Does Age at Operation Influence the Short- and Long-Term Outcomes of Off-Pump Coronary Artery Bypass Grafting?

Ohira, Suguru; Doi, Kiyoshi; Numata, Shusuke; Yamazaki, Sachiko; Yamamoto, Tsunehisa; Fukuishi, Megumi; Fujita, Akie

doi:10.1253/circj.cj-15-0462

Cited by 15 publications

(11 citation statements)

References 36 publications

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“…Ohira et al [23] investigated the relationship between age and both short- and long-term outcomes after off-pump CABG. They divided the patients into 3 groups: aged < 65 years (young), 65–74 years (early elderly), and > 75 years (late elderly), and retrospectively analyzed their clinical data.…”

Section: Discussionmentioning

confidence: 99%

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Ravesh

Rusch

Friedrich

et al. 2019

J Cardiothorac Surg

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Background The purpose of this study was to investigate whether age has an effect on short and long-term outcome in patients who undergo simultaneous coronary artery bypass grafting (CABG) and carotid endarterectomy. Methods From 2005 to 2017, 186 consecutive elective patients underwent CABG and synchronous endarterectomy at our institution. Patients were retrospectively classified according to age into 2 groups: patients above 70 years (elderly group: n = 97, 76.1 ± 3.9 years) and patients below 70 years (younger group: n = 89, 63.2 ± 4.8 years). Results The European System for Cardiac Operative Risk Evaluation (EuroSCORE) II, 4.4% vs. 2.5%; p < 0.001) and Society of Thoracic Surgeons (STS) score (0.7% vs. 1.6%; p < 0.001) were significantly higher in the elderly group. Otherwise, there was no difference between the two groups concerning important preoperative risk factors or the intraoperative data. Postoperatively, the incidence of temporary dialysis was significantly higher in the elderly group (14.4% vs. 3.4%; p = 0.009). The rate of tracheotomy (16.5% vs. 2.2%; p = 0.001), of re-intubation (7.9% vs. 18.6%; p = 0.033) and drainage loss (600 ml vs. 800 ml; p = 0.035) was significantly higher in this elderly group. Neurological complications and 30-day mortality were comparable. Long-term survival was satisfactory for both groups. Nevertheless, 5-year survival rates (63% vs. 85%) were significantly lower in the elderly group ( p = 0.003). Logