Clinical analysis of 1386 patients undergoing off-pump coronary artery bypass grafting

VernacularTitle:1386例不停跳冠状动脉旁路移植术经验总结
Author: Song XUE ; Feng LIAN ; Genxing XU ; Ritai HUANG ; Sha LIU ; Zhenlei HU ; Qing YE ; Jiahao ZHENG ; Hongsheng ZHU
Publication Type:Journal Article
Keywords: Off pump coronary artery bypass grafting; Coronary heart disease
From: Clinical Medicine of China 2009;25(3):255-257
CountryChina
Language:Chinese
Abstract: Objective To summarize the clinical experiences of 1386 patients undergoing off-pump coronary artery bypass grafting(OPCAB)during Jan 2002 to Mar 2008.Methods OPCAB was done through midsternumtomy under ordinary-temperature anesthesia after radial artery,left breast artery and vena saphena magna were taken.Patients over 70 years old accounted for 32.35%,and the oldest was 99 years old.Emergency and subemergency OPCAB was done in 111 cases,re-do CABG with off-pump technique was done in 52 patients.Results 24 cases died during perioperation,with mortality of 1.73%and all other patients discharged from the hospital.Following operation,the symptoms of angina pectoris were relieved and the life quality was much beaer than that before operation.Conclusion OPCAB is feasible for older patients,who are complicated with other chronic diseases for elder patients.Skillful technique of surgeon,right indications for OPCAB and management of peri-and postoperation are key to success of operation.