Document Detail


Multiple arterial off-pump coronary artery bypass grafting: a 5-year experience with clinical results.
MedLine Citation:
PMID:  12821425     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The use of arterial grafts combined with the off-pump coronary artery bypass (OPCAB) procedure offers many advantages, but most of them are still to be proven in long-term studies. We present our 5-year experience in combining these 2 strategies in coronary surgery. METHODS: From February 1998 to December 2002 we operated on 155 patients (146 men and 9 women) for multiple arterial graft myocardial revascularization. All procedures were performed as OPCAB grafting using internal mammary and radial arteries. The mean +/- SD was 58 +/- 9 years for patient age, 57% +/- 11% for left ventricle ejection fraction, and 2.3 +/- 1.9 for the EuroSCORE. We reviewed perioperative and postoperative data and in-hospital mortality in our patients. RESULTS: A total of 356 distal anastomoses were created, an average of 2.3 per patient. The left internal mammary artery was used as a graft in 153 patients (98%), the right internal mammary artery was used in 13 patients (8%), and the radial artery was used in 146 patients (94%). No venous grafts were used. There were 4 reopenings (2.6%) because of mediastinal bleeding. Four patients (2.6%) experienced perioperative myocardial infarction, and 2 patients (1.3%) had permanent neurologic dysfunction. Five patients (3.2%) died in the hospital within 30 days of the operation. CONCLUSION: Our experience shows that arterial myocardial revascularization can be safely performed as an OPCAB procedure, even in the treatment of multiple-vessel coronary disease. The long-term benefit for patients is to be evaluated in the future.
Authors:
Bojan Biocina; Zeljko Sutlic; Igor Rudez; Davor Baric; Daniel Unic; Bojan Stambuk
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The heart surgery forum     Volume:  6     ISSN:  1522-6662     ISO Abbreviation:  Heart Surg Forum     Publication Date:  2003  
Date Detail:
Created Date:  2003-06-24     Completed Date:  2003-12-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100891112     Medline TA:  Heart Surg Forum     Country:  United States    
Other Details:
Languages:  eng     Pagination:  132-4     Citation Subset:  IM    
Affiliation:
Department of Cardiac Surgery, Dubrava University Hospital, Zagreb, Croatia. bojan.biocina@zg.tel.hr
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebrovascular Disorders / etiology
Coronary Artery Bypass / adverse effects,  methods*,  mortality
Female
Hospital Mortality
Humans
Internal Mammary-Coronary Artery Anastomosis / methods
Male
Middle Aged
Myocardial Infarction / etiology
Radial Artery / transplantation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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