacement, aortic valve repair or replacement, and tricuspid valve repair or replacement.

Aneurysm Repair: Aneurysm repair involves surgically repairing or removing weakened areas (aneurysms) in the walls of the heart's major blood vessels or in the heart itself. Untreated aneurysms can rupture and lead to life-threatening complications.

Arrhythmia Surgery: Arrhythmia surgery is performed to correct abnormal heart rhythms, such as atrial fibrillation or ventricular tachycardia. Procedures may include catheter ablation, where small areas of heart tissue that are causing the abnormal rhythms are destroyed, or implantation of pacemakers or implantable cardioverter-defibrillators (ICDs) to regulate heart rhythm.

Heart Transplant: In cases of end-stage heart failure or severe heart disease that cannot be treated with other surgical interventions, a heart transplant may be necessary. During a heart transplant, the patient's diseased heart is replaced with a healthy donor heart.

Minimally Invasive Cardiac Surgery: Minimally invasive techniques, including robotic-assisted surgery and catheter-based procedures, are used to perform various cardiac surgeries with smaller incisions, reduced trauma to surrounding tissues, and shorter recovery times compared to traditional open-heart surgery.

Congenital Heart Defect Repair: Surgery may be required to repair structural abnormalities present at birth (congenital heart defects). These defects can affect the heart's walls, valves, or blood vessels and may require surgical correction to improve heart function and circulation.

Ventricular Assist Device (VAD) Implantation: VADs are mechanical pumps implanted into the chest or abdomen to help the heart pump blood to the rest of the body in cases of advanced heart failure. VAD implantation may be a bridge to heart transplant or used as destination therapy for patients who are not candidates for transplant.

These are just a few examples of the many cardiac surgeries performed to treat a wide range of heart conditions. The specific type of surgery recommended depends on the patient's diagnosis, overall health, and individual circumstances.

Congenital heart defects (CHDs) are structural abnormalities present at birth that affect the heart's structure and function. These defects develop during fetal growth when the heart is forming, and they can vary widely in severity, ranging from simple defects with little impact on health to complex abnormalities that require immediate medical intervention.

Some common types of congenital heart defects include:

Holes in the Heart: These defects include atrial septal defects (ASDs) and ventricular septal defects (VSDs), where there are openings in the walls (septums) that separate the heart's chambers. These openings can cause abnormal blood flow between the chambers of the heart.

Valve Abnormalities: Congenital heart defects can affect the heart valves, causing them to be narrow (stenosis), leaky (regurgitation), or improperly formed. This can disrupt the flow of blood through the heart and may require surgical repair or replacement of the affected valve.

Malformed Blood Vessels: Defects in the blood vessels that carry blood to and from the heart, such as coarctation of the aorta or pulmonary artery stenosis, can lead to restricted blood flow and strain on the heart.

Complex Heart Defects: Some congenital heart defects involve multiple abnormalities in the heart's structure, such as transposition of the great arteries, tetralogy of Fallot, or hypoplastic left heart syndrome. These complex defects often require surgical intervention early in life to correct or palliate the condition.

The exact cause of congenital heart defects is often unknown, but they can result from genetic factors, environmental influences, or a combination of both. Certain risk factors, such as maternal diabetes, maternal use of certain medications during pregnancy, maternal alcohol or drug abuse, and certain genetic syndromes, may increase the likelihood of CHDs.

Many congenital heart defects are diagnosed during prenatal ultrasound screenings or shortly after birth through physical examinations and diagnostic tests, such as echocardiography, electrocardiography (ECG), and cardiac catheterization.

Treatment options for CHDs depend on the type and severity of the defect but may include medication, catheter-based interventions, or surgical repair.

Advances in medical technology and surgical techniques have significantly improved outcomes for individuals born with congenital heart defects, allowing many to lead healthy and active lives with proper medical management and follow-up care.

Get the best treatments for various diseases and full body health checkup at the best hospitals in India.

[drvarunbansal123]

Navigating Cardiac Care: Is Robotic Heart Surgery Right for You?

In the dynamic landscape of cardiac care, innovations in medical technology have opened doors to advanced heart surgery approaches. Robotic heart surgery, a state-of-the-art technique, provides patients with a minimally invasive alternative to traditional open-heart procedures. If you're contemplating cardiac surgery, you might be asking yourself, "Could robotic heart surgery be a fit for me?" This blog post delves into the key aspects of this groundbreaking approach, guiding you through the decision-making process.

Understanding Robotic Heart Surgery: A Peek into Today and Tomorrow's Medicine

Robotic heart surgery utilizes advanced robotic systems to assist surgeons in performing complex cardiac procedures through small incisions. This method offers benefits like small cuts, no bone cutting, reduced scarring, shorter recovery times, and a faster return to daily life.

Are You a Candidate for Robotic Heart Surgery?

Robotic heart surgery isn't universally suitable for everyone; eligibility depends on various factors. Generally, candidates for this procedure include individuals with:

Specific Heart Conditions: Robotic surgery is often appropriate for procedures such as mitral or aortic valve repair or replacment, atrial septal defect closure (hole in the heart), removal of heart or chest tumours, and coronary artery bypass grafting (CABG).

Overall Health: overall health is typically a factor in being a suitable candidate. However, this determination is made through a comprehensive preoperative assessment.

Preoperative Assessment: The Critical Starting Point

Before considering robotic heart surgery, patients undergo a thorough preoperative assessment. This involves a detailed examination of medical history, imaging studies, and diagnostic tests. The goal is to ensure that the patient's health aligns with the requirements for a successful robotic procedure.

Dr. Varun Bansal, who is a consultant cardiac surgeon and specializes in Minimally Invasive and Robotic Cardiac Surgery says that patient suitability and selection are one of the most important factors to be considered for best outcomes of the surgery. He added that no shortcuts must be taken to assess the patient and detailed assessment is primordial in decision making regarding the type of surgery which would be best for the patient.

Conclusion:

Taking the Next Step in Your Cardiac Journey

Navigating the future of cardiac care involves informed decision-making and choosing the right healthcare professional. If you're considering robotic or minimally invasive heart surgery, it is extremely important to consult a specialist in the same field and to go through pre operative testing.

Remember, the information provided here is for general understanding, and individual medical advice should be sought from qualified healthcare professionals. Your healthcare journey is unique, and the right decisions will be made in collaboration with your healthcare team.

#Best Cardiologist in Delhi

#Best Heart doctor in Delhi

[gleneagles23]

Understanding Coronary Artery Disease and the Vital Role of CABG Surgery

Coronary artery disease (CAD) stands as one of the most prevalent and critical cardiovascular conditions, exerting a profound impact on global health. In this article, we delve into the intricacies of CAD, shedding light on its causes, consequences, and the pivotal role that (Coronary Artery Bypass Grafting)CABG surgery plays in its management. At Gleneagles Global HospitalLakdikapul Hyderabad, CABG surgery is a lifesaving intervention for coronary artery disease, offering renewed hope and vitality.

The Silent Intruder Coronary artery disease silently infiltrates the intricate network of blood vessels that supply the heart muscle with oxygen and nutrients. This insidious process, driven primarily by the build-up of fatty deposits called plaques, restricts blood flow, setting the stage for potentially devastating consequences.

Understanding Coronary Artery Disease The underlying mechanism of CAD involves atherosclerosis, where the inner walls of arteries become clogged with cholesterol, inflammatory cells, and calcium deposits. These accumulations gradually narrow the arteries, impairing blood flow and oxygen delivery to the heart.

Risk Factors and Consequences A myriad of risk factors contribute to the development of CAD, including genetics, age, high blood pressure, elevated cholesterol levels, smoking, and sedentary lifestyles. If left unchecked, CAD can lead to angina (chest pain), heart attacks, heart failure, and even sudden cardiac death.

The Role of CABG Surgery: A Beacon of Hope Amidst the challenges posed by CAD, CABG surgery emerges as a beacon of hope for those whose lives are deeply affected by the disease. This intricate surgical procedure addresses the obstruction of blood flow by creating alternate routes for blood circulation, bypassing the blocked arteries.

The CABG Procedure Unveiled CABG surgery involves harvesting blood vessels, often from the patient's own body, and grafting them beyond the narrowed or blocked sections of the coronary arteries. By doing so, surgeons create detours that enable a renewed and unobstructed blood supply to the heart muscle.

Importance and Benefits of CABG Surgery

Restoration of Blood Flow: CABG surgery alleviates angina, enhances oxygen supply, and reduces the risk of heart attacks by restoring proper blood flow to the heart.

Enhanced Quality of Life: Patients experience improved exercise tolerance, reduced symptoms, and an overall better quality of life post-surgery.

Long-Term Survival: CABG surgery is associated with increased long-term survival rates, particularly in patients with severe CAD.

Emergency Risk Reduction: The procedure significantly lowers the risk of sudden cardiac death, especially in high-risk patients.

Choosing the Right Candidates CABG surgery is typically recommended when medical management and less invasive interventions prove inadequate. Candidates include those with severe coronary artery blockages, multiple affected vessels, left main artery disease, or failed previous interventions.

Evolution of CABG Techniques Over the years, CABG surgery has evolved, embracing advancements such as minimally invasive approaches, off-pump surgery, and robotic-assisted procedures. These innovations have significantly reduced post-operative discomfort, shortened recovery times, and broadened the pool of eligible candidates.

The Collaborative Care Journey The success of CABG surgery extends beyond the operating room. Comprehensive post-operative care, including cardiac rehabilitation, medication management, lifestyle modifications, and routine follow-ups, plays a crucial role in achieving optimal outcomes.

Conclusion

A Promising Path Forward In the realm of cardiac care, CABG surgery stands as a testament to human ingenuity and medical advancement. As our understanding of CAD deepens and surgical techniques continue to refine, the journey toward managing and overcoming coronary artery disease becomes increasingly promising. By emphasizing preventive measures, timely interventions, and comprehensive care, we forge a path toward healthier hearts and brighter tomorrows.In partnership with Gleneagles Global HospitalLakdikapul Hyderabad, Best hospital for cardiology CABG surgery shines as a beacon of cardiac care, empowering healthier, heartier lives.

[medical-tourism23]

Advancements in Robotic Heart Surgery

Robotic heart surgery represents a groundbreaking advancement in the field of cardiac surgery. This innovative technique combines the expertise of cardiac surgeons with the precision and dexterity of robotic technology to perform complex procedures with enhanced accuracy and minimal invasiveness. In this article, we will explore the principles, benefits, procedure, applications, and potential considerations associated with robotic heart surgery.

The Principles of Robotic Heart Surgery:

Robotic heart surgery involves the use of a surgical robot, controlled by the cardiac surgeon, to perform intricate procedures with unmatched precision. The robot consists of robotic arms equipped with specialized surgical instruments and a high-definition camera, providing a magnified, three-dimensional view of the surgical field. The surgeon operates the robot from a console, controlling the instruments with hand movements and foot pedals.

Advantages and Benefits of Robotic Heart Surgery:

a. Enhanced Precision and Visualization: The robotic system offers superior visualization, providing the surgeon with a detailed, magnified, and high-resolution view of the surgical site. This improved visualization enables precise manipulation of tissues and delicate structures, enhancing surgical accuracy.

b. Minimally Invasive Approach: Robotic heart surgery is typically performed using small incisions, which significantly reduces trauma to the chest and minimizes scarring. This minimally invasive approach results in less pain, reduced blood loss, faster recovery, and shorter hospital stays compared to traditional open-heart surgery.

c. Reduced Risk of Complications: The robotic system's precise movements and improved visualization contribute to a reduced risk of complications such as bleeding, infection, and damage to surrounding tissues. Additionally, the smaller incisions used in robotic surgery lead to fewer wound-related complications.

d. Faster Recovery and Improved Quality of Life: Patients who undergo robotic heart surgery often experience a faster recovery time, allowing them to resume normal activities and enjoy an improved quality of life sooner compared to traditional surgery.

Robotic Heart Surgery Procedures:

a. Mitral Valve Repair or Replacement: Robotic-assisted surgery is particularly advantageous for mitral valve procedures. The surgeon can access the heart through small incisions, repair or replace the valve with precision, and restore optimal valve function.

b. Coronary Artery Bypass Grafting (CABG): Robotic CABG involves using robotic instruments to perform bypass grafts on the blocked coronary arteries, improving blood flow to the heart muscles. This technique allows for greater precision and reduces the need for large incisions.

c. Atrial Septal Defect (ASD) Repair: ASD repair involves closing a hole between the upper chambers of the heart. Robotic surgery enables precise suturing and closure of the defect through small incisions, resulting in improved cosmetic outcomes.

d. Atrial Fibrillation Surgery: Robotic surgery can be used to treat atrial fibrillation, a common arrhythmia. The surgeon uses the robot to create precise lesions or perform ablation to restore normal heart rhythm.

Considerations and Potential Limitations:

a. Cost and Accessibility: Robotic heart surgery can be more expensive than traditional surgery due to the initial investment in robotic systems and ongoing maintenance costs. Additionally, access to robotic surgery may be limited in some regions or healthcare settings.

b. Learning Curve: The adoption of robotic heart surgery requires specialized training for cardiac surgeons to become proficient in operating the robotic system. The initial learning curve may impact procedure times and patient outcomes during the early stages of implementation.

c. Patient Selection: Not all patients are suitable candidates for robotic heart surgery. Factors such as the complexity of the procedure, patient comorbidities, and individual anatomical considerations need to be assessed by the surgical team to determine the appropriateness of robotic-assisted surgery.

Conclusion:

Robotic heart surgery represents a remarkable advancement in cardiac surgical techniques, offering enhanced precision, minimal invasiveness, and improved patient outcomes. The combination of robotic technology and the expertise of cardiac surgeons opens new horizons for complex procedures such as mitral valve repair, coronary artery bypass grafting, and atrial septal defect closure. While considerations such as cost, accessibility, and the learning curve exist, the continued evolution of robotic systems holds promise for expanding the availability and benefits of robotic heart surgery. Collaborations between cardiac surgeons, healthcare institutions, and technological innovators will continue to shape the future of cardiac surgery, revolutionizing patient care and improving outcomes in the field of cardiovascular medicine. Find everything about Robotic Heart Surgery costs in India that range from 15000 - 58000 USD.

[drdileepsinghrathore]

Important Things You Need To Know Before A Bypass Surgery

Introduction:

Undergoing bypass surgery is a significant decision that can have a profound impact on your health and quality of life. Whether you or a loved one are preparing for this procedure, it's crucial to be well-informed and prepared. In this blog post, we will discuss some important things you need to know before undergoing bypass surgery, helping you make informed decisions and better understand what to expect during the process.

Understand the Purpose and Procedure:

Bypass surgery, also known as coronary artery bypass graft (CABG) surgery, is performed to restore proper blood flow to the heart muscle. The procedure involves creating new pathways (bypasses) for blood to flow around blocked or narrowed coronary arteries. It is typically recommended for individuals with severe coronary artery disease or a high risk of heart attack.

Consult with Your Cardiologist:

Before undergoing bypass surgery, it's crucial to consult with your cardiologist. They will evaluate your overall health, conduct necessary tests, and determine if you are a suitable candidate for the procedure. Discuss your medical history, current medications, and any concerns or questions you may have. Your Best Cardiologist in Bhopal will provide guidance tailored to your specific condition.

Understand the Risks and Benefits:

Bypass surgery is a major surgical procedure and, like any surgery, comes with risks. Some potential risks include bleeding, infection, blood clots, reaction to anesthesia, and damage to blood vessels or other organs. However, it is important to weigh these risks against the potential benefits, such as relieving chest pain, improving heart function, and reducing the risk of heart attack or other heart-related complications.

Prepare Mentally and Emotionally:

Preparing mentally and emotionally for bypass surgery is just as important as physical preparation. Acknowledge and address any fears or concerns you may have. Stay positive and surround yourself with a strong support system. Engage in relaxation techniques, such as deep breathing or meditation, to help reduce stress and anxiety.

Lifestyle Modifications:

Bypass surgery is an opportunity for a fresh start and a chance to adopt a healthier lifestyle. Make sure you are committed to making the necessary lifestyle modifications, such as quitting smoking, maintaining a balanced diet, exercising regularly, and managing stress. These changes will not only aid in your recovery but also promote long-term heart health.

Recovery and Rehabilitation:

The recovery period after bypass surgery can vary from person to person, but it typically involves a hospital stay of about a week. Following discharge, you will need to follow a structured cardiac rehabilitation program, which includes monitored exercise, dietary guidance, and education on managing risk factors. It is crucial to actively participate in this program to optimize your recovery and reduce the chances of complications.

Post-Surgery Lifestyle Changes:

To maintain the benefits of bypass surgery, it's important to make permanent lifestyle changes. Adopt a heart-healthy diet that is low in saturated and trans fats, cholesterol, and sodium. Engage in regular physical activity, as recommended by your healthcare team. Take medications as prescribed and attend regular follow-up appointments with your cardiologist.

Conclusion:

Bypass surgery can be a life-changing procedure that restores blood flow to the heart, alleviating symptoms and improving overall heart health. By understanding the purpose, risks, and benefits of the procedure, consulting with your cardiologist, and making necessary lifestyle changes, you can set yourself on a path to a healthier and happier life. Remember to stay positive, be well-informed, and embrace the support of your Bypass Surgeon in Bhopal and loved ones throughout the process.

[sk270114]

There are alternative treatments to heart bypass surgery, depending on the specific condition and severity of the heart disease. Here are some alternative treatment options:

Medications: In some cases, medications can be used to manage heart disease. These may include drugs to control blood pressure, lower cholesterol levels, reduce blood clotting, and manage symptoms such as chest pain (angina).

Angioplasty and Stenting: Angioplasty is a minimally invasive procedure where a catheter with a small balloon is used to open narrowed or blocked arteries. A stent, a small mesh tube, may be placed in the artery to keep it open and improve blood flow. This procedure can help restore blood flow without the need for open-heart surgery.

Enhanced External Counterpulsation (EECP): EECP is a non-invasive treatment that involves using inflatable cuffs wrapped around the legs to improve blood flow to the heart. It is often used for individuals with chronic stable angina who are not suitable candidates for invasive procedures.

Transmyocardial Revascularization (TMR): TMR is a surgical procedure that creates channels in the heart muscle to improve blood flow. It is typically considered for individuals with severe angina who are not candidates for other treatments.

Therapeutic lifestyle changes: Lifestyle modifications can play a crucial role in managing heart disease. This includes adopting a heart-healthy diet, engaging in regular exercise, quitting smoking, managing stress, and maintaining a healthy weight.

It's important to note that the appropriateness of these alternative treatments depends on the specific condition and the advice of a medical professional. Heart bypass surgery, also known as coronary artery bypass grafting (CABG), remains a widely used and effective treatment for certain cases of severe coronary artery disease.

There are many hospitals in Mumbai where heart bypass surgery is done with great success. 

[aditi-jagtap-pune]

What is Coronary Artery Bypass Grafting (CABG) Surgery? - Aditi Jagtap Pune

Coronary Artery Bypass Grafting (CABG) emerges as a surgical procedure aimed at combatting coronary artery disease, a critical ailment characterized by the narrowing or obstruction of the heart's vital arteries. In this complex surgical procedure, the clogged artery is connected to a transplanted blood vessel taken from the patient's leg or chest, which reestablishes adequate blood flow to the heart, says Dr Ranjit Jagtap, a prominent Cardiologist in Pune. This surgical accomplishment creates new blood flow routes, reviving the heart by supplying its hardworking muscles with an abundant supply of oxygen and nourishment.

When is CABG Surgery Recommended? 

People with coronary artery disease, who have to cope with the acute symptoms of angina, excruciating chest pain, or the impending possibility of a heart attack, are the main beneficiaries of CABG operation. However, the road to CABG requires careful assessments, scrutinizing the severity of the patient's disease, mapping the position and number of blockages, measuring the overall heart function, and determining whether they are a good candidate for surgery. It is nevertheless crucial for people to speak with their healthcare providers to ascertain whether CABG is the best course of action for them. 

Enhancing Blood Flow and Oxygen Delivery

The extraordinary benefits of CABG come from its capacity to reestablish the heart's proper blood flow. The grafting of strong blood vessels creates a new channel that avoids the narrowed or blocked coronary arteries and directs the life-giving blood into the heart's chambers. This revitalized blood flow delivers the necessary amount of oxygen and nutrients, providing the heart's tough tissue with a new life. The effects of this improved blood flow are substantial, effectively reducing angina symptoms, enhancing cardiac function, and significantly improving the function of the heart. 

The Positive Impact of CABG on Heart Health and Symptoms

CABG has played a crucial role in the history of treating coronary artery disease. Patients suffering from angina, a distressing chest pain, experience a remarkable sense of relief through this procedure. With angina's grip loosened, these individuals regain the freedom to engage in physical activities, experiencing a surge of vitality as their hearts grow stronger, says Aditi Jagtap Pune. As a result, symptoms diminish, exercise capacity improves, and the patient's journey is marked by enhanced quality of life. CABG's narrative embodies a transformation where vitality and resplendence permeate the patient's experience

Preventing Future Cardiac Events

The impact of CABG extends beyond the present, providing a robust defence against future cardiac emergencies. Through the bypassing of obstructed coronary arteries, CABG ensures a continuous and unobstructed flow of oxygenated blood, significantly lowering the risk of previously looming heart attacks. Additionally, CABG showcases its exceptional ability as a guardian, effectively protecting against additional risks associated with coronary artery diseases, including heart failure and irregular heart rhythms. Acting as a steadfast defence against coronary artery disease diligently averts the hazards and promotes the overall cardiovascular well-being of the patient. 

How CABG Enables Patients to Lead Active Lives

CABG emerges as a transforming force, having a tremendous influence on people's lives and encouraging them to go on a wonderful journey of physical strength. Prior to the treatment, patients are troubled by discomfort and shortness of breath, which limit their participation in strenuous activities. However, as their narrative progresses, an enthralling surprise takes centre stage. Patients report a newfound vigour as a result of better blood circulation and heart vigour, allowing them to engage in a wide range of activities. Their constant companion is the flawless harmony of movement, which weaves a bright tapestry of an active and joyful life as stated by Dr. Ranjit Jagtap Daughter. 

Improving Quality of Life

CABG takes us beyond what we can see and touch, exploring new and unknown territory. It's like a spark that brings energy and excitement to patients' lives. Their health gets better, and they build stronger friendships. It's like adding beautiful decorations to the picture of life. Unlike pre-surgery, when they felt pain and couldn't do much, now they feel mentally strong, have better friendships, and feel happier overall. Patients find comfort and peace in their new bodies, which also helps their hearts. They enjoy life without limits and do their daily tasks gracefully. This wonderful change creates a happy place where they feel content.

Long-term Survival Rates 

CABG brings about transformative changes with a significant and enduring effect. Real-life stories and medical research highlight its impact over time. It provides clarity on life's path, enabling a higher quality of life. Severe coronary artery disease, which used to shape one's fate, now yields the success of bypass grafting, allowing for healthier and extended lives. However, it is still essential for patients to prioritize post-operative care and make necessary lifestyle adjustments. By following healthcare providers' guidance, CABG shapes a promising future, transforming destinies along the way. 

Psychological Benefits and Emotional Well-being

According to Dr. Ranjit Jagtap , In addition to its physical benefits, CABG surgery has positive effects on psychological well-being. After a successful surgery, patients typically feel a great feeling of relief and reduced worry since they are aware of the significant improvement in their heart condition. As a result, kids could have a greater feeling of optimism about the future and less fear about issues in their hearts. However, it is crucial to understand that some people may also struggle with emotional problems while going through the rehabilitation process. Support from medical professionals, as well as from family and friends, can be crucial in addressing and successfully managing any potential emotional distress., says Aditi Jagtap Pune.

Inspiring Stories and Personal Experiences

Real-life stories of triumph and personal experiences hold valuable insights into the transformative effects of CABG surgery. Hearing about individuals who have undergone CABG and witnessed significant improvements in their quality of life can inspire and motivate others considering the procedure. These stories shed light on positive outcomes, the recovery journey, and the overall positive impact on health and well-being. Sharing such stories instils hope and provides encouragement for those facing similar circumstances

[lupinepublishers]

Lupine Publishers- Journal of Cardiology Research

Retrograde Recanalization of Chronic Coronary Occlusions by Furkalo SN

Chronic coronary occlusion (CTO) is fixed at 1 in 5 patients who underwent cardiac catheterization. Recanalization of chronic coronary occlusions is one of the most difficult for the technical performance of interventional procedures. Successful recanalization CTO associated with better survival compared to patients where the procedure of recanalization of occlusion was not successful. Thus, potential candidates for retrograde recanalization of chronic occlusions of coronary arteries may be: patients after a failed attempt of recanalization with clear indications and motivated to implement PCI; refractory angina with CTO of native coronary arteries after CABG; single-vessel coronary artery disease - RCA or the LAD with preserved left ventricular function and preserved kidney; patients with multivessel disease and related comorbidity, which does not allow to perform coronary artery bypass surgery. From 2007 to the present time we have carried out 125 of retrograde recanalization of chronic occlusions of coronary arteries with a total efficiency of 66.4%. Our data suggest that CTO intervention most often used in LAD - 50% of the RCA - 41.7%, and LCx - in 8.3% of cases. It was succesfull method in CTO cases of RCA - in 86.6% of cases, LAD - in 66% of patients and occlusion and in case of Cx CTO recanalization was succesfull in only 2 patients. Septal collaterals with retrograde approach used in most cases- 101 patients, epicardial collaterals - in 19 cases, and in 4 cases of retrograde access served venous bypass and one mammary coronary bypass – to the LAD -Lupine Publishers.

