Impact of posterior pericardiectomy vs. posterior pericardial Hemovac drainage on POAF and fluid management in CABG patients
Year: 2025
Type: article
Abstract: OBJECTIVE: This study compares posterior pericardiectomy (PP) and posterior pericardial Hemovac drainage (PPHD) in terms of their effects on post-operative atrial fibrillation (POAF) incidence in patients undergoing coronary artery bypass grafting (CABG). METHODS: A total of 149 patients (mean age 59.6 ± 7.5 years, 75.8% male) were included in this study. Patients were divided into two groups based on the drainage technique. Demographic characteristics, perioperative parameters, and post-operative POAF incidence were analysed. RESULTS: POAF incidence was 8.9% in the PP group and 5.1% in the PPHD group, but the difference was not statistically significant (p = 0.385). The first 24-hour drainage volume was significantly higher in the PPHD group (p = 0.034), whereas left thoracic drainage was more pronounced in the PP group (p < 0.001). Residual pleural effusion was more frequent in the PP group compared to the PPHD group (15.6% vs. 3.4%, p = 0.019). CONCLUSION: Although the difference in POAF incidence between the two groups was not statistically significant, PPHD demonstrated more effective early drainage and resulted in less residual pleural effusion.
Authors: Batuhan Yazıcı, Uğur Şener, Zinar Apaydın, Mustafa Kaplan, Tahsin Tellioğlu, Alkım Yazıcı, Barış Timur
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4414205683
FWCI:
Cites:
Cited by:
Related to: