Research Article
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Year 2022, Volume: 8 Issue: 2, 175 - 180, 04.03.2022
https://doi.org/10.18621/eurj.1056188

Abstract

References

  • 1. Seo EJ, Hong J, Lee HJ, Son YJ. Perioperative risk factors for new-onset postoperative atrial fibrillation after coronary artery bypass grafting: a systematic review. BMC Cardiovasc Disord 2021;21:418.
  • 2. Savran M, Engin M, Guvenc O, Yüksek HF, Sünbül SA, Turk T, et al. Predictive value of HATCH scoring and waist-to-height ratio in atrial fibrillation following coronary artery bypass operations performed with cardiopulmonary bypass. J Saudi Heart Assoc 2021;33:117-23.
  • 3. Engin M, Ozsin KK, Savran M, Guvenc O, Yavuz S, Ozyazicioglu AF. Visceral adiposity index and prognostic nutritional index in predicting atrial fibrillation after on-pump coronary artery bypass operations: a prospective study. Braz J Cardiovasc Surg 2021;36:522-9.
  • 4. Berry C, Balachandran KP, L’Allier PL, Lespérance J, Bonan R, Oldroyd KG. Importance of collateral circulation in coronary heart disease. Eur Heart J 2007;28:278-91.
  • 5. Gungor H, Eryilmaz U, Akgullu C, Zencir C, Kurtoglu T, Selvi M, et al. Preoperative poor coronary collateral circulation can predict the development of atrial fibrillation after coronary artery bypass graft surgery. Coron Artery Dis 2013;24:572-6.
  • 6. Mendes LA, Connelly GP, McKenney PA, Podrid PJ, Cupples LA, Shemin RJ, et al. Right coronary artery stenosis: an independent predictor of atrial fibrillation after coronary artery bypass surgery. J Am Coll Cardiol 1995;25:198-202.
  • 7. Ata Y, Abanoz M. Predictive roles of right coronary artery disease severity and systemic immune inflammation index in predicting atrial fibrillation after coronary bypass operations in patients with right coronary artery disease. Heart Surg Forum 2021;24:E977-82.
  • 8. Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S, et al. European Heart Rhythm Association. European Association for Cardio-Thoracic Surgery Guidelines for the management of atrial fibrillation: the task force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Eur Heart J 2010;31:2369-429.
  • 9. Engin M, Aydın C. Investigation of the effect of HATCH score and coronary artery disease complexity on atrial fibrillation after on-pump coronary artery bypass graft surgery. Med Princ Pract 2021;30:45-51.
  • 10. Charney R, Cohen M. The role of the coronary collateral circulation in limiting myocardial ischemia and infarct size. Am Heart J 1993;126:937-45.
  • 11. Güngör H, Sivri F, Yıldırım BO, Çayırlı S, Demiroğlu Ö, Yeşilkaya CU, et al. The effects of preoperative coronary collateral circulation on cardiac-related events after coronary artery bypass graft surgery. Braz J Cardiovasc Surg 2021;36:25-31.
  • 12. Polat A, Sahin I, Yucel C, Onur I, Dinckal H, Erentug V. Coronary vasculature and postoperative atrial fibrillation: a risk factor analysis. Turk Gogus Kalp Dama 2013;21:567-73.
  • 13. Narducci ML, Pelargonio G, Rio T, Leo M, Di Monaco A, Musaico F, et al. Predictors of postoperative atrial fibrillation in patients with coronary artery disease undergoing cardiopulmonary bypass: a possible role for myocardial ischemia and atrial inflammation. J Cardiothoracic Vasc Anesth 2014;28:512-9.
  • 14. James TN, Burch GE. The atrial coronary arteries in man. Circulation 1958;17:90-8.
  • 15. Vural Ü, Ağlar AA. What is the role of metabolic syndrome and obesity for postoperative atrial fibrillation after coronary bypass grafting? BMC Cardiovasc Disord 2019;19:147.
  • 16. Salaria V, Mehta NJ, Abdul-Aziz S, Mohiuddin SM, Khan IA. Role of postoperative use of adrenergic drugs in occurrence of atrial fibrillation after cardiac surgery. Clin Cardiol 2005;28:131-5.
  • 17. Omar A, Elshihy EM, Singer M, Zarif D, Dawoud O. Perioperative risk factors predisposing to atrial fibrillation after CABG surgery. Heart Surg Forum 2021;24:E402-6.
  • 18. Karimi A, Goodarzynejad H, Mortazavi SH, Bina P, Jalali A, Omran AS, et al. Left atrial size; a missing component in scoring systems for predicting atrial fibrillation following coronary artery bypass surgery. Acta Cardiol Sin 2020;36:456-63.

