The value of routine chest radiographs after minimally invasive cardiac surgery: an observational cohort study

Journal of Cardiothoracic Surgery

Nardo JM van der Meer³  Paul GH Mulder¹  Homme AJ Dijkstra⁶  Bastiaan M Gerritse²  Peter MJ Rosseel²  Mohamed Bentala⁵  Martijn Tolsma⁴ 

[1] Amphia Hospital, Amphia Academy, Molengracht 21, Breda, 4818, CK, The Netherlands;Department of Anesthesiology & Intensive Care, Amphia Hospital, Molengracht 21, Breda, 4818, CK, The Netherlands;TiasNimbas Business School, Tilburg University, Warandelaan 2, Tilburg, 5037, AB, The Netherlands;Department of Anesthesiology & Intensive Care, Isala Klinieken, Dokter van Heesweg 2, Zwolle, 8025, AB, The Netherlands;Department of Cardiothoracic Surgery, Amphia Hospital, Molengracht 21, Breda, 4818, CK, The Netherlands;Department of Radiology, Amphia Hospital, Molengracht 21, Breda, 4818, CK, The Netherlands

关键词: Intensive care unit;    Cardiac surgery;    Chest radiographs;   

Others  :  1151626
DOI  :  10.1186/s13019-014-0174-9

 received in 2014-07-01, accepted in 2014-10-21,  发布年份 2014

【 摘 要 】

Background

Chest radiographs (CXRs) are obtained frequently in postoperative cardiac surgery patients. The diagnostic and therapeutic efficacy of routine CXRs is known to be low and the discussion regarding the safety of abandoning these CXRs after cardiac surgery is still ongoing. We investigated the value of routine CXRs directly after minimally invasive cardiac surgery.

Methods

We prospectively included all patients who underwent minimally invasive cardiac surgery by port access, ministernotomy or bilateral video-assisted thoracoscopy (VATS) in the year 2012. A direct postoperative CXR was performed on all patients at ICU arrival. All CXR findings were noted, including whether they led to an intervention or not. The results were compared to the postoperative CXR results in patients who underwent conventional cardiac surgery by full median sternotomy over the same period.

Main results

A total of 249 consecutive patients were included. Most of these patients underwent valve surgery, rhythm surgery or a combination of both. The diagnostic efficacy for minor findings was highest in the port access and bilateral VATS groups (56% and 63% versus 28% and 45%) (p?

Conclusions

The diagnostic efficacy of routine CXRs performed after minimally invasive cardiac surgery by port access or bilateral VATS is higher than the efficacy of CXRs performed after conventional cardiac surgery. A routine CXR after these procedures should still be considered.

【 授权许可】

   
2014 Tolsma et al.; licensee BioMed Central Ltd.

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