Short- and long-term prognosis of off-pump coronary endarterectomy
10.3760/cma.j.cn112434-20211127-00367
- VernacularTitle:非体外循环冠状动脉旁路移植术联合内膜剥脱术治疗弥漫性冠状动脉疾病的预后研究
- Author:
Changcheng LIU
1
;
Ying FANG
;
Hua WEI
;
Haiyang LI
;
Chengxiong GU
Author Information
1. 首都医科大学附属北京安贞医院心脏外科，北京 100029
- Keywords:
Diffuse coronary artery disease;
Coronary endarterectomy;
Coronary artery bypass;
Prognosis
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(4):223-227
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the prognosis of off-pump coronary artery bypass grafting combined(OPCABG) with coronary endarterectomy(CE) treating the diffuse coronary artery disease.Methods:From January 2012 to December 2014, the clinical data of 2 496 OPCABG patients in our department were retrospectively analyzed, and they were divided into OPCABG group and OPCABG+ CE group. After 1∶1 matching via the propensity score matching method, the perioperative prognosis, long-term survival and adverse cardiovascular and cerebrovascular events(MACCE) were compared between the two groups.Results:A total of 238 pairs of patients were included after propensity score matching. The incidence of postoperative AMI in the OPCABG+ CE group was significantly higher than that in the OPCABG group(5.04% vs. 1.68%, P=0.042). With an average follow-up of 7.3 years, there was no significant difference in the cumulative survival rate(92.44% vs. 88.65%, P=0.159) and long-term MACCE(10.92% vs. 15.13%, P=0.173) between the two groups. Compared with the OPCABG group, the recurrence of angina pectoris(CCS grade Ⅲ-Ⅳ) in the OPCABG+ CE group increased significantly(20.16% vs. 12.60%, P=0.026). Conclusion:The risk of early AMI and long-term angina recurrence after OPCABG+ CE is significantly increased, but the long-term survival and MACCE of OPCABG+ CE and OPCABG are comparable.
