The Effect of Cross Clamp Time on Neurocognitive Function in Coronary Artery Bypass Surgery
1University of Health Sciences Turkey, İstanbul Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, Clinic of Cardiovascular Surgery, İstanbul, Turkey
Eur Arch Med Res 2022; 38(4): 244-247 DOI: 10.4274/eamr.galenos.2021.53254
Full Text PDF

Abstract

Objective: This study evaluates the importance of cross clamp time (CCT) on neurocognitive function in coronary artery bypass graft at an early postoperative period.

Methods: The standardized mini mental state examination (SMMSE) is used to determine the neurocognitive function. This is a prospective study on 100 consecutive patients within a certain time interval in a single clinic.

Results: During the study period 100 participants are analysed by SMMSE, preoperatively and postoperatively. The CCT under 120 min had no significant impact on neurocognitive function (p>0.05). Mean age (57.8±9.7). 82% men, 18% women. Median SMMSE point: 29±0.8 (preoperative), 29.2±0.8 (postoperative) (p>0.05). CCT is 62.6±27.8 min and cardiopulmonary bypass time is 82.3±32.4 min in this study.

Conclusion: We have found no correlation between CCT (median: 62±27 min) and neurocognitive function. The study implies that surgeons can relax in CCT under 120 min in terms of neurocognitive disorder.