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

Yıl 2006, Cilt: 37 Sayı: 4, 131 - 136, 19.07.2014

Öz

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.

Kaynakça

  • 1. Boyd WD, Desai ND, Del Rizzo DF, et al. Off-pump surgery decreases postoperative complications and resource utilization in the elderly. Ann Thorac Surg 1999; 68:1490-1493.
  • 2. Ivanov J, Weisel RD, David TE, Naylor CD. Fifteenyear trends in risk severity and operative mortality in elderly patients undergoing coronary artery bypass graft surgery. Circulation. 1998; 97: 673-680.
  • 3. Parsonnet V, Dean D, Bernstein AD. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation. 1989; 79: I3-12. Erratum in: Circulation 1990; 82: 1078.
  • 4. Lancey RA, Soller BR,Vander Salm TJ. Off-pump versus on-pump coronary artery bypass surgery: a casematched comparison of clinical outcomes and costs. Heart Surg Forum 2000; 3: 277-281.
  • 5. Puskas JD, Wright CE, Ronson RS, et al. Off-pump multivessel coronary bypass via sternotomy is safe and effective. Ann Thorac Surg 1998; 66: 1068-1072.
  • 6. Allen KB, Matheny RG, Robison RJ, et al.Minimally invasive versus conventional reoperative coronary artery bypass. Ann Thorac Surg 1997; 64: 616-622.
  • 7. Koh TW, Carr-White GS, DeSouza AC ve ark. Intraoperative cardiac troponin T release and lactate metabolism during coronary artery surgery: comparison of beating heart with conventional coronary artery surgery with cardiopulmonary bypass. Heart 1999; 81: 495-500.
  • 8. Khan NE, De Souza A, Mister R et al. A randomized comparison of off-pump and on-pump multivessel coronary-artery bypass surgery. N Engl J Med 2004; 350: 21-28.
  • 9. Ascione R, Lloyd CT, Underwood MJ, et al. On-pump versus off-pump coronary revascularization: evalution of renal function. Ann Thorac Surg 1999; 68: 493-498.
  • 10. Van Dijk D, Nierich AP, Jansen EW, et al. Octopus Study Group. Early outcome after off-pump versus on-pump coronary bypass surgery: result from a randomized study. Circulation 2001; 104: 1761-1766.
  • 11. BhaskerRao B, VanHimbergen D, Edmonds HL Jr, et al. Evidence for improved cerebral function after minimally invasive bypass surgery. J Card Surg 1998; 13: 27-31.
  • 12. Brown WR, Moody DM, Challa VR, et al. Longer duration of cardiopulmonary bypass is associated with greater numbers of cerebral microemboli. Stroke 2000; 31: 707-713.
  • 13. Abu-Omar Y, Balacumaraswami L, Pigott DW, et al. Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures. J Thorac Cardiovasc Surg 2004; 127: 1759- 1765.
  • 14. Arom KV, Flavin TF, Emery RW, et al. Safety and efficacy of off-pump coronary artery bypass grafting. Ann Thorac Surg 2000; 69: 704-10.
  • 15. Angelini GD, Taylor FC, Reeves BC, Ascione R. Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials. Lancet 2002; 359: 1194- 1199.
  • 16. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659-666.
  • 17. Rathore SS, Berger AK,Weinfurt KP, et al. Acute myocardial infarction complicated by atrial fibrillation in the elderly: prevalence and outcomes. Circulation 2000; 101: 969-974.
  • 18. Kolvekar S, D’Souza A, Akhtar P , et al. Role of atrial ischaemia in development of atrial fibrillation following coronary artery bypass surgery. Eur J Cardiothorac Surg 1997; 11: 70-75.
  • 19. Kilo J, Baumer H, Czerny M, et al. Target vessel revascularization without cardiopulmonary bypass in elderly high-risk patients. Ann Thorac Surg 2001; 71: 537-542.
  • 20. Jones EL, Weintraub WS. The importance of completeness of revascularization during long-term followup after coronary artery operations. J Thorac Cardiovasc Surg 1996; 112: 227-237.
  • 21. Bell MR, Bailey KR, Reeder GS, et al. Percutaneous transluminal angioplasty in patients with multivessel coronary disease: how important is complete revascularization for cardiac event-free survival? J Am Coll Cardiol 1990; 16: 553-562.
  • 22. Tu JV, Jaglal SB, Naylor CD. Multicenter validation of a risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery. Steering Committee of the Provincial Adult Cardiac Care Network of Ontario.Circulation 1995; 91: 677-684.
  • 23. Mullany CJ, Mock MB, Brooks MM, et al. Effect of age in the Bypass Angioplasty Revascularization Investigation (BARI) randomized trial.Ann Thorac Surg 1999; 67: 396-403.
  • 24. Kannel WB, Larson M. Long-term epidemiologic prediction of coronary disease. The Framingham experience. Cardiology 1993; 82: 137-152.
Yıl 2006, Cilt: 37 Sayı: 4, 131 - 136, 19.07.2014

