The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Kalashnikova T.P.

Cardiology Research Institute

Arsenyeva Yu.A.

Cardiology Research Institute

Gorchakova M.B.

Cardiology Research Institute

Kravchenko I.V.

Cardiology Research Institute

Kamenshchikov N.O.

Cardiology Research Institute

Podoksenov Yu.K.

Cardiology Research Institute

Panfilov D.S.

Cardiology Research Institute

Boshchenko A.A.

Cardiology Research Institute

Kozlov B.N.

Cardiology Research Institute

Perioperative risk factors of nosocomial pneumonia after aortic arch surgery

Authors:

Kalashnikova T.P., Arsenyeva Yu.A., Gorchakova M.B., Kravchenko I.V., Kamenshchikov N.O., Podoksenov Yu.K., Panfilov D.S., Boshchenko A.A., Kozlov B.N.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(4): 364‑369

DOI: 10.17116/kardio202417041364

Views: 237

Downloaded: 3

Buy for 200₽
Contact the author
Table of contents

To cite this article:

Kalashnikova TP, Arsenyeva YuA, Gorchakova MB, et al. . Perioperative risk factors of nosocomial pneumonia after aortic arch surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;17(4):364‑369. (In Russ.)
https://doi.org/10.17116/kardio202417041364

Подписка 2025 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Close metadata

OBJECTIVE

To study the incidence and severity of nosocomial pneumonia (NP) after different methods of aortic arch repair.

MATERIAL AND METHODS

We retrospectively analyzed 66 case histories of patients who underwent aortic arch surgery. Patients were divided into two groups depending on surgical technique: group 1 (n=25) — total aortic arch replacement with descending aorta stenting (frozen elephant trunk (FET)); group 2 (n=41) — hemiarch procedure. Incidence and time to pneumonia, as well as severity of disease was assessed. Influence of certain perioperative risk factors on pneumonia was estimated.

RESULTS

Incidence of pneumonia after aortic arch surgery was 24.2%. More severe pneumonia occurred after FET procedure (p=0.025). FET technique was characterized by longer cardiopulmonary bypass (CPB) time (230.3±52.3 min, p=0.021), cardiac arrest (189.2±49.2, p=0.045) and circulatory arrest (32.5±7.9, p<0.001). Prolonged CPB, cardiac and circulatory arrest were found to be a risk factor of respiratory failure requiring prolonged ventilation.

CONCLUSION

The risk of postoperative NP after aortic arch surgery is associated with prolonged CPB, circulatory and cardiac arrest. These variables are significant predictors of prolonged mechanical ventilation and subsequent NP.

Keywords:

frozen elephant trunk
hemiarch
nosocomial pneumonia
cardiopulmonary bypass
cardiac arrest
circulatory arrest
mechanical ventilation

Authors:

Kalashnikova T.P.

Cardiology Research Institute

Arsenyeva Yu.A.

Cardiology Research Institute

Gorchakova M.B.

Cardiology Research Institute

Kravchenko I.V.

Cardiology Research Institute

Kamenshchikov N.O.

Cardiology Research Institute

Podoksenov Yu.K.

Cardiology Research Institute

Panfilov D.S.

Cardiology Research Institute

Boshchenko A.A.

Cardiology Research Institute

Kozlov B.N.

Cardiology Research Institute

Received:

04.04.2023

Accepted:

15.06.2023

List of references:

  1. Czerny M, Schmidli J, Adler S et al. EACTS/ESVS scientific document group. Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS). Eur J Cardiothorac Surg. 2019;55(1):133-162.  https://doi.org/10.1093/ejcts/ezy313
  2. Charchyan ER, Breshenkov DG, Belov YuV. Hybrid aortic repair in patients with type III aortic dissection and concomitant proximal aortic lesion. Pirogov Russian Journal of Surgery. 2020;9:28-37. (In Russ.). https://doi.org/10.17116/hirurgia202009128
  3. Mohamad B, Amer H, Matthew F, Ben A, Prity G, et al. Natural History and Survival in Operated Thoracic Aortic Aneurysm Patients. J Cardiol & Cardiovasc Ther. 2017;4(1):555-629.  https://doi.org/10.19080/JOCCT.2017.04.555629
  4. Sergevnin VI, Kudryavtseva LG, Lazarkov PV. Artificial ventilation as a risk factor of hospital-acquired pneumonia (HAP) in ICU patients after cardiac surgery. Health Risk Analysis. 2022;1:97-103. (In Russ.). https://doi.org/10.21668/health.risk/2022.1.11
  5. Wang D, Lu Y, Sun M, Huang X, Du X, Jiao Z, Sun F, Xie F. Pneumonia After Cardiovascular Surgery: Incidence, Risk Factors and Interventions. Front Cardiovasc Med. 2022;9:911878. https://doi.org/10.3389/fcvm.2022.911878
  6. Greco G, Shi W, Michler RE et al. Costs associated with health care-associated infections in cardiac surgery. J Am Coll Cardiol. 2015;65(1):15-23.  https://doi.org/10.1016/j.jacc.2014.09.079
  7. Nosocomial pneumonia in adults. Russian national recommendations. Edited by Gelfand B.R.: Publishing house «Medical Information Agency»; 2016. (In Russ.).
  8. Eremenko AA, Zulyaeva TP. Postoperative acute respiratory failure in cardiac surgery. Pirogov Russian Journal of Surgery. 2019;8:5-11. (In Russ.). https://doi.org/10.17116/hirurgia20190815
  9. Wang D, Huang X, Wang H, Le S, Yang H, Wang F, Du X. Risk factors for postoperative pneumonia after cardiac surgery: a prediction model. J Thorac Dis. 2021;13(4):2351-2362. https://doi.org/10.21037/jtd-20-3586
  10. Hortal J, Muñoz P, Cuerpo G, Litvan H, Rosseel PM, Bouza E; European Study Group on Nosocomial Infections; European Workgroup of Cardiothoracic Intensivists. Ventilator-associated pneumonia in patients undergoing major heart surgery: an incidence study in Europe. Crit Care. 2009;13(3):R80.  https://doi.org/10.1186/cc7896
  11. Wang D, Abuduaini X, Huang X, Wang H, Chen X, Le S, Chen M, Du X. Development and validation of a risk prediction model for postoperative pneumonia in adult patients undergoing Stanford type A acute aortic dissection surgery: a case control study. J Cardiothorac Surg. 2022;17(1):22.  https://doi.org/10.1186/s13019-022-01769-y
  12. He S, Wu F, Wu X, Xin M, Ding S, Wang J, Ouyang H, Zhang J. Ventilator-associated events after cardiac surgery: evidence from 1,709 patients. J Thorac Dis. 2018;10(2):776-783.  https://doi.org/10.21037/jtd.2018.01.49
  13. Allou N, Bronchard R, Guglielminotti J, Dilly MP, Provenchere S, Lucet JC, Laouénan C, Montravers P. Risk factors for postoperative pneumonia after cardiac surgery and development of a preoperative risk score. Crit Care Med. 2014;42(5):1150-1156. https://doi.org/10.1097/CCM.0000000000000143
  14. Kozlov BN, Panfilov DS, Lukinov VL. Predictors of early negative clinical events after frozen elephant trunk surgery. Angiology and vascular surgery. 2021;27(4):94-102. (In Russ.). https://doi.org/10.33529/ANGIO2021413
  15. Kilic A, Ohkuma R, Grimm JC, Magruder JT, Sussman M, Schneider EB, Whitman GJ. A novel score to estimate the risk of pneumonia after cardiac surgery. J Thorac Cardiovasc Surg. 2016;151(5):1415-1420. https://doi.org/10.1016/j.jtcvs.2015.12.049

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.