Intraluminal Papaverine Injection in LIMA Pedicle: Does it improve LIMA flow?
Journal Title: Journal of Cardiovascular Medicine and Surgery - Year 2018, Vol 4, Issue 1
Abstract
Aims: Effect of Intra luminal Papaverine injection on LIMA flow. Methods and Material: All the patients posted for CABG between January and July 2017, were included in this study. A total of 32 patients (26 male and 6 female ) met the inclusion criteria and were subjected to this study. LIMA pedicle was disconnected distally and blood flow was timed for a minute, collected into a vessel and measured. A soft bulldog clamp was placed proximally and 10 ml of 0.6% Papaverine was injected intra-luminally and a second bulldog clamp was placed distally. After an indwelling time of 1 min, both the bulldog clamps were removed and flow measured for the next 60 seconds. Both flows were measured maintaining similar mean arterial pressures. Results: Mean blood flow before Papaverine injection was 27.18 ml.Mean blood flow after Papaverine injection was 60.81 ml. Mean difference in blood flow was 33.93 ml. Conclusions: Intraluminal injection of Papaverine to LIMA after dissection treats spasm effectively. Papaverine injection injection improves LIMA flow significantly and the difference in flow was found to be statistically significant
Authors and Affiliations
Bagale Kailash K.
Keywords
Related Articles
- EP ID EP563354
- DOI 10.21088/jcms.2454.7123.4118.9
- Views 94
- Downloads 0
Multiple Ligations in Patent Ductus Arteriosus
Background: Congenital heart disease encompasses a wide range of anomalies, that result from abnormal fetal development of heart and great vessels. Ductus arteriosus is a normal fetal vascular structure that allows blood...
Correlation Between Electrocardiography and Echocardiography in Patients with Left Ventricular Hypertrophy
Background and Objectives: Left ventricular hypertrophy is a common condition thatprofoundly affects morbidity and mortality from cardiovascular diseases including myocardial infarction, congestive heart failure, and str...
Renal Artery Stenosis Complicated by Thoracic Aortic Dissection: A Case Report
Renal artery stenosis is an uncommon presentation of secondary hypertension. We present a case of bilateral renal artery stenosis complicated by thoracic aortic dissection. The patient underwent successful thoracic endov...
On-pump Beating Heart Versus Arrested Heart Mitral Valve Replacement - Efficacy and Safety
Introduction: This study is aimed to determine the ef cacy and safety of beating heart mitral valve replacement (MVR) surgery without aortic cross clamping (ACC) and continuous coronary perfusion under normothermia. Me...
Clinical and Angiographic Profile of Coronary Artery Anomalies in Patients Undergoing Coronary Angiography
Introduction: Coronary artery anomalies are relatively rare congenital abnormalities that are often found incidentally during coronary catheterisation done for various indications.Aim of the study was to study clinical a...