https://lupinepublishers.com/cardiology-journal/fulltext/retrograde-recanalization-of-chronic-coronary-occlusions.ID.000111.php

For more Lupine Publishers Open Access Journals Please visit our website https://lupinepublishersgroup.com/

For more Journal of Cardiology Research articles Please Click  Here: https://www.lupinepublishers.com/cardiology-journal/

To Know more Open Access Publishers Click on Lupine Publishers

[drsaurabhjaiswal12]

Heart Bypass Surgery in Jaipur

Heart bypass surgery, also known as coronary artery bypass grafting (CABG), is a life-saving procedure that helps restore normal blood flow to the heart in patients suffering from severe coronary artery disease (CAD). In Jaipur, the demand for this critical surgery has increased as the prevalence of heart disease continues to rise due to factors such as sedentary lifestyles, poor diet, and genetic predisposition. Jaipur’s advanced healthcare facilities and expert cardiac surgeons have made the city a prominent destination for heart bypass surgery, offering hope to patients who face severe blockages in their coronary arteries. Our services: Heart Bypass Surgery in Jaipur

What is Heart Bypass Surgery?

Heart bypass surgery is a procedure designed to create a new pathway, or “bypass,” for blood to flow around a blocked or narrowed coronary artery. The surgery involves taking a healthy blood vessel from another part of the body, such as the leg, arm, or chest, and using it to redirect blood flow around the blocked section of the artery. This helps restore proper blood flow to the heart muscle, reducing symptoms like chest pain (angina) and preventing heart attacks.

Heart bypass surgery is commonly recommended for patients who have severe blockages in their coronary arteries that cannot be managed with medication or less invasive procedures like angioplasty. It is a major surgery, but it has been proven to be highly effective in improving the quality of life and longevity for patients with serious heart disease.

When is Heart Bypass Surgery Necessary?

Doctors typically recommend heart bypass surgery when:

Multiple Artery Blockages: When more than one coronary artery is blocked or narrowed, especially in critical areas that supply large portions of the heart.

Failed Angioplasty or Stenting: If previous attempts to open the arteries using angioplasty or stents have failed, bypass surgery may be the next option.

Severe Chest Pain: When medication or other treatments are no longer effective in relieving chest pain caused by restricted blood flow to the heart.

Severe Coronary Artery Disease: In cases where the left main coronary artery, which supplies blood to a significant portion of the heart, is severely narrowed or blocked.

Heart Bypass Surgery in Jaipur: Advanced Care and Expertise

Jaipur has emerged as a hub for advanced cardiac care, offering state-of-the-art medical facilities and expert cardiac surgeons who are experienced in performing heart bypass surgeries. Hospitals in Jaipur are equipped with the latest technology, such as high-resolution imaging equipment, advanced cardiac monitoring systems, and modern operating theaters designed for complex heart surgeries.

Several renowned cardiac surgeons in Jaipur specialize in heart bypass surgery, with a focus on patient-centered care and long-term outcomes. These specialists work closely with a multidisciplinary team, including cardiologists, anesthesiologists, and rehabilitation experts, to provide comprehensive care before, during, and after the surgery.

Minimally Invasive Options for Heart Bypass Surgery

In addition to traditional open-heart surgery, many cardiac centers in Jaipur now offer minimally invasive techniques for heart bypass surgery. These procedures, such as minimally invasive direct coronary artery bypass (MIDCAB), involve smaller incisions and less trauma to the body. The benefits of minimally invasive bypass surgery include faster recovery times, reduced pain, and shorter hospital stays. However, not all patients are candidates for minimally invasive techniques, so your cardiac surgeon will recommend the best approach based on your specific condition.

Post-Surgery Recovery and Care

Recovery after heart bypass surgery is a critical phase, and Jaipur’s hospitals provide comprehensive post-operative care to ensure a smooth recovery. Patients typically spend a few days in the intensive care unit (ICU) for close monitoring before moving to a regular hospital room. Cardiac rehabilitation programs are available to help patients regain strength, manage their risk factors, and adopt heart-healthy habits to prevent future problems.

Conclusion

Heart bypass surgery is a highly effective treatment for severe coronary artery disease, and Jaipur offers world-class facilities and expert care for this procedure. With advanced technology, experienced cardiac surgeons, and a focus on holistic patient care, Jaipur is a top destination for heart patients seeking life-saving treatment. If you or a loved one is suffering from coronary artery disease, seeking treatment from a reputable cardiac center in Jaipur can offer a new lease on life and a path to better heart health.

