{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T13:26:34Z","timestamp":1790342794610,"version":"4.1.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The aim of this study is to compare the insertion sites of drainage tubes placed in the left thorax after elective coronary artery bypass grafting (CABG) surgeries.<\/jats:p>\n                  <jats:p>Patients were divided into two groups based on the site of tube insertion into the left hemithorax: those with a tube inserted from the subxiphoid region and those with a tube inserted from the left intercostal region. Comparative analyses between these two groups and factor analyses contributing to the outcome were performed.<\/jats:p>\n                  <jats:p>There were no significant differences observed in terms of age, gender, height, and weight among patients undergoing coronary artery bypass surgery based on the site of drain placement. Twelve patients (5.2%) required re-drainage procedures, with five (41.7%) for pneumothorax and seven (58.3%) for pleural effusion. Atelectasis was absent in 144 patients (62.1%) while present in 88 patients (37.9%). The frequency of atrial fibrillation (AF) was significantly higher in the group with intercostal drains. Additionally, pain scale scores were significantly higher in patients with intercostal drains. Path analysis revealed that the visual pain scale value played a full mediating role in the effect of the drain site on AF.<\/jats:p>\n                  <jats:p>The statistically significant occurrence of pain and higher rates of postoperative AF in patients with intercostal tube placement are noteworthy. We believe that in patients undergoing elective coronary artery bypass surgery, the drain placed in the left hemithorax should be inserted from the subxiphoid region, if there are no contraindications.<\/jats:p>","DOI":"10.1055\/a-2474-2827","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T19:02:16Z","timestamp":1731956536000},"page":"008-015","source":"Crossref","is-referenced-by-count":1,"title":["A New Predisposing Factor for Postoperative Atrial Fibrillation: Tube Insertion Site"],"prefix":"10.1055","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3041-1172","authenticated-orcid":false,"given":"Zinar","family":"Apayd\u0131n","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Mardin Training and Research Hospital, Mardin, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4446-6374","authenticated-orcid":false,"given":"Bar\u0131\u015f","family":"Timur","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Batuhan","family":"Yaz\u0131c\u0131","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hatay Training and Research Hospital, Hatay, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"G\u00f6za\u00e7\u0131k","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Batman Training and Research Hospital, Batman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"An\u0131l","family":"Akba\u015f","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Batman Training and Research Hospital, Batman, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7958-9959","authenticated-orcid":false,"given":"Timu\u00e7in","family":"Aksu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taner","family":"\u0130yig\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, \u0130stanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,12,18]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1016\/j.jacc.2021.09.005","article-title":"2021 ACC\/AHA\/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"79","author":"J S Lawton","year":"2022","journal-title":"J Am Coll Cardiol"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1016\/0003-4975(93)90894-N","article-title":"Hazards of postoperative atrial arrhythmias","volume":"56","author":"L L Creswell","year":"1993","journal-title":"Ann Thorac Surg"},{"key":"ref3","first-page":"III236","article-title":"Prevention of supraventricular arrhythmias after coronary artery bypass surgery. A meta-analysis of randomized control trials","volume":"84","author":"T C Andrews","year":"1991","journal-title":"Circulation"},{"issue":"04","key":"ref4","first-page":"507","article-title":"Subxiphoid versus intercostal chest tubes: comparison of postoperative pain and pulmonary morbidities after coronary artery bypass grafting","volume":"39","author":"M Guden","year":"2012","journal-title":"Tex Heart Inst J"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"383","DOI":"10.4103\/0256-4947.83216","article-title":"Computed tomography evaluation of different chest tube sites for residual pleural volumes after coronary artery bypass surgery","volume":"31","author":"Y Sensoz","year":"2011","journal-title":"Ann Saudi Med"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1378\/chest.115.3.757","article-title":"Site of pleural drain insertion and early postoperative pulmonary function following coronary artery bypass grafting with internal mammary artery","volume":"115","author":"C Hagl","year":"1999","journal-title":"Chest"},{"key":"ref7","first-page":"219","article-title":"Comparison of postoperative pain and pulmonary morbidity due to subxiphoid and midaxillary chest drainage tubes after coronary artery bypass grafting","volume":"94","author":"\u0130 Sel\u00e7uk","year":"2023","journal-title":"Ann Ital Chir"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"934906","DOI":"10.3389\/fcvm.2022.934906","article-title":"Muscarinic receptor regulation of chronic pain-induced atrial fibrillation","volume":"9","author":"C Gong","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.jacc.2003.09.030","article-title":"Roles of adrenergic and cholinergic stimulation in spontaneous atrial fibrillation in dogs","volume":"43","author":"O F Sharifov","year":"2004","journal-title":"J Am Coll Cardiol"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1016\/j.ajem.2012.08.009","article-title":"Patient anxiety may influence the efficacy of ED pain management","volume":"31","author":"P Craven","year":"2013","journal-title":"Am J Emerg Med"},{"issue":"08","key":"ref11","doi-asserted-by":"crossref","first-page":"760","DOI":"10.1002\/da.20681","article-title":"A meta-analytic review of the association between anxiety sensitivity and pain","volume":"27","author":"K LS Oca\u00f1ez","year":"2010","journal-title":"Depress Anxiety"},{"issue":"14","key":"ref12","doi-asserted-by":"crossref","first-page":"1533","DOI":"10.1016\/j.jacc.2014.07.959","article-title":"Triggering of symptomatic atrial fibrillation by negative emotion","volume":"64","author":"R Lampert","year":"2014","journal-title":"J Am Coll Cardiol"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2474-2827.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T12:01:04Z","timestamp":1767787264000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2474-2827"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,18]]},"references-count":12,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2025,12,29]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2474-2827","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,11,18]]},"published":{"date-parts":[[2024,11,18]]}}}