Coronary Artery Bypass Grafting in Elderly Patients: Insights from a Comparative Analysis of Total Arterial and Conventional Revascularization

被引：9

作者：

Bortolussi, Giacomo ^{[1
,2
]}

Bejko, Jonida ^{[1
,2
]}

Gallo, Michele ^{[1
,2
]}

Comisso, Marina ^{[1
,2
]}

Carrozzini, Massimiliano ^{[1
,2
]}

Guglielmi, Cosimo ^{[1
,2
]}

Testolin, Luca ^{[1
,2
]}

Toscano, Giuseppe ^{[1
,2
]}

Rubino, Maurizio ^{[1
,2
]}

Bianco, Roberto ^{[1
,2
]}

Tarzia, Vincenzo ^{[1
,2
]}

Gerosa, Gino ^{[1
,2
]}

Bottio, Tomaso ^{[1
,2
]}

机构：

[1] Univ Padua, Sch Med, Cardiac Surg Unit, Padua, Italy

[2] Univ Padua, Sch Med, Dept Cardiac Thorac & Vasc Surg, Padua, Italy

来源：

JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH | 2016年 / 9卷 / 03期

关键词：

Coronary artery bypass grafting; CABG; Elderly patients; Total arterial revascularization; SAPHENOUS-VEIN HARVEST; AORTIC MANIPULATION; RADIAL ARTERY; SURVIVAL; SURGERY; OUTCOMES; IMPACT; PATENCY; SAFE;

D O I：

10.1007/s12265-016-9688-y

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The benefits of total arterial (TAR) versus conventional (CR) revascularization are controversial in the higher-risk cohort of elderly patients. Taking for granted its benefit on long-term survival, we evaluated the effect of TAR on safety (death, myocardial infarction, and stroke) of patients undergoing CABG. Between 2000 and 2009, 487 patients >75 years underwent isolated CABG at our institution (150 TAR and 337 CR). Patients with arterial free-grafts were excluded. After propensity matching, the outcomes of 131 TAR and 127 CR patients were compared. TAR patients had lower incidence of post-operative myocardial infarction (p = 0.025) and stroke (p = 0.005). They also experienced shorter intensive care unit (p = 0.046) and ward stay (p = 0.028), lower output of TnI (p = 0.035), and less wound complications (leg included) (p = 0.0001), while mortality was comparable (p = 0.57). In our cohort of elderly patients with multivessel disease, TAR was associated with lower rates of myocardial infarction, stroke, and shorter hospital stay.

引用

页码：223 / 229

页数：7

共 25 条

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