Öz

Kaynakça

  • 1. Boyd WD, Desai ND, Del Rizzo DF, et al. Off-pump surgery decreases postoperative complications and resource utilization in the elderly. Ann Thorac Surg 1999; 68:1490-1493.
  • 2. Ivanov J, Weisel RD, David TE, Naylor CD. Fifteenyear trends in risk severity and operative mortality in elderly patients undergoing coronary artery bypass graft surgery. Circulation. 1998; 97: 673-680.
  • 3. Parsonnet V, Dean D, Bernstein AD. A method of uniform stratification of risk for evaluating the results of surgery in acquired adult heart disease. Circulation. 1989; 79: I3-12. Erratum in: Circulation 1990; 82: 1078.
  • 4. Lancey RA, Soller BR,Vander Salm TJ. Off-pump versus on-pump coronary artery bypass surgery: a casematched comparison of clinical outcomes and costs. Heart Surg Forum 2000; 3: 277-281.
  • 5. Puskas JD, Wright CE, Ronson RS, et al. Off-pump multivessel coronary bypass via sternotomy is safe and effective. Ann Thorac Surg 1998; 66: 1068-1072.
  • 6. Allen KB, Matheny RG, Robison RJ, et al.Minimally invasive versus conventional reoperative coronary artery bypass. Ann Thorac Surg 1997; 64: 616-622.
  • 7. Koh TW, Carr-White GS, DeSouza AC ve ark. Intraoperative cardiac troponin T release and lactate metabolism during coronary artery surgery: comparison of beating heart with conventional coronary artery surgery with cardiopulmonary bypass. Heart 1999; 81: 495-500.
  • 8. Khan NE, De Souza A, Mister R et al. A randomized comparison of off-pump and on-pump multivessel coronary-artery bypass surgery. N Engl J Med 2004; 350: 21-28.
  • 9. Ascione R, Lloyd CT, Underwood MJ, et al. On-pump versus off-pump coronary revascularization: evalution of renal function. Ann Thorac Surg 1999; 68: 493-498.
  • 10. Van Dijk D, Nierich AP, Jansen EW, et al. Octopus Study Group. Early outcome after off-pump versus on-pump coronary bypass surgery: result from a randomized study. Circulation 2001; 104: 1761-1766.
  • 11. BhaskerRao B, VanHimbergen D, Edmonds HL Jr, et al. Evidence for improved cerebral function after minimally invasive bypass surgery. J Card Surg 1998; 13: 27-31.
  • 12. Brown WR, Moody DM, Challa VR, et al. Longer duration of cardiopulmonary bypass is associated with greater numbers of cerebral microemboli. Stroke 2000; 31: 707-713.
  • 13. Abu-Omar Y, Balacumaraswami L, Pigott DW, et al. Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures. J Thorac Cardiovasc Surg 2004; 127: 1759- 1765.
  • 14. Arom KV, Flavin TF, Emery RW, et al. Safety and efficacy of off-pump coronary artery bypass grafting. Ann Thorac Surg 2000; 69: 704-10.
  • 15. Angelini GD, Taylor FC, Reeves BC, Ascione R. Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials. Lancet 2002; 359: 1194- 1199.
  • 16. Haissaguerre M, Jais P, Shah DC, et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 1998; 339: 659-666.
  • 17. Rathore SS, Berger AK,Weinfurt KP, et al. Acute myocardial infarction complicated by atrial fibrillation in the elderly: prevalence and outcomes. Circulation 2000; 101: 969-974.
  • 18. Kolvekar S, D’Souza A, Akhtar P , et al. Role of atrial ischaemia in development of atrial fibrillation following coronary artery bypass surgery. Eur J Cardiothorac Surg 1997; 11: 70-75.
  • 19. Kilo J, Baumer H, Czerny M, et al. Target vessel revascularization without cardiopulmonary bypass in elderly high-risk patients. Ann Thorac Surg 2001; 71: 537-542.
  • 20. Jones EL, Weintraub WS. The importance of completeness of revascularization during long-term followup after coronary artery operations. J Thorac Cardiovasc Surg 1996; 112: 227-237.
  • 21. Bell MR, Bailey KR, Reeder GS, et al. Percutaneous transluminal angioplasty in patients with multivessel coronary disease: how important is complete revascularization for cardiac event-free survival? J Am Coll Cardiol 1990; 16: 553-562.
  • 22. Tu JV, Jaglal SB, Naylor CD. Multicenter validation of a risk index for mortality, intensive care unit stay, and overall hospital length of stay after cardiac surgery. Steering Committee of the Provincial Adult Cardiac Care Network of Ontario.Circulation 1995; 91: 677-684.
  • 23. Mullany CJ, Mock MB, Brooks MM, et al. Effect of age in the Bypass Angioplasty Revascularization Investigation (BARI) randomized trial.Ann Thorac Surg 1999; 67: 396-403.
  • 24. Kannel WB, Larson M. Long-term epidemiologic prediction of coronary disease. The Framingham experience. Cardiology 1993; 82: 137-152.
Toplam 24 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırmalar
Yazarlar