Investigation of the effect of coronary collateral circulation quality on postoperative atrial fibrillation after coronary artery bypass graft operations in patients with right coronary artery total occlusion

Year 2022, Volume: 8 Issue: 2, 175 - 180, 04.03.2022
https://doi.org/10.18621/eurj.1056188

Abstract

Objectives: Postoperative atrial fibrillation (PoAF) may occur in 25-50% of patients after coronary artery bypass graft (CABG) surgery. The severity of coronary artery disease and the quality of coronary collateral circulation (CCC) in the coronary artery with chronic total occlusion (CTO) are known as indirect indicators of myocardial ischemia. In this study, we aimed to investigate the effect of CCC quality on PoAF in patients with right coronary artery (RCA) total occlusion who underwent CABG operation.

Methods: Patients who underwent isolated CABG operation between May 15, 2016 and June 15, 2020 and had RCA CTO were included in the study retrospectively. The patients were recorded as Group 1 who developed PoAF in the postoperative period and Group 2 who did not.


Results:
A total of 99 patients were included in the study. Those who develop PoAF were determined as Group 1 (n = 32, mean age = 66.9 ± 11 years), and those who did not were determined as Group 2 (n = 67, mean age = 54.4 ± 12.8, years). There were no statistically significant differences between the two groups in terms of gender, smoking, diabetes mellitus, hypelipidemia and chronic obstuctive pulmonary disease rates. In multivariate analysis, being over 70 years old (OR: 1.396, 95% CI: 1.080-2.190, p = 0.007), poor CCC (OR: 1.090, 95% CI: 1.045-1.338, p = 0.014) and left atrial diamater (OR: 0.557, 95% CI: 0.471-0.783, p = 0.032) were determined as independent predictors of development of PoAF.


Conclusions:
In this current study, we demonstrated that low CCC quality increases the risk of POAF in patients with right coronary CTO. CCC quality can be used as an evaluation parameter in identifying groups at risk for PoAF in these special patient groups.

References

  • 1. Seo EJ, Hong J, Lee HJ, Son YJ. Perioperative risk factors for new-onset postoperative atrial fibrillation after coronary artery bypass grafting: a systematic review. BMC Cardiovasc Disord 2021;21:418.
  • 2. Savran M, Engin M, Guvenc O, Yüksek HF, Sünbül SA, Turk T, et al. Predictive value of HATCH scoring and waist-to-height ratio in atrial fibrillation following coronary artery bypass operations performed with cardiopulmonary bypass. J Saudi Heart Assoc 2021;33:117-23.
  • 3. Engin M, Ozsin KK, Savran M, Guvenc O, Yavuz S, Ozyazicioglu AF. Visceral adiposity index and prognostic nutritional index in predicting atrial fibrillation after on-pump coronary artery bypass operations: a prospective study. Braz J Cardiovasc Surg 2021;36:522-9.
  • 4. Berry C, Balachandran KP, L’Allier PL, Lespérance J, Bonan R, Oldroyd KG. Importance of collateral circulation in coronary heart disease. Eur Heart J 2007;28:278-91.
  • 5. Gungor H, Eryilmaz U, Akgullu C, Zencir C, Kurtoglu T, Selvi M, et al. Preoperative poor coronary collateral circulation can predict the development of atrial fibrillation after coronary artery bypass graft surgery. Coron Artery Dis 2013;24:572-6.
  • 6. Mendes LA, Connelly GP, McKenney PA, Podrid PJ, Cupples LA, Shemin RJ, et al. Right coronary artery stenosis: an independent predictor of atrial fibrillation after coronary artery bypass surgery. J Am Coll Cardiol 1995;25:198-202.
  • 7. Ata Y, Abanoz M. Predictive roles of right coronary artery disease severity and systemic immune inflammation index in predicting atrial fibrillation after coronary bypass operations in patients with right coronary artery disease. Heart Surg Forum 2021;24:E977-82.
  • 8. Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst S, et al. European Heart Rhythm Association. European Association for Cardio-Thoracic Surgery Guidelines for the management of atrial fibrillation: the task force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Eur Heart J 2010;31:2369-429.
  • 9. Engin M, Aydın C. Investigation of the effect of HATCH score and coronary artery disease complexity on atrial fibrillation after on-pump coronary artery bypass graft surgery. Med Princ Pract 2021;30:45-51.
  • 10. Charney R, Cohen M. The role of the coronary collateral circulation in limiting myocardial ischemia and infarct size. Am Heart J 1993;126:937-45.
  • 11. Güngör H, Sivri F, Yıldırım BO, Çayırlı S, Demiroğlu Ö, Yeşilkaya CU, et al. The effects of preoperative coronary collateral circulation on cardiac-related events after coronary artery bypass graft surgery. Braz J Cardiovasc Surg 2021;36:25-31.
  • 12. Polat A, Sahin I, Yucel C, Onur I, Dinckal H, Erentug V. Coronary vasculature and postoperative atrial fibrillation: a risk factor analysis. Turk Gogus Kalp Dama 2013;21:567-73.
  • 13. Narducci ML, Pelargonio G, Rio T, Leo M, Di Monaco A, Musaico F, et al. Predictors of postoperative atrial fibrillation in patients with coronary artery disease undergoing cardiopulmonary bypass: a possible role for myocardial ischemia and atrial inflammation. J Cardiothoracic Vasc Anesth 2014;28:512-9.
  • 14. James TN, Burch GE. The atrial coronary arteries in man. Circulation 1958;17:90-8.
  • 15. Vural Ü, Ağlar AA. What is the role of metabolic syndrome and obesity for postoperative atrial fibrillation after coronary bypass grafting? BMC Cardiovasc Disord 2019;19:147.
  • 16. Salaria V, Mehta NJ, Abdul-Aziz S, Mohiuddin SM, Khan IA. Role of postoperative use of adrenergic drugs in occurrence of atrial fibrillation after cardiac surgery. Clin Cardiol 2005;28:131-5.
  • 17. Omar A, Elshihy EM, Singer M, Zarif D, Dawoud O. Perioperative risk factors predisposing to atrial fibrillation after CABG surgery. Heart Surg Forum 2021;24:E402-6.
  • 18. Karimi A, Goodarzynejad H, Mortazavi SH, Bina P, Jalali A, Omran AS, et al. Left atrial size; a missing component in scoring systems for predicting atrial fibrillation following coronary artery bypass surgery. Acta Cardiol Sin 2020;36:456-63.
There are 18 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery
Journal Section Original Articles
Authors

Mustafa Abanoz 0000-0003-1821-1706

Senol Yavuz 0000-0001-5246-0808

Publication Date March 4, 2022
Submission Date January 11, 2022
Acceptance Date January 25, 2022
Published in Issue Year 2022 Volume: 8 Issue: 2

Cite

AMA Abanoz M, Yavuz S. Investigation of the effect of coronary collateral circulation quality on postoperative atrial fibrillation after coronary artery bypass graft operations in patients with right coronary artery total occlusion. Eur Res J. March 2022;8(2):175-180. doi:10.18621/eurj.1056188

e-ISSN: 2149-3189 


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