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Báo cáo y học: "Short term outcomes of total arterial coronary revascularization in patients above 65 years: a propensity score analys"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Short term outcomes of total arterial coronary revascularization in patients above 65 years: a propensity score analysis. | Hassanein et al. Journal of Cardiothoracic Surgery 2010 5 25 http www.cardiothoracicsurgery.Org content 5 1 25 Jdfrs JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access Short tee m outcomes of total arterial coronary revascularization in patients above 65 years a propensity score analysis Wael Hassanein 1 Yasser Y Hegazy1 Alexander Albert2 Ina C Ennker1 Ulrich Rosendahl1 Stefan Bauer1 and Juergen Ennker1 Abstract Background Despite the advantages of bilateral mammary coronary revascularization many surgeons are still restricting this technique to the young patients. The objective of this study is to demonstrate the safety and potential advantages of bilateral mammary coronary revascularization in patients older than 65 years. Methods Group I included 415 patients older than 65 years with exclusively bilateral mammary revascularization. Using a propensity score we selected 389 patients group II in whom coronary bypass operations were performed using the left internal mammary artery and the great saphenous vein. Results The incidence of postoperative stroke was higher in group II 1.5 vs. 0 P 0.0111 . The amount of postoperative blood loss was higher in group I 908 757 ml vs. 800 713 ml P 0.0405 . There were no other postoperative differences between both groups. Conclusion Bilateral internal mammary artery revascularization can be safely performed in patients older than 65 years. T-graft configuration without aortic anastomosis is particularly beneficial in this age group since it avoids aortic manipulation which is an important risk factor for postoperative stroke. Background The world s population has been aging rapidly over the past 50 years. Currently 11 of the world s population and 22 of the developed regions population are older than 60 years and these ratios are expected to increase 1 . This steady increase in the number of the elderly will be ultimately reflected on the demographic aspects of the patients subjected to coronary bypass operations. .