| Early outcomes of radial artery use in all-arterial grafting of the coronary arteries in patients 65 years and older. | |
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MedLine Citation:
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PMID: 20548806 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We retrospectively evaluated early clinical results of coronary revascularization using none but arterial grafts in patients aged 65 years and older. The cases of 449 consecutive patients who had undergone isolated myocardial revascularization were divided into 2 groups: the arterial conduit group (n=107) received a left internal mammary artery (LIMA) graft and 1 or both radial arteries (RAs), while the mixed-conduit group (n=342) received a LIMA graft and 1 or more saphenous vein grafts (SVGs), with or without an RA. There was no significant difference between the groups' rates of mortality. The arterial conduit group had a significantly shorter overall postoperative hospital stay than did the mixed-conduit group (mean, 6.6 +/- 0.9 vs 7.2 +/- 5 days; P=0.04). Linear regression analysis revealed that the presence of hypertension (beta=0.13; 95% confidence interval [CI], 0.054-0.759; P=0.02) and high EuroSCORE (beta=0.24; 95% CI, 0.053-0.283; P=0.004) were the major predicting factors for long hospital stay. Graft-harvest-site infection was statistically more frequent in the mixed-conduit group than in the arterial conduit group (6.4% vs 0, respectively; P=0.007). Angiography was performed postoperatively (mean, 24.9 +/- 16.3 mo; range, 11-65 mo) in 21 patients. In these patients, all LIMA grafts were patent, as were 86.9% of the SVGs and 90.9% of the RA grafts. Myocardial revascularization using all arterial grafts (at least 50% RAs) in patients aged 65 years and older is safe and reliable, produces short-term results equal to those of saphenous vein grafting, and can reduce graft-harvest-site infections. |
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Authors:
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Nevzat Erdil; Vedat Nisanoglu; Tamer Eroglu; Iyad Fansa; Hasan Berat Cihan; Bektas Battaloglu |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital Volume: 37 ISSN: 1526-6702 ISO Abbreviation: Tex Heart Inst J Publication Date: 2010 |
Date Detail:
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Created Date: 2010-06-15 Completed Date: 2010-09-27 Revised Date: 2010-09-30 |
Medline Journal Info:
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Nlm Unique ID: 8214622 Medline TA: Tex Heart Inst J Country: United States |
Other Details:
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Languages: eng Pagination: 301-6 Citation Subset: IM |
Affiliation:
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Department of Cardiovascular Surgery, Turgut Ozal Medical Center, Inonu University, 44315 Malatya, Turkey. nerdil@inonu.edu.tr |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Aged Chi-Square Distribution Coronary Angiography Coronary Artery Bypass / adverse effects, methods*, mortality Coronary Artery Disease / mortality, radiography, surgery* Female Humans Length of Stay Linear Models Male Radial Artery / radiography, transplantation* Retrospective Studies Risk Assessment Risk Factors Saphenous Vein / radiography, transplantation* Surgical Wound Infection / etiology Time Factors Tissue and Organ Harvesting / adverse effects Treatment Outcome Turkey Vascular Patency |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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