[ijcmcrjournal]

Postoperative Bleeding In Cabg Patients: A Study in National Institute of Cardiovascular Diseases (Nicvd), Dhaka, Bangladesh by Md. Zanzibul Tareq*

Abstract

Background: Post-operative blood loss remains a major problem after cardiopulmonary bypass. A common complication after Coronary Artery Bypass Grafting (CABG) is postoperative bleeding, which is considered as an important problem.

Objective: The aim of this study is to study only patients who have never used drugs above so that it can assess postoperative bleeding in CABG with the absence of high-risk medications related to postoperative bleeding. Methods: This cross sectional study was carried out at the Department Of Cardiac Surgery in National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh during from January 2019 to December 2019. 50 patients who were candidates for CABG surgery participated in the study. Inclusions criteria included who were candidates for CABG surgery, avoiding the use of blood clotting drugs before surgery, avoiding the use of immunosuppressant, and the absence of an underlying medical condition such as kidney diseases. Patients with inflammatory, platelet diseases, or any coagulation disorder were excluded. All patients initially tested for hemoglobin, platelets and hemoglobin and International Normalized Ratio (INR). In addition to testing for hemoglobin, the amount of bleeding and packed red cell; frozen plasma and platelets were recorded.

Results: Fifty patients who were candidates for elective surgery, including 33 men (66%) and 17 women (34%) were enrolled in this study. The mean patient age was 8.70+57.9years old. Test showed that mean hemoglobin level of patients before surgery was pre-operative of 1.5+12.4 g/dL, mean platelet was equal to 54.14+250.8 thousand/ μL and an average international normalized ratio (INR) was equal to 0.12+1.07. The results after surgery also showed that: The total units of given packed red cell; frozen plasma and platelets were (3.14+1.90; 2.34+2.36 and 0.06 +0.42). Also, postoperative hemoglobin was 1.30+10.30 g/dL, which significantly decreased compared to pre-operative hemoglobin. Bleeding in patients was observed with an average of 537.5+973mL. Of course, the amount of bleeding in any patient was not caused further surgery.

Conclusion: That the use of some drugs surgery can be a good way to reduce the risk of bleeding after surgery or on-use of some drugs can reduce the risk of bleeding after surgery with a minimum of morbidity and mortality. It is suggested that other researchers after designing clinical trials and using lower doses for effective drugs such as Clopidogrel and compared to control groups, or different doses of the N-acetylcysteine drug be reported more documentation to improve the bleeding after surgery.

Keywords: Postoperative Bleeding; CABG; Hemoglobin; Platelet

Introduction

CVD is a major public health problem throughout the world. It is the number one cause of morbidity and mortality world-wide. Cardiovascular Disease (CVD) is one of the major health problems that are prevalent in Bangladesh and will be followed by a lot of deaths [1]. The economic impact of different types of CVD is enormous. Traditionally, Bangladesh is a developing country burdened with communicable diseases. However, like many other low-income countries in the world, she has been experiencing epidemiological transition; the prevailing disease pattern is changing from communicable diseases to non-communicable diseases (NCD). Atherosclerosis, particularly in coronary heart causes heart failure and there is need to special treatment [2-3]. Coronary Artery Bypass Grafting (CABG) surgery is one of the effective and standard methods for treatment of coronary heart disease [4-5]. Although surgery is a reliable method to improve myocardial perfusion, but nevertheless there are multiple complications after the procedure [5-6]. A common complication after CABG is postoperative bleeding, which is considered as an important problem [7], and the most common complication in these patients leads to reoperation, so that the results of a study showed that postoperative bleeding with incidence of 58.7% is the main cause of reoperation which in 90% of cases has occurred within the first 24 hours after surgery [8]. On the other hand, massive bleeding after CABG is a major cause of postoperative mortality [9]. surgery is normal, but arteries bleeding is raised as life-threatening condition which is usually caused by rupture or leakage from sutures. On the other hand, venous bleeding is more common than arteries bleeding and can be created due to inadequate surgical hemostasis or coagulation disorders [10]. Cardiopulmonary bypass has many hemostatic effects.  Blood in contact with pipes and tanks pump is considered as a severe provocation to initiate inflammatory responses, and leads to activation of the hemostatic system [11]. However, inadequate surgical hemostasis is the most common cause of bleeding after Cardiopulmonary Bypass (CPB), but certainly coagulation disorders occur and can be unacceptable when it associated with micro vascular bleeding. Facing blood with oxygenators and CPB circuit causes platelet activation, degranulation and platelet aggregation. In addition, the relative thrombocytopenia usually occurs after CPB due to thin the blood and aggregation, platelet adhesion and degradation.