Bülend Ketenci Bu kişi benim

Gökçen Orhan Bu kişi benim

Batuhan Özay Bu kişi benim

Serdar Çimen Bu kişi benim

Mehmet Güney Bu kişi benim

Rafet Günay Bu kişi benim

Sibel Sarı Bu kişi benim

Alper Görür Bu kişi benim

Onur Gürer Bu kişi benim

M. Murat Demirtaş Bu kişi benim

Yayımlanma Tarihi 19 Temmuz 2014
Yayımlandığı Sayı Yıl 2006 Cilt: 37 Sayı: 4

Kaynak Göster

APA Ketenci, B., Orhan, G., Özay, B., Çimen, S., vd. (2014). 70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon. Cerrahpaşa Tıp Dergisi, 37(4), 131-136.
AMA Ketenci B, Orhan G, Özay B, Çimen S, Güney M, Günay R, Sarı S, Görür A, Gürer O, Demirtaş MM. 70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon. Cerrahpaşa Tıp Dergisi. Temmuz 2014;37(4):131-136.
Chicago Ketenci, Bülend, Gökçen Orhan, Batuhan Özay, Serdar Çimen, Mehmet Güney, Rafet Günay, Sibel Sarı, Alper Görür, Onur Gürer, ve M. Murat Demirtaş. “70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon”. Cerrahpaşa Tıp Dergisi 37, sy. 4 (Temmuz 2014): 131-36.
EndNote Ketenci B, Orhan G, Özay B, Çimen S, Güney M, Günay R, Sarı S, Görür A, Gürer O, Demirtaş MM (01 Temmuz 2014) 70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon. Cerrahpaşa Tıp Dergisi 37 4 131–136.
IEEE B. Ketenci, “70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon”, Cerrahpaşa Tıp Dergisi, c. 37, sy. 4, ss. 131–136, 2014.
ISNAD Ketenci, Bülend vd. “70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon”. Cerrahpaşa Tıp Dergisi 37/4 (Temmuz 2014), 131-136.
JAMA Ketenci B, Orhan G, Özay B, Çimen S, Güney M, Günay R, Sarı S, Görür A, Gürer O, Demirtaş MM. 70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon. Cerrahpaşa Tıp Dergisi. 2014;37:131–136.
MLA Ketenci, Bülend vd. “70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon”. Cerrahpaşa Tıp Dergisi, c. 37, sy. 4, 2014, ss. 131-6.
Vancouver Ketenci B, Orhan G, Özay B, Çimen S, Güney M, Günay R, Sarı S, Görür A, Gürer O, Demirtaş MM. 70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon. Cerrahpaşa Tıp Dergisi. 2014;37(4):131-6.