70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon

Year 2006, Volume: 37 Issue: 4, 131 - 136, 19.07.2014

Bülend Ketenci Gökçen Orhan Batuhan Özay Serdar Çimen Mehmet Güney Rafet Günay Sibel Sarı Alper Görür Onur Gürer M. Murat Demirtaş

Abstract

Atan kalp yönteminin hastane morbiditesi üzerinde açık yararı ortaya konulmuşsa da geç dönem sonuçları özellikle yüksek riskli gruplarda halen tartışılmaktadır. Bu klinik çalışmada atan kalp veya konvansiyonel yöntemle opere edilen, ileri yaş grubundaki 71 hastanın, erken ve uzun dönem sonuçlarını karşılaştırdık. Preoperatif risk faktörleri açısından kronik obstrüktif akciğer hastalığı hariç her iki grupta fark yoktu. Hastane ve yoğun bakım kalış süreleri konvansiyonel grupta uzun bulundu. Takip süresince ise sürvi farkı yokken konvansiyonel yöntemle opere edilen hastaların fonksiyonel kapasiteleri daha iyiydi. Yaşlı hasta grubunda perioperatif morbidite ve mortalite atan kalp tekniği ile daha iyi gibi görünse de geç dönem fonksiyonel kapasite açısından konvansiyonel yöntem daha iyi gözükmektedir. Erken dönem yüksek peroperatif komplikasyon oranı ile orta-uzun dönem dezavantajları iyi değerlendirilmelidir.

Keywords

Koroner arter by-pass, atan kalp, 70 yaş ve üstü

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