Clinical effect of off-pump coronary artery bypass grafting for the patients over 70 years with coronary artery disease
10.7507/1007-4848.201812001
- VernacularTitle:不停跳冠状动脉旁路移植术治疗 70 岁以上冠心病患者的疗效分析
- Author:
FANG Lei
1
;
WANG Peishan
1
;
JIN Qilin
1
;
SHI Chuang
1
;
WANG Po
1
Author Information
1. Department of Cardiac Surgery, Daxing Teaching Hospital, Capital Medical University, Beijing, 102600, P.R.China
- Publication Type:Journal Article
- Keywords:
Coronary heart disease;
elderly patients;
coronary artery bypass grafting
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(9):879-883
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of coronary artery bypass grafting in the treatment of coronary artery disease patients aged over 70 years. Methods A total of 160 patients with coronary atherosclerotic heart disease underwent off-pump coronary artery bypass grafting from January 2013 to December 2017. There were 94 males and 66 females at age of 70–85 (76.67±2.33) years. Operations were performed by using sternal median incision with the assistance of local myocardial surface fixator and shunt plug, and the saphenous vein and internal mammary arterywere used as grafted vessels. Results All the patients were received successful off-pump coronary artery bypass grafting without death, and the cardiac function improved significantly. There were 62 patients with the internal mammary artery bridge and 98 patients with the whole vein bridge. All the patients were followed-up for 1 to 4 years. All the patients had obvious relief of angina pectoris. Conclusion Off-pump coronary artery bypass grafting for the treatment of elderly patients with coronary heart disease is an effective and safe operation, especially for patients with renal insufficiency, cerebrovascular disease, respiratory disease and severe left ventricular dysfunction.
