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KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI

Year 2005, Volume: 36 Issue: 1, 7 - 11, 17.07.2014

Cengiz Köksal Ahmet Tansel Çökertelekoğlu Seyfettin Altan Sabit Sarıkaya Vural Özcan Mustafa Zengin

Abstract

Koroner arter cerrahisinde çalışan kalpte
koroner bypas tekniğinin (OPCAB), pompa
kullanılarak yapılan cerrahiyle (CPB ile
KABG) karşılaştırıldığında, üstünlüğü tartışmalıdır. Çalışmamızın amacı CPB ile KABG
ve OPCAB cerrahi yöntemlerinin erken dönem
sonuçlarını prospektif olarak karşılaştırmaktır.
2001-2003 yılları arasında koroner revaskülarizasyon gerektiren 100 hastaya pompalı (n:
50) ve pompasız (n: 50) teknik kullanılarak koroner
bypas yapıldı. Her iki grup birbiri ile kan
üre, kreatinin, SGOT, SGPT düzeyleri, (+) inotrop
ihtiyacı, ventilasyon süresi, kan ve kan
ürünleri ihtiyacı, yoğun bakım ve hastanede
kalış süreleri ve drenaj miktarı bakımından
ameliyat sonrası erken dönemde karşılaştırıldı.
OPCAB koroner bypass grubunda, diğer grupla
karşılaştırıldığında, yoğun bakımda kalış süresi, karaciğer enzimleri (SGOT, SGPT) ve (+)
inotrop ihtiyacı ameliyat sonrası erken dönemde
anlamlı azaldığı tespit edildi.
Sonuç olarak; CPB ile KABG yöntemi ile
karşılaştırıldığında, OPCAB yönteminin ameliyat
sonrası erken dönemde klinik olarak daha
avantajlı olduğu bulunmuştur. Ancak, OPCAB
yönteminin geç dönem etkinliğinin gösterilmesi
için, uzun dönem takip sonuçlarına ihtiyaç
vardır.

Keywords

Koroner İskemi Cerrahi Atan kalp

References

  • 1. Dewey TD, Mack MJ. Myocardial revascularization without cardiopulmonary bypass. In: Cohn LH, Edmunds LH, eds. Cardiac Surgery in the adult. 2nd Ed. Mc Graw Hill, 2003: 609-625.
  • 2. Magee MJ, Jablanski KA, Stamou SC, et al. Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients. Ann Thorac Surg 2002; 73: 1196.
  • 3. Angelini GD, Taylor AC, Reeves BC, et al. Early and mid-term outcomes after off-pump and on-pump surgery in beating heart against cardioplegic arrest studies (BHACAS 1 and 2): a pooled analysis of two randomized controlled trials. Lancet 2002; 359: 1194.
  • 4. Van Dijk D, Nierich AP, Jansen EWL, et al. Early outcome after off-pump versus on-pump coronary bypass surgery. Circulation 2001; 104: 1761.
  • 5. Vineberg AM. Dvelopment of anastamosis between coronary vessels and transplanted mammary artery. Med Asses J 1954; 71: 594.
  • 6. Bennetti FJ. Direct coronary surgery with sphenoid vein bypass without either cardiopulmonary bypass or cardiac arrest. J Cardiovasc Surg 1985; 26: 217-22.
  • 7. Buffolo E, Andrade JC, Succi J, Leao LE, Galluci C. Direct myocardial revascularization without cardiopulmonary bypass. J Thorac Cardiovasc Surg 1987; 33: 26-9.
  • 8. Calafiore AM, Maure M, Canosa C, Giammarco G, Iaco AL, Contini M. Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE>6). Eur J Cardiothorac Surg 2003; 23: 360-367.
  • 9. Fanning WJ, Kakos GS, Williams TE Jr. Reoperative coronary artery bypass grafting without cardiopulmonary bypass. The Annals of thoracic surgery, 1993; 55: 486- 489.
  • 16. Kavarana MN, Asher AS, Barbone A, Williams MR, Faber JM, Wineberg AD,Isidro AB, Oz MC, Esrig BC. A comparison of consecutive off-pump versus conventional coronary artery bypass. Heart Surg Forum, 2001; 4: 160. 10. Pfister AJ, Zaki MS, Garcia JM, et al. Coronary artery bypass without cardiopulmanary bypass. The Annals of thoracic surgery, 1992; 54: 1085-1092.
  • 17. Kilger E, Weis FC, Goetz AE, Frey L, et al. Intensive care after minimally invasive and conventional coronary surgery: A prospective comparison. Intensive Care Med, 2001; 27: 534. 11. Iscan HZ, Kandemir O, Gol MK, et al. Coronary reoperations without the use of cardiopulmonary bypass. Cardiovascular Surgery, 2003; 11: 155-158.
  • 18. Lee JH, Capdeville M, Marsh D, Abdelhady K, et al. Earlier recovery with beating-heart surgery: A comparison of 300 patients undergoing conventional versus off-pump coronary artery bypass graft surgery. Journal of Cardiothoracic and Vascular Anesthesia, 2002; 16: 139. 12. Cooley DA Con: beating heart surgery for coronary revascularisation: Is it the most important development since the introduction of the heart lung machine? Ann Thorac Surg, 2000; 70: 1779. 13. Chen X, Xu M, Shi H, Mu X, Chen Z, Qiu Z: Comparative study of on-pump and off-pump coronary bypass surgery in patients with triple-vessel coronary artery disease. Chin Med J 2004; 117: 342-346
  • 19. Lund O, Christensen J, Holme S, Fruergaard K, Olesen A, et al. On-pump versus off-pump coronary artery bypass: Independent risk factors and off-pump graft 14. Hu S, Wang X, Song Y, Lu patency. Eur J Cardiothorac Surg, 2001; 20: 901. F. Graft patency in off-pump and conventional coronary artery bypass grafting for treatment of triple vessel coronary disease. Chin Med J 2003; 116: 436-439
  • 20. Cheng W, Denton TA, Fontana GP, Raissi S, Blanche C et al. Off-pump coronary surgery: Effect on early mortality and stroke. J Thorac Cardiovasc Surg, 2002; 15. Gall SA, Olsen CO, Reves 124: 313. JG, McIntyre RW, Tyson GS Jr, Davis JW, Rankin JS. Beneficial effects of endotracheal extubation on ventrikular performance. İmplication for early extubation after cardiac operations. J Thorac Cardiovasc Surg, 1988; 95: 819.
  • 21. Loef BG, Epema AH, Navis G, Ebels T, van Oeveren W, Henning RH. Off-pump coronary revascularisation attenuates transient renal damage compared with onpump coronary revascularisation. Chest 2002; 121; 1190.

