Publications by authors named "Krishnamurthy Venkata Satya Siva Saikiran"

Purpose: The del Nido cardioplegia (DC) has been extensively used in congenital heart surgery for over two decades and is becoming popular in adult cardiac surgery. We evaluated the efficacy and safety of DC, compared to conventional blood cardioplegia (BC), in adult patients undergoing isolated coronary artery bypass grafting (CABG).

Methods: This metachronous study included a total of 2330 consecutive patients who underwent isolated CABG.

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Article Synopsis
  • The study examines the trends and outcomes of redo coronary artery bypass grafting (CABG) over two periods: 1998-2004 and 2005-2021, to see how patient demographics and surgical techniques have changed over time.
  • Key findings indicate a significant increase in off-pump procedures and an older patient demographic in the more recent period, with more patients presenting with hypertension.
  • Despite these shifts, the overall outcomes for patients undergoing redo CABG have remained comparable to those in earlier years, even though patients today often have more health complications.
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  • The study investigates the incidence of stage I acute kidney injury (AKI) in patients with occult renal disease (ORD) undergoing either off-pump or on-pump coronary artery bypass grafting (CABG).
  • A total of 120 patients were randomly assigned to receive either off-pump (62 patients) or on-pump (58 patients) surgery, with outcomes measured including GFR and serum creatinine levels before and after the procedure.
  • Results showed no significant differences in stage I AKI rates between the groups, but the off-pump group had a higher incidence of stage III AKI requiring renal replacement therapy, suggesting potential risks associated with off-pump procedures.
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