Evidence map›Paper›PMID 40846375›Full record

ArticleJACC. Case reports2025

Anesthetic Management in Combined Off-Pump CABG and EC-IC Bypass for CAD and Moyamoya Disease.

Jing Zhang, Jianjian Zhang, Liuqing Yang, Dingbao Hu, Shuang Wang, Sirui Li, Yueli Tian, Xuemin Song, Xinyi Li, Yuan Zhou

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jing ZhangDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China; Hubei Provincial Engineering Research Center of Minimally Invasive Cardiovascular Surgery, Wuhan, China.
Jianjian ZhangDepartment of Neurosurgery, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.
Liuqing YangDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China; Hubei Provincial Engineering Research Center of Minimally Invasive Cardiovascular Surgery, Wuhan, China.
Dingbao HuDepartment of Anesthesiology, Daye Municipal Hospital of Tranditional Chinese Medicine, Huangshi, Hubei, China.
Shuang WangDepartment of Cardiovascular Ultrasound, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Sirui LiDepartment of Radiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.
Yueli TianDepartment of Nuclear Medicine, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan, China.
Xuemin SongDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China; Hubei Provincial Engineering Research Center of Minimally Invasive Cardiovascular Surgery, Wuhan, China.
Xinyi LiDepartment of Anesthesiology, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China; Hubei Provincial Engineering Research Center of Minimally Invasive Cardiovascular Surgery, Wuhan, China. Electronic address: lxy08272021@126.com.
Yuan ZhouHubei Provincial Engineering Research Center of Minimally Invasive Cardiovascular Surgery, Wuhan, China; Department of Cardiovascular Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China. Electronic address: yuan_zh@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical treatment of moyamoya disease combined with coronary heart disease presents unique anesthetic challenges. CASE SUMMARY: A 56-year-old woman underwent combined off-pump coronary artery bypass grafting and extracranial-intracranial arterial bypass surgery. The challenges in this surgery included maintaining cerebral oxygenation (regional cerebral oxygen saturation: >75% of baseline), controlled heart rate (60-70 beats/min), lung-protective ventilation (partial arterial pressure of carbon dioxide: 40-45 mm Hg), and mean arterial pressure >70 mm Hg. The patient experienced 2 intraoperative emergencies: hypotension and cerebral oxygen desaturation. The first episode was caused by cardiac displacement and was managed with fluid resuscitation and norepinephrine. The second episode likely resulted from myocardial ischemia-reperfusion injury and was treated with inotropes and coronary vasodilators. DISCUSSION: The key to anesthetic management in combined heart-brain surgery lies in balancing the heart-brain perfusion conflict while integrating cerebral function monitoring and myocardial protection.

Indexed as

anesthetic managementcoronary artery diseaseextracranial-intracranial arterial bypass surgerymoyamoya diseaseoff-pump coronary artery bypass grafting

Identifiers

PMID40846375
PMCPMC12371415

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.