The Preventive Effects of Posterior Pericardiotomy with Intrapericardial Tube on the Development of XXXX , @entity955 , and @entity810 after Coronary Artery Surgery: A Prospective, Randomized, Controlled Trial.

@entity1 @entity2293 @entity2294 @entity810 @entity955
Background   @entity2294 ( @entity2294 ), @entity955 ( @entity955 ), and @entity810 ( @entity810 ) are commonly found after coronary artery surgery. These adverse events may also be interwoven in the postoperative period. In this prospective study, we investigated whether posterior pericardiotomy (PP) with intrapericardial tube positioned along the right atrium (pericardial space intervention) is effective in the prevention of these adverse events. Methods   The @entity1 were randomly distributed to the study and control groups. The study group consisted of @entity1 with pericardial space intervention, whereas the control group consisted of @entity1 without pericardial space interventions. In all @entity1 , a straight tube was placed in the anterior mediastinum and an angled tube was placed into the left hemithorax. Results   A total of 210 @entity1 were studied: 107 in the control group and 103 in the study group. Statistically significant results were obtained in the amount of @entity2294 , @entity2293 , @entity955 (p   =   0.019), and @entity810 during the postoperative period, in favor of the study group. Length of hospital stay was significantly shorter in the study group (6.11        2.31, p   =   0.009). Conclusion   The PP with intrapericardial tube approach is safe, easy, and effective in the prevention of @entity2294 , @entity2293 , and @entity955 . The use of this approach may reduce the risk of developing @entity810 during the postoperative period. Besides, this technique also reduces the length of hospital stay.
