10 papers analyzed
These studies suggest posterior pericardiotomy effectively reduces the incidence of postoperative atrial fibrillation, pericardial effusion, and related complications in patients undergoing coronary artery bypass grafting, although one study indicates no significant effect in off-pump procedures.
Posterior pericardiotomy (PP) is a surgical technique used during coronary artery bypass grafting (CABG) to reduce the incidence of postoperative complications such as atrial fibrillation (AF) and pericardial effusion. This synthesis aims to evaluate the effectiveness of PP in preventing postoperative AF in patients undergoing CABG.
Reduction in Postoperative Atrial Fibrillation (AF)
Reduction in Pericardial Effusion
Improvement in Pericardial Drainage
Reduction in Hospital and ICU Stay
Safety and Economic Efficiency
Conflicting Results in Off-Pump CABG
Posterior pericardiotomy is an effective and safe technique for reducing the incidence of postoperative atrial fibrillation and pericardial effusion in patients undergoing coronary artery bypass grafting. The procedure also contributes to shorter hospital and ICU stays, making it economically beneficial. However, its effectiveness in off-pump CABG remains uncertain. Overall, the evidence strongly supports the use of PP in CABG to improve postoperative outcomes.
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