초록접수 현황
| 16F-115 | 포럼 발표 |
Outcomes of Coronary Artery Bypass Surgery in Octogenarian Patients
Hangjun Choi, Hyun Song, Do Yeon Kim, Joonkyu Kang
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
Background : Elderly patients with ischemic heart disease are increasingly referred for coronary artery bypass grafting (CABG). However, fragility of the elderly and combined comorbidities had led to questions about the benefit of surgical strategy. In this investigation, patients aged ≥ 80 years who underwent CABG were recruited and reported the short-term and mid-term outcomes.
Methods : This analysis was retrospective study of data from single institution. The data of patients aged 80 years or older who were submitted to CABG at between 2010 and 2016 were collected. The outcome variables that were collected for the report were procedural characteristics, in-hospital outcomes, mid-term mortality and complications, and repeated revascularization.
Results : Total number of 483 patients underwent CABG during study period and octogenarian patients account for 8.7 % (n=42). The number of patients who presented myocardial infarction was 6 (14.3 %). The numbers of diseased and revascularized vessels were 2.81 ± 0.40 and 2.02 ± 1.00, respectively. On-pump CABG was performed in 24 patients (57.1 %) and Off-pump CABG was applied to the rest of the patients (42.9 %). The mean duration of ventilator was 19.44 ± 37.43 and amount of chest tube drainage for postoperative 24 hours was 984.83 ± 425.88 mL. There were two reoperations due to postoperative bleeding (4.8 %) and one case of in-hospital mortality (2.4%). The mean duration of follow-up was 21.50 ± 22.82. Two patients died of non-cardiac cause (4.8%) and one patient had stroke (2.4%) during follow-up period. Repeated revascularization was performed at two patients (4.8%) on the lesions that were not the target vessels of CABG.
Conclusion : The results of this study reveal favorable outcomes of mortality, morbidity, and repeated revascularization and suggest that the surgical revascularization therapy may extend to subsets of patients in octogenarian groups.
Methods : This analysis was retrospective study of data from single institution. The data of patients aged 80 years or older who were submitted to CABG at between 2010 and 2016 were collected. The outcome variables that were collected for the report were procedural characteristics, in-hospital outcomes, mid-term mortality and complications, and repeated revascularization.
Results : Total number of 483 patients underwent CABG during study period and octogenarian patients account for 8.7 % (n=42). The number of patients who presented myocardial infarction was 6 (14.3 %). The numbers of diseased and revascularized vessels were 2.81 ± 0.40 and 2.02 ± 1.00, respectively. On-pump CABG was performed in 24 patients (57.1 %) and Off-pump CABG was applied to the rest of the patients (42.9 %). The mean duration of ventilator was 19.44 ± 37.43 and amount of chest tube drainage for postoperative 24 hours was 984.83 ± 425.88 mL. There were two reoperations due to postoperative bleeding (4.8 %) and one case of in-hospital mortality (2.4%). The mean duration of follow-up was 21.50 ± 22.82. Two patients died of non-cardiac cause (4.8%) and one patient had stroke (2.4%) during follow-up period. Repeated revascularization was performed at two patients (4.8%) on the lesions that were not the target vessels of CABG.
Conclusion : The results of this study reveal favorable outcomes of mortality, morbidity, and repeated revascularization and suggest that the surgical revascularization therapy may extend to subsets of patients in octogenarian groups.
책임저자: Joonkyu Kang
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, The Catholic University College of Medicine, Seoul, Korea
발표자: Hangjun Choi, E-mail : chjbeatles@naver.com