RecruitingNot ApplicableNCT06159985

Effect of Left Posterior Pericardiotomy for the Prevention of POAF

Effect of Left Posterior Pericardiotomy for the Prevention of Postoperative Atrial Fibrillation in Coronary Artery Bypass Grafting: A Prospective Randomized Controlled Trial

Sponsor

Seoul National University Hospital

Enrollment

270 participants

Start Date

Dec 11, 2023

Study Type

INTERVENTIONAL

Conditions

Coronary Artery Disease Atrial Fibrillation New Onset Pericardial Effusion

Summary

This study is planned to evaluate the effect of left posterior pericardiotomy for the prevention of postoperative atrial fibrillation after coronary artery bypass grafting. Eligible patients will be randomized to be created or not to be created the left posterior pericardiotomy at the end of the operation, and the incidence of postoperative atrial fibrillation will be compared.

Eligibility

Min Age: 19 Years

Inclusion Criteria2

patients who are planned to undergo coronary artery bypass grafting
patients aged ≥19 years

Exclusion Criteria7

patients who are planned to undergo other concomitant cardiac procedures (e.g. valve procedures, aorta procedures)
patients who undergo coronary artery bypass grafting using cardiopulmonary bypass
patients who are documented with paroxysmal, persistent, or permanent atrial fibrillation before operation
patients who have a history of cardiac surgery
patients who have a history of pericardial disease
patients who have severe adhesion at left pleural cavity which precludes effective left posterior pericardiostomy
patients who refuse to participate in this study

Interventions

PROCEDUREleft posterior pericardiostomy

In patients assigned to the study group, a 4-5 cm vertical incision posterior to the phrenic nerve and extending from the left inferior pulmonary vein to the diaphragm is performed.