Is off-pump coronary artery bypass grafting superior to conventional bypass in octogenarians?
| Autor: | Irving L. Kron, Joseph C. Cleveland, Damien J. LaPar, Gorav Ailawadi, Castigliano M. Bhamidipati, T. Brett Reece |
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| Jazyk: | angličtina |
| Předmět: |
Male
Time Factors medicine.medical_treatment Coronary Artery Bypass Off-Pump 030204 cardiovascular system & hematology law.invention 0302 clinical medicine law Risk Factors Odds Ratio Hospital Mortality Coronary Artery Bypass Hospital Costs Aged 80 and over Cardiopulmonary Bypass Age Factors Atrial fibrillation 3. Good health medicine.anatomical_structure Treatment Outcome Circulatory system Cardiology Female Cardiology and Cardiovascular Medicine Artery Pulmonary and Respiratory Medicine medicine.medical_specialty Internal thoracic artery Risk Assessment Article 03 medical and health sciences Internal medicine medicine.artery Cardiopulmonary bypass medicine Humans Derivation Off-pump coronary artery bypass Retrospective Studies Chi-Square Distribution business.industry Patient Selection Virginia Length of Stay medicine.disease Respiration Artificial Surgery Logistic Models 030228 respiratory system Heart failure business |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. (1):81-90 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/j.jtcvs.2010.09.012 |
| Popis: | ObjectiveSelected patients appear to benefit from off-pump coronary artery bypass compared with conventional coronary artery bypass with cardiopulmonary bypass. It is unknown whether elderly patients undergoing isolated coronary artery bypass grafting operations derive any benefit when performed off-pump. We hypothesized that off-pump coronary bypass offers a greater operative benefit to elderly patients when compared with conventional coronary artery bypass.MethodsA total of 1993 elderly patients (age ≥ 80 years) underwent isolated, primary coronary artery bypass graft operations at 16 different statewide centers from 2003 to 2008. Patients were stratified into 2 groups: conven-tional coronary artery bypass (n = 1589, age = 82.5 ± 2.4 years) and off-pump bypass (n = 404, age = 83.0 ± 2.4 years). Preoperative risk, intraoperative findings, postoperative complications, and costs were evaluated.ResultsPatients undergoing off-pump bypass grafting were marginally older (P = .001) and had higher rates of preoperative atrial fibrillation (14.6% vs 10.0%; P = .01) and New York Heart Association class IV heart failure (29.7% vs 21.1%; P |
| Databáze: | OpenAIRE |
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