Cardiothoracic & vascular anesthesia

Inhaled iloprost in off-pump coronary artery bypass surgery: a randomized controlled trial

Can J AnaesthPublished Randomised controlled trial

Authors' conclusion

Inhaled iloprost showed a neutral effect on hemodynamic parameters, including the CI and pulmonary vascular resistance index, during OPCAB.

Study context

Population
Adults with three-vessel coronary artery disease and known risk factors for hemodynamic instability undergoing off-pump coronary artery bypass surgery (OPCAB)
Participants
100 adults
Comparison
Iloprost vs Control
Primary endpoint
Cardiac index during mechanical constraint (pulmonary artery catheterization)
Follow-up
During grafting
Methodological details1:1 allocation, saline-controlled
  • 1:1 allocation
  • Saline-controlled

Primary result

As reported in the abstract

Cardiac index
  • No significant intergroup differences in cardiac index during grafting
  • Iloprost vs Control: P = 0.36

Further findings

Mean pulmonary artery pressure · circumflex grafting · significantly lower in the iloprost group

P = 0.01

  • Mean pulmonary artery pressure: group-time interaction P = 0.04

Remaining hemodynamic parameters

Similar between the groups

Original publication

Inhaled iloprost in off-pump coronary artery bypass surgery: a randomized controlled trial. Can J Anaesth. Published 26 December 2023. doi:10.1007/s12630-023-02672-3

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.