COMPLETE ARTERIAL REVASCULARISATION IN FARUK CINGÖZ, MD, ELDER PATIENTS

Authors : FARUK CINGÖZ, CELALETTIN GÜNAY, ALPER UCAK, M ERIN Tüysüz, ERKAN KURALAY, HARUN TATAR

Pages : 18-24

View : 20 | Download : 10

Publication Date : 2005-01-01

Article Type : Research Paper

Abstract :Aim: The aim of this study was to evaluate the early and mid-term results of total arterial myocardial revascularization in elderly patients. Material and Method: 65 patients aged 60 years and older insert ignore into journalissuearticles values(mean 64.8+5.4, range 60-78 years); who underwent total arterial myocardial revascularization between January 2002 and June 2004 were evaluated prospectively. 41 patients insert ignore into journalissuearticles values(63.1%); had three-vessel coronary artery disease, 18insert ignore into journalissuearticles values(27.7%); had two-vessel disease and 6insert ignore into journalissuearticles values(9.2%); with left main lesion. 22 patients had an old myocardial infarction and 11 unstabile angina pectoris. Mean EF was 55%. All patients underwent TAMR. In total 167 distal anastomoses were constructed insert ignore into journalissuearticles values(2.6 per patient); Pedicled LITA and RITA, free RITA and Radial arter were used as single or composite T-or Y- graft. Results: Patient were followed-up in a mean period of 17.6+7.3 months insert ignore into journalissuearticles values(range 1-28 month);. There was no ocluded grafts in the early postoperative period insert ignore into journalissuearticles values(less than 90 days); patency 100%. Lateinsert ignore into journalissuearticles values(mean 16+2 month); LITA patency was 98.1% insert ignore into journalissuearticles values(one graft ocluded);, RITA patency was 93.4% insert ignore into journalissuearticles values(one graft ocluded); and RA patency was 93.2% insert ignore into journalissuearticles values(three grafts ocluded);.One patient died in this period insert ignore into journalissuearticles values(1.5%); one underwent PTCA insert ignore into journalissuearticles values(1.5%); two suffered angina pectoris insert ignore into journalissuearticles values(3.1%);, there was no reoperation in this period. Conclusion: This study showed that using only arterial conduits in coronary bypass surgery in elderly insert ignore into journalissuearticles values(patient aged over 60 years); were clearly evident with respect to higher patency rate, surgical reintervention and freedom from cardiac events.
Keywords : COMPLETE, ARTERIAL, REVASCULARISATION