Year 2005, Volume: 36 Issue: 1, 7 - 11, 17.07.2014

Cengiz Köksal Ahmet Tansel Çökertelekoğlu Seyfettin Altan Sabit Sarıkaya Vural Özcan Mustafa Zengin

Abstract

References

  • 1. Dewey TD, Mack MJ. Myocardial revascularization without cardiopulmonary bypass. In: Cohn LH, Edmunds LH, eds. Cardiac Surgery in the adult. 2nd Ed. Mc Graw Hill, 2003: 609-625.
  • 2. Magee MJ, Jablanski KA, Stamou SC, et al. Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients. Ann Thorac Surg 2002; 73: 1196.
  • 3. Angelini GD, Taylor AC, Reeves BC, et al. Early and mid-term outcomes after off-pump and on-pump surgery in beating heart against cardioplegic arrest studies (BHACAS 1 and 2): a pooled analysis of two randomized controlled trials. Lancet 2002; 359: 1194.
  • 4. Van Dijk D, Nierich AP, Jansen EWL, et al. Early outcome after off-pump versus on-pump coronary bypass surgery. Circulation 2001; 104: 1761.
  • 5. Vineberg AM. Dvelopment of anastamosis between coronary vessels and transplanted mammary artery. Med Asses J 1954; 71: 594.
  • 6. Bennetti FJ. Direct coronary surgery with sphenoid vein bypass without either cardiopulmonary bypass or cardiac arrest. J Cardiovasc Surg 1985; 26: 217-22.
  • 7. Buffolo E, Andrade JC, Succi J, Leao LE, Galluci C. Direct myocardial revascularization without cardiopulmonary bypass. J Thorac Cardiovasc Surg 1987; 33: 26-9.
  • 8. Calafiore AM, Maure M, Canosa C, Giammarco G, Iaco AL, Contini M. Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE>6). Eur J Cardiothorac Surg 2003; 23: 360-367.
  • 9. Fanning WJ, Kakos GS, Williams TE Jr. Reoperative coronary artery bypass grafting without cardiopulmonary bypass. The Annals of thoracic surgery, 1993; 55: 486- 489.
  • 16. Kavarana MN, Asher AS, Barbone A, Williams MR, Faber JM, Wineberg AD,Isidro AB, Oz MC, Esrig BC. A comparison of consecutive off-pump versus conventional coronary artery bypass. Heart Surg Forum, 2001; 4: 160. 10. Pfister AJ, Zaki MS, Garcia JM, et al. Coronary artery bypass without cardiopulmanary bypass. The Annals of thoracic surgery, 1992; 54: 1085-1092.
  • 17. Kilger E, Weis FC, Goetz AE, Frey L, et al. Intensive care after minimally invasive and conventional coronary surgery: A prospective comparison. Intensive Care Med, 2001; 27: 534. 11. Iscan HZ, Kandemir O, Gol MK, et al. Coronary reoperations without the use of cardiopulmonary bypass. Cardiovascular Surgery, 2003; 11: 155-158.
  • 18. Lee JH, Capdeville M, Marsh D, Abdelhady K, et al. Earlier recovery with beating-heart surgery: A comparison of 300 patients undergoing conventional versus off-pump coronary artery bypass graft surgery. Journal of Cardiothoracic and Vascular Anesthesia, 2002; 16: 139. 12. Cooley DA Con: beating heart surgery for coronary revascularisation: Is it the most important development since the introduction of the heart lung machine? Ann Thorac Surg, 2000; 70: 1779. 13. Chen X, Xu M, Shi H, Mu X, Chen Z, Qiu Z: Comparative study of on-pump and off-pump coronary bypass surgery in patients with triple-vessel coronary artery disease. Chin Med J 2004; 117: 342-346
  • 19. Lund O, Christensen J, Holme S, Fruergaard K, Olesen A, et al. On-pump versus off-pump coronary artery bypass: Independent risk factors and off-pump graft 14. Hu S, Wang X, Song Y, Lu patency. Eur J Cardiothorac Surg, 2001; 20: 901. F. Graft patency in off-pump and conventional coronary artery bypass grafting for treatment of triple vessel coronary disease. Chin Med J 2003; 116: 436-439
  • 20. Cheng W, Denton TA, Fontana GP, Raissi S, Blanche C et al. Off-pump coronary surgery: Effect on early mortality and stroke. J Thorac Cardiovasc Surg, 2002; 15. Gall SA, Olsen CO, Reves 124: 313. JG, McIntyre RW, Tyson GS Jr, Davis JW, Rankin JS. Beneficial effects of endotracheal extubation on ventrikular performance. İmplication for early extubation after cardiac operations. J Thorac Cardiovasc Surg, 1988; 95: 819.
  • 21. Loef BG, Epema AH, Navis G, Ebels T, van Oeveren W, Henning RH. Off-pump coronary revascularisation attenuates transient renal damage compared with onpump coronary revascularisation. Chest 2002; 121; 1190.
There are 15 citations in total.

