China
Africa
Explore chapters and articles related to this topic
Medical Tourism/Travel in India: A Cost Comparison of Procedures with the United States
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Frederick J. DeMicco, Jackie Guzman
A coronary artery bypass graft (CABG) is another very expensive procedure in the U.S. CABG is also known as heart bypass or bypass surgery, and it is used to treat coronary artery disease. Those with coronary artery disease have plaque buildup on the arteries near their heart, so CABG is a procedure where an artery is taken from one part of the body to replace these blocked arteries (https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/coro-nary-artery-bypass-graft-surgery). In the U.S., a CABG costs about $77,177, (https://www.cbsnews.com/pictures/most-expensive-medical-procedures-without-insurance/) while in India it only runs about $3,000–$9,500 (http://www.indiahealthcaretourism.com/average_cost_of_treatment.php).
Deaths Following Cardiac Surgery and Invasive Interventions
Published in Mary N. Sheppard, Practical Cardiovascular Pathology, 2022
This can occur 1–2 weeks after cardiac surgery, most often after CABG and mitral valve replacement. The most common symptoms are new/worsening pericardial effusions, pleuritic chest pain, and fever with raised inflammatory markers. Its features are identical to Dressler's syndrome following myocardial infarction. Surgical trauma and cardiopulmonary bypass trigger the systemic inflammatory response, with antiheart autoantigen release and the deposition of immune complexes in the pericardium thereby provoking the occurrence of PPS. Conservative treatment is associated with a higher recovery rate. Therapeutic options for the refractory cases are long-term oral corticoids or pericardiectomy. Cardiac tamponade or constriction develops in 0.1–6% of patients requiring surgery. Coronary artery and bypass graft occlusion, unstable angina and persistent pericardial pain have been described. The majority of patients respond to anti-inflammatory agents, and only a small proportion require pericardial drainage or pericardiectomy.
Complications of open thoracoabdominal aortic aneurysm repair
Published in Sachinder Singh Hans, Mark F. Conrad, Vascular and Endovascular Complications, 2021
The left renal artery is almost always reconstructed via a separate bypass because of standard ostial topology (Figure 20.5). The authors' preference is to utilize a ringed ePTFE graft (8 mm whenever possible, 6 mm for smaller vessels). The pitfall of this bypass is the potential for kinking of the graft when the kidney rests in its anatomical position. To circumvent this, the bypass graft is fashioned in either an extremely short or long length. Overall 5-year patency of the renal arteries were 96–97% regardless of the reconstructive technique used.11 However, success also depends on employing adjunctive orificial endarterectomy and/or stenting to address intrinsic disease (reported between 15% and 45% in patients undergoing open TAAA repair) at the time of reconstruction.11,62
Perceptions and experiences of engaging in physical activity following coronary artery bypass graft surgery
Published in Physiotherapy Theory and Practice, 2022
Emily Gray, Cath Smith, Richard Bunton, Margot Skinner
The importance of long-term engagement in physical activity (PA) to improve health-related quality of life (Treat-Jacobson and Lindquist, 2007) and for the secondary prevention of cardiovascular disease, for patients following coronary artery bypass graft (CABG) surgery, is well-established (Kulik et al., 2015). In the short term, progressive engagement in PA following CABG surgery may assist return to daily activities, including work (Mendes, 2016). In addition, structured exercise, a specific subset of physical activity (Casperson, Powell, and Christenson, 1985) during the first three months following CABG surgery, has been shown to restore physical function (Eder et al., 2010), counteract perioperative deconditioning by increasing aerobic capacity (Doyle et al., 2019), and restore lean tissue mass (Boujemaa et al., 2020).
Comparing treatment options for large vessel vasculitis
Published in Expert Review of Clinical Immunology, 2022
Federica Macaluso, Chiara Marvisi, Paola Castrignanò, Nicolò Pipitone, Carlo Salvarani
However, the evidence for biological agents in TAK is very limited and mostly derived from uncontrolled observations. In refractory cases, we prefer to use TNFi over TCZ because of the more robust evidence in their favor. Surgical procedures are needed in cases of cerebrovascular disease due to cervical vessel stenosis, coronary artery disease, moderate-to-severe aortic regurgitation, severe coarctation of the aorta, renovascular hypertension, limb claudication, or progressive aneurysm enlargement with risk of rupture or dissection. Bypass graft surgeries are associated with a better long-term outcome. Percutaneous transluminal angioplasty provides better results for short lesions than conventional stents. Surgical procedures should be performed whenever possible when the disease is adequately controlled by medications. A multidisciplinary approach is required to best manage large vessel vasculitis.
Physiotherapy mobility and walking management of uncomplicated coronary artery bypass graft (CABG) surgery patients: a survey of clinicians’ perspectives in Australia and New Zealand
Published in Physiotherapy Theory and Practice, 2020
Serena Hong, Maree Milross, Jennifer Alison
Several factors may contribute to the occurrence of pulmonary complications after coronary artery bypass graft (CABG) surgery such as general anaesthetic (Ferguson, 1999; Groeneveld, Jansen, and Verheij, 2007), alterations in chest wall mechanics due to the incision (Ferguson, 1999), phrenic nerve paralysis (Ferguson, 1999), and postoperative pain (Cogan, 2010; Desai, 1999). The incidence of postoperative pulmonary complications (PPC) range from 20% to 95% after CABG surgery (Freitas, Soares, Cardoso, and Atallah, 2012) and include atelectasis in up to 88% of patients (Badenes, Lozano and Belda, 2015), collapse of a lobe in up to 40% (Ferguson, 1999), pleural effusion in 27–95% (Badenes, Lozano and Belda, 2015), and pneumonia in up to 40% of patients (Ferguson, 1999). These complications increase the length of hospital stay and increase cost (Ferguson, 1999).