Koroner arter bypass cerrahisinde kullanılan damar grefti sayısının kısa dönem mortaliteye etkisi

Year 2020, Volume: 45 Issue: 4, 1402 - 1410, 27.12.2020

Omer Ulular

https://doi.org/10.17826/cumj.732731

Abstract

Amaç: Çalışmada, özel bir hastanede koroner arter baypas greftleme (KABG) deneyiminin kısa dönem mortalite oranlarının paylaşılması ve damar grefti sayısına göre bölünen KABG sonrası klinik sonuçlarını etkileyen parametreleri değerlendirmeyi amaçladık.
Gereç ve Yöntem: Çalışma, Türkiye'de 7 yıllık hasta takip süresi olan, uzun süreli gözlemsel bir klinik çalışmadır. 1 (n:608), 2-3 (n:1359) ve dört veya daha fazla (n:1060) greft olarak kullandığımız damar greftlerinin sayısına göre sonuçları ve kısa vadeli mortalitesi olan 3027 vakayı analiz ettik.
Bulgular: Kısa dönem mortalite tüm hastalarda 1,1% (36/3027) olarak bulundu. Erkek popülasyonu en fazla damar grefti olan grupta en yüksek idi ve kadınlara oranı yaptığımız damar greftleriyle korele idi. Ortalama aortik kros klemp süresi 36.6±17.2 dakika, baypas süresi 66.4±21 dakika idi. Revaskülarize edilen damar sayısı ortalama 3,17±0,9 (1-7) idi. Drenaj miktarı 419±286 ml idi. Yoğun bakım süresi 1,2±1,1 gün, hastanede kalma süresi 5,2±1,5 gün idi. Vasküler greft sayısına göre karşılaştırıldığında pozitif inotrop ajan, drenaj, kan temini, kros klemp ve pompa periyodu anlamlı farklılık gösterdi.
Sonuç: Damar grefti sayısı KABG ameliyatlarının klinik sonuçları ile pozitif ilişkiliydi. KABG sonuçlarımız başarılı olarak Türkiye ve uluslararası ameliyat ortalamalarının altında kısa dönem mortalite oranlarına ulaştı.

Keywords

Damar Greft Sayıları, Bypass Cerrahi, Türkiye, KABG

The effect of the number of vessel grafts used in coronary artery bypass grafting surgery to short-term mortality

Abstract

Purpose: The study aimed to share the short-term mortality rates of coronary artery bypass grafting (CABG) experience in a private hospital and to evaluate parameters affecting the clinical outputs following the CABG who were divided according to the number of vessel graft.
Materials and Methods: The study is a longitudinal-term observational clinical study, with a patient follow-up period of 7 years in Turkey. We analyzed 3027 cases with outcomes and short-term mortality according to the number of vessel grafts that we used as 1 (n:608), 2-3 (n:1359), and four or more (n:1060) grafts.
Results: The short-term mortality was found as 1.1% (36/3027) in all the patients. The male population was the highest in the group with the highest number of vascular grafts and its percentage to females was correlated with vessel grafts that we performed. Mean aortic cross-clamp time was 36.6±17.2 minutes, while bypass time was 66.4±21 minutes. The mean number of vessels revascularized was 3.17±0.9 (1-7). The amount of drainage was 419±286 ml. The period of intensive care was 1.2±1.1 days, while the hospital period was 5.2±1.5days. In comparison according to the number of vascular grafts, positive inotrope agent, drainage, blood supply, cross-clamp and pump period showed significant difference.
Conclusion: The number of vessel grafts was related to clinical outputs of CABG operations and Our CABG in the private hospital reached the short-term mortality rates that were below the averages of Turkey and international operations.

Keywords

Vessel Grafts, Bypass Grafting, CABG, Turkey

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