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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-8-26
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pubmed:abstractText |
Pressure-controlled intermittent coronary sinus occlusion (PICSO) was evaluated in a randomized trial in 30 patients undergoing bypass surgery. PICSO was applied for one hour during early reperfusion. Myocardial function was determined from short-axis cross-sectional views of intraoperative two-dimensional echocardiography. Changes of sectional and segmental wall motion during extracorporeal circulation were analyzed. Although sectional wall motion did not change significantly, hypokinetic segments were preserved better in PICSO-treated patients than in controls (-1.3 +/- 2.4 versus -9.1 +/- 2.6 delta% fractional area change; p less than 0.04). Although not significant, the same trend was found for normal and severely hypokinetic segments. Cumulative enzyme release was related to coronary sinus occluded pressure (r = 0.94; p less than 0.006), indicating washout of metabolites during PICSO. Three months after operation, functional classification was similarly favorable in both groups. Long-term effects of PICSO cannot be predicted because PICSO was applied only during early reperfusion. We conclude that PICSO is a safe procedure and that its short-term beneficial effects on myocardial function suggest a preservation of myocardial viability.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0003-4975
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
46
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
192-201
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:3041935-Balloon Dilation,
pubmed-meshheading:3041935-Clinical Trials as Topic,
pubmed-meshheading:3041935-Constriction,
pubmed-meshheading:3041935-Coronary Artery Bypass,
pubmed-meshheading:3041935-Coronary Circulation,
pubmed-meshheading:3041935-Coronary Vessels,
pubmed-meshheading:3041935-Echocardiography,
pubmed-meshheading:3041935-Extracorporeal Circulation,
pubmed-meshheading:3041935-Heart Arrest, Induced,
pubmed-meshheading:3041935-Humans,
pubmed-meshheading:3041935-Intraoperative Care,
pubmed-meshheading:3041935-Middle Aged,
pubmed-meshheading:3041935-Myocardial Contraction,
pubmed-meshheading:3041935-Perfusion,
pubmed-meshheading:3041935-Pressure,
pubmed-meshheading:3041935-Random Allocation
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pubmed:year |
1988
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pubmed:articleTitle |
Clinical evaluation of pressure-controlled intermittent coronary sinus occlusion: randomized trial during coronary artery surgery.
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pubmed:affiliation |
Second Surgical Clinic, University of Vienna, Austria.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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