Coronary bypass surgery in patients aged 70 years and over: Mortality, morbidity, &amp; length of stay. Dar al-fouad experience

Ghali, A.; Al-Banna, Adel; Balbaa, Yehia; Sami, Gamal; Alansary, Adel; Kamal, Ahmed; Sengab, Hamdy

doi:10.1016/j.ehj.2013.12.017

Cited by 5 publications

(4 citation statements)

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“…Also, the table shows that there was statistically significant difference found between both groups regarding angina status, dyspnea status, diabetes, hypercholesterolemia and renal with p-value <0.001, <0.001, 0.038, <0.001 and 0.020; respectively while no statistically significant difference found between both groups regarding the other risk factors. Table (2) shows that there was no statistically significant difference found between both studied groups regarding ejection fraction of the studied patients with p-value = 0.581. Also, the table shows that there was statistically significant increase in euro score II in patients with age ≥70 years than those with age <70 years with p-value <0.001.…”

Section: Data Management and Statistical Analysismentioning

confidence: 77%

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Clinical Outcome of Cabg in Egyptian Septuagenarian Population

Desoki,

Ammar,

Singab

et al. 2023

Ain Shams Medical Journal

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Background: CABG is one of the most common surgical procedures performed worldwide. The operation improves survival as well as the quality of life of patients with coronary artery heart disease. The use of the internal mammary artery (IMA) graft has become increasingly popular in CABG operations due to its demonstrated better long-term patency as compared with that of the saphenous vein graft. Aim of the Work: To determine the clinical outcome of GABG inEgyptian Septuagenarian population and to identify risk factors that may adversely affect morbidities and mortality.

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Section: Data Management and Statistical Analysismentioning

confidence: 77%

“…Our study will assess the clinical outcome of isolated CABG surgery in septuagenarian population and in the younger age patient supports continued performance of CABG in septuagenarians. The increase in age only wouldn't deter the surgeon from offering such a potentially beneficial intervention [2] .…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcome of Cabg in Egyptian Septuagenarian Population

Desoki,

Ammar,

Singab

et al. 2023

Ain Shams Medical Journal

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“…But this tactic does not always bring the desired result in patients with obesity due to the often low contractile function of the left ventricle and multivascular damage to the coronary arteries [7]. In this regard, the search for new approaches to reducing the risk of complications after an off-pump CABG in patients of this category has not lost its relevance [8,9,10,11].…”

mentioning

confidence: 99%

Off-pump coronary artery bypass grafting in patients with obesity: combined anesthesia versus total intravenous anesthesia

Turovets¹,

Popov²,

Ekstrem³

et al. 2020

AREM

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Many researchers attribute obesity to an independent risk factor for perioperative complications of off-pump coronary artery bypass grafting (off-pump CABG). AIM. To conduct a comparative analysis of the early postoperative complications of off-pump CABG in obesity patients with with various types of anesthetic benefits. MATERIALS AND METHODS. A randomized study of the results of surgical treatment was carried out in obesity patients with coronary heart disease performing pump CABG. The study included 197 patients. The study group (n = 98) included patients who underwent combined anesthesia (with thoracic epidural analgesia (TEA)), and patients in the control group (n = 99) underwent total intravenous anesthesia (with opioids). RESULTS. The use of combined anesthesia (with TEA) in patients with obesity significantly reduced the risk of developing new onset of renal dysfunction (p = 0.0180), respiratory complications (p = 0.0177), atrial and ventricular arrhythmias (p = 0.0029). We were less likely to diagnose other complications in patients of the study group, compared with patients in the control group: acute coronary syndrome (1.0% versus 3.0%, p = 0.3173), multiple organ failure syndrome (1.0% versus 3.0%, p = 0.3173), local infectious complications (1.0% versus 6.1%, p = 0.0561). An uncomplicated early postoperative period was observed in 89.8% of patients in the study group and in 52.5% of patients in the control group (p = 0.0000). CONCLUSION. The use of combined anesthesia (with TEA) for off-pump CABG in patients with obesity reduces the risk of early postoperative complications, duration of hospitalization and stay in an intensive care unit. K E Y w O R D S-off-pump coronary artery bypass grafting, prevention of complication, obesity, thoracic epidural analgesia.

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“…Несмотря на то что необходимость в использовании этого метода коррекции в последние десятилетия «молодеет», часто в проведении КШ нуждаются больные пожилого возраста (ПВ) [4][5][6]. Но, по мнению многих исследователей, это хирургическое вмешательство у данной категории пациентов сопряжено со значительными периоперационными рисками развития потенциально фатальных осложнений (острого инфаркта миокарда (ОИМ), острого нарушения мозгового кровообращения (ОНМК), синдрома полиорганной недостаточности (СПОН), острой почечной недостаточности (ОПН)) [7][8][9].…”

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Профилактика Осложнений Коронарного Шунтирования У Пожилых Пациентов

Ekstrem¹,

Turovets²,

Мозговой³

et al. 2018

СПНО (MPSE)

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Проведено проспективное контролируемое исследование результатов хирургического лечения 277 больных ишемической болезнью сердца, которым было выполнено коронарное шунтирование 2 и более ветвей коронарных артерий с использованием искусственного кровообращения или без него. В основную группу были включены пациенты от 65 лет и старше (n=102), в контрольную группу-больные моложе 65 лет (n=175). Проанализированы частота и характер ранних послеоперационных осложнений. Для статистической обработки полученных данных использовались непараметрические критерии (χ 2 Пирсона и относительный риск с 95% доверительным интервалом). Доказано, что у пациентов основной группы (от 65 лет и старше) относительный риск развития послеоперационных осложнений (инфаркта миокарда, пневмонии, острой почечной недостаточности и др.) значительно выше, чем у больных контрольной группы (ОР=1,15-2,14). Применение сочетанной анестезии (с продленной грудной эпидуральной анальгезией) позволило у пациентов обеих групп значительно снизить риск развития клинически значимых осложнений (ОР=0,12-0,70). Выполнение коронарного шунтирования у пациентов пожилого возраста сопряжено со значительным увеличением риска развития послеоперационных осложнений. Применение сочетанной анестезии при КШ снижает риск развития осложнений раннего послеоперационного периода у пациентов пожилого возраста. Ключевые слова: коронарное шунтирование, профилактика осложнения, пожилой возраст, грудная эпидуральная анальгезия.

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Coronary bypass surgery in patients aged 70 years and over: Mortality, morbidity, & length of stay. Dar al-fouad experience

Cited by 5 publications

References 0 publications

Clinical Outcome of Cabg in Egyptian Septuagenarian Population

Clinical Outcome of Cabg in Egyptian Septuagenarian Population

Off-pump coronary artery bypass grafting in patients with obesity: combined anesthesia versus total intravenous anesthesia

Профилактика Осложнений Коронарного Шунтирования У Пожилых Пациентов

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