Clinical analysis of 1120 cases of coronary artery bypass grafting
- VernacularTitle:冠状动脉旁路移植术1120例临床分析
- Author:
Changqing GAO
;
Bojun LI
;
Cangsong XIAO
- Publication Type:Journal Article
- Keywords:
coronary artery bypass;
treatment outcome
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To analyze retrospectively 1120 patients who underwent coronary artery bypass grafting surgery (CABG) in order to evaluate surgical techniques and clinical outcome. Methods From 1997 through April of 2005, data of 597 patients who underwent conventional coronary artery bypass surgery on pump (CCABG) and 523 patients who underwent off-pump CABG (OPCAB) all performed by the same surgeon were collected and analyzed retrospectively. Eight hundred and fifty-two patients had unstable angina, 640 patients were over 60 years old (57.1%) and 862 patients had concomitant diseases involving valves, hypertension, diabetes, myocardial infarction, left ventricular aneurysm with septal defect, stroke, COPD, renal failure and cancer. A hundred and seventy-six patients had LIMS stenosis and 738 patients with triple-vessel disease. Results Total mortality was 0.36% (4-case death), and morbidity of 1.6% (sternal dehiscence, stroke and mediastinitis). The grafts per patient with CCABG and OPCAB were 3.3?0.6 vs. 2.5?0.4. Left internal mammary artery (LIMA) was used in 94% of the patients, and IABP was given in 31 patients early postoperatively. Follow-up period was 4 months to 7 years. Conclusions Rational and appropriate surgical strategies, excellent surgical techniques, improvement in anesthesia, and CPB significantly lower mortality and morbidity of CABG, which has become safe and effective in patients with coronary artery disease.