Details

Primary Language Turkish
Journal Section Araştırmalar
Authors

Cengiz Köksal This is me

Ahmet Tansel Çökertelekoğlu This is me

Seyfettin Altan This is me

Sabit Sarıkaya This is me

Vural Özcan This is me

Mustafa Zengin This is me

Publication Date July 17, 2014
Published in Issue Year 2005 Volume: 36 Issue: 1

Cite

APA Köksal, C., Çökertelekoğlu, A. T., Altan, S., … Sarıkaya, S. (2014). KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI. Cerrahpaşa Tıp Dergisi, 36(1), 7-11.
AMA Köksal C, Çökertelekoğlu AT, Altan S, Sarıkaya S, Özcan V, Zengin M. KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI. Cerrahpaşa Tıp Dergisi. July 2014;36(1):7-11.
Chicago Köksal, Cengiz, Ahmet Tansel Çökertelekoğlu, Seyfettin Altan, Sabit Sarıkaya, Vural Özcan, and Mustafa Zengin. “KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI”. Cerrahpaşa Tıp Dergisi 36, no. 1 (July 2014): 7-11.
EndNote Köksal C, Çökertelekoğlu AT, Altan S, Sarıkaya S, Özcan V, Zengin M (July 1, 2014) KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI. Cerrahpaşa Tıp Dergisi 36 1 7–11.
IEEE C. Köksal, A. T. Çökertelekoğlu, S. Altan, S. Sarıkaya, V. Özcan, and M. Zengin, “KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI”, Cerrahpaşa Tıp Dergisi, vol. 36, no. 1, pp. 7–11, 2014.
ISNAD Köksal, Cengiz et al. “KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI”. Cerrahpaşa Tıp Dergisi 36/1 (July2014), 7-11.
JAMA Köksal C, Çökertelekoğlu AT, Altan S, Sarıkaya S, Özcan V, Zengin M. KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI. Cerrahpaşa Tıp Dergisi. 2014;36:7–11.
MLA Köksal, Cengiz et al. “KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI”. Cerrahpaşa Tıp Dergisi, vol. 36, no. 1, 2014, pp. 7-11.
Vancouver Köksal C, Çökertelekoğlu AT, Altan S, Sarıkaya S, Özcan V, Zengin M. KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI. Cerrahpaşa Tıp Dergisi. 2014;36(1):7-11.