The most common cause of extensive bleeding in cardiac surgery patients is fibrinolysis, and plate-let inhibition activity of CPB, especially in elderly patients [12]. In addition to the economic burden, administration of blood products in cardiac surgery have important clinical outcomes, that increased hospital mortality, renal dysfunction, per-operative infections, sepsis, and permanent impairment of quality of life and pulmonary dysfunction and prolonged mechanical ventilation are among these side effects [13-16]. The use of some drugs before surgery also adds to the increased risk of bleeding. For example, clopidogrel is an antiplatelet drug that has an important place among cardiovascular drugs. The main application of the drug is in combination with aspirin in the prevention of obstruction in patients, who have been undergoing CABG [17]. The aim of this study is to study only patients who have never used drugs above, so that it can assess postoperative bleeding in CABG with the absence of high-risk medications related to postoperative bleeding.

Material and Methods

This cross sectional study was carried out at the Department Of Cardiac Surgery in National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh from January 2019 to December 2019. After obtaining permission from the university ethics committee, 50 patients who were candidates for CABG surgery knowingly participated in this cross-sectional study with the personal consent in writing. Our hypotheses were that CPB can increase bleeding after CABG. Inclusion criteria included who were candidates for CABG surgery, avoiding the use of blood-clotting drugs before surgery, avoiding the use of immunosuppressant, and the absence of an underlying medical condition such as kidney diseases. Also, in order to remove the confounding factors, the patients with inflammatory, platelet diseases, or any coagulation disorder were excluded. Also, each of the patients was free to leave the study at any time. All patients initially tested for hemoglobin, platelets and hemoglobin and International Normalized Ratio (INR) and after the surgery, in addition to testing for hemoglobin, the amount of bleeding and packed red cell; frozen plasma and platelets were recorded. All the data were analyzed by SPSS software Version 19.0.

Results

Fifty (50) patients who were candidates for elective surgery, including 33 men (66%) and 17 women (34%) were enrolled. The mean patient age was 8.70+57.9 years old. Tests showed that mean hemoglobin level of patients before surgery was preoperative of 1.5+12.4 g/dL, mean platelet was equal to 54.14+250.8 thousand/μL and an average international normalized ratio (INR) was equal to 0.12+1.07 9 (Table 1). The results after surgery also showed that: The total units of given packed red cell; frozen plasma and platelets were (3.14+1.90; 2.34+2.36 and 0.06+0.42 respectively (Table 2). Also, postoperative hemoglobin was 1.30+10.30 g/dL, which significantly decreased compared to preoperative hemoglobin (Figure 1). Bleeding in patients was observed with an average of 537.5+973 mL. Of course, the amount of bleeding in any patient was not caused further surgery.

Discussion

According to the results, patients’ hemoglobin level after surgery in patients undergoing CABG significantly reduced, and bleeding of these patients lead to need for blood products, including packed red cell; has been frozen plasma and platelets. The importance of these findings show the postoperative complications in the ICU, because lack of attention to this issue can be associated with irreparable damage on the patients, and in addition to other problems in the ICU [18], it increases even the risk of kidney and safety diseases [19]. Obviously, one of the essential ways to compensate for blooding is the use of blood products, but increased use of these products leads to increased risk of transfusion-transmitted diseases, as well as kidney, liver disorders and immune responses [20]. Risk of immune responses is more important in this respect that these patients following bypass pump have faced with acute inflammatory and safety changes and many factors, including interleukins and complement in these patients has changed, all of which helps the deteriorating conditions in kidney and liver of the patients [21]. The risk of blood products in addition to the risk of bypass pump can increase the patients’ morbidity and mortality. It should be noted that if patients have underlying comorbidities, this risk will be greater. For example, in cancer patients [22], and Chronic Obstructive Pulmonary Disease (COPD) patients with immune disorders, inflammatory responses will be more [23-25]. According to what was said finding a way to reduce this complication and minimize morbidity and mortality is prevention of increased bleeding after surgery of these patients with other methods. In fact, we can help to reduce the postoperative bleeding using a preoperative drug or the lack of the use of a drug (also with less dose and time). The studies show that among existing drugs, Clopidogrel is one of the drugs with the most effect on the risk of bleeding [26]. Also using a combination of drugs, efforts are made to reduce the risk of bleeding. It has been observed that N-acetyl cysteine drug is associated with reduced bleeding after CABG surgery [27]. However, this information needs for further studies.

Conclusion

According to the results of this study and other studies, we conclude that the use of some drugs surgery can be a good way to reduce the risk of bleeding after surgery or non-use of some drugs can reduce the risk of bleeding after surgery with a minimum of morbidity and mortality. It is suggested that other researchers after designing clinical trials and using lower doses for effective drugs such as Clopidogrel and compared to control groups, or different doses of the N-acetyl cysteine drug be reported more documentation to improve the bleeding after surgery.

For more information about Article : https://ijclinmedcasereports.com/

https://ijclinmedcasereports.com/ijcmcr-rw-id-00109/ https://ijclinmedcasereports.com/pdf/IJCMCR-RW-00109.pdf

[paperpros]

The patient has a history of 4 CABG surgeries done in the past, repair of these

The patient has a history of 4 CABG surgeries done in the past, repair of these

The patient has a history of 4 CABG surgeries done in the past, repair of these surgeries, and has placed multiple stents. The cardiology team refused to perform another CABG surgery due to having 4 of them and that it had to be repaired. I need to describe how my patient felt unhappy and sad that he is not a candidate for surgery. And it has to be therapeutic communication.