Clinical analysis of off-pump coronary artery bypass grafting in CHD patients with their age ≥75 years
10.3969/j.issn.1009-0126.2018.04.009
- VernacularTitle:75岁以上患者行非体外循环下冠状动脉旁路移植术的临床分析
- Author:
Hang YANG
1
;
Zhe ZHANG
;
Feng WAN
;
Yunpeng LING
Author Information
1. 100191,北京大学第三医院心脏外科
- Keywords:
coronary artery bypass,off-pump;
postoperative complications;
coronary disease;
age factors
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2018;20(4):371-373
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the clinical and perioperative data of off-pump coronary artery bypass grafting (OPCABG) in CHD patients with their age ≥75 years.Methods The ICU stay time,mechanical ventilation time,incidence of postoperative complications and mortality in 127 CHD patients with their age≥75 years who underwent OPCAB in our hospital were retrospectively analyzed.Results Of the 127 CHD patients,2 were transfered to extracorporeal circulation because it was difficult to maintain the intraoperative circulation,the remaining 125 (98.43％) underwent successful OPCABG.The mean number of grafted blood vessels was 2.44 ± 1.05,the postoperative mechanical ventilation time was 30.8±47.7 h,and the ICU stay time was 57.2±60.3 h.Perioperative myocardial infarction occurred in 6 patients,second operation was performed in 3 patients,postoperative renal failure was diagnosed in 1 patient,pulmonary complications were detected in 17 patients,death occurred in 4 patients (3.1％) after operation.Eighty-two patients (66.7％) were followed up for 28.3± 12.8 months.The postoperative 2-year survival rate was 95.9％.The incidence of postoperative MACCE was 8.5 ％.Conclusion OPCABG is safe and effective for CHD patients with their age ≥75 years and can thus be used as a routine procedure.
