Evidence map›Paper›PMID 41510541›Full record

ArticleTurk gogus kalp damar cerrahisi dergisi2025

Deep parasternal intercostal plane block and its effects on left internal thoracic artery hemodynamics in coronary artery bypass grafting.

Serkan Mola, Enis Burak Gül, Alp Yıldırım, Nigar Gürer, Nevriye Salman

Abstract read
In one paragraph

Article in Turk gogus kalp damar cerrahisi dergisi, 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

5 authors.

Serkan MolaDepartment of Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, Türkiye.ORCID 0000-0002-5526-5298
Enis Burak GülDepartment of Cardiovascular Surgery, Ankara Bilkent City Hospital, Ankara, Türkiye.ORCID 0009-0005-8038-145X
Alp YıldırımDepartment of Cardiovascular Surgery, Atatürk Sanatoryum Education and Research Hospital, Ankara, Türkiye.ORCID 0000-0002-6547-2450
Nigar GürerDepartment of Anaesthesiology and Reanimation, Ankara Bilkent City Hospital, Ankara, Türkiye.ORCID 0009-0003-0459-4387
Nevriye SalmanDepartment of Anaesthesiology and Reanimation, Ankara Bilkent City Hospital, Ankara, Türkiye.ORCID 0000-0001-9416-4177

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aims to investigate the effects of deep parasternal intercostal plane block on left internal thoracic artery vasospasm in coronary artery bypass grafting patients. Methods: Between March 2024 and August 2024, a total of 29 patients (24 males, 5 females; mean age: 60.1±8.3 years; range, 56 to 66 years) who were scheduled for elective coronary artery bypass grafting were included in this prospective study. An ultrasound-guided bilateral deep parasternal intercostal plane block was performed with 15 mL of 0.25% bupivacaine per side after anesthesia induction. Left internal thoracic artery peak systolic velocity, end-diastolic velocity, and resistive index, along with heart rate and mean arterial pressure, were recorded immediately before the block (T0) and 30 min after (T1). Demographics, body mass index, and comorbidities of the patients were noted. Results: After deep parasternal intercostal plane block administration, the left internal thoracic artery resistivity index decreased significantly (p=0.041), and the left internal thoracic artery diameter increased significantly (p=0.004). Although the peak systolic velocity increased and the end-diastolic velocity decreased following the block, these changes were not statistically significant (p=0.145 and p=0.135, respectively). Conclusion: Our study findings suggest that deep parasternal intercostal plane block administration may prevent left internal thoracic artery vasospasm by increasing arterial conduit diameter and reducing the resistivity index. Based on these findings, we believe that this method can be safely applied under ultrasound guidance without complications.

Indexed as

Coronary artery bypass graftingdeep parasternal intercostal plane blockleft internal thoracic artery flow.

Identifiers

PMID41510541
PMCPMC12728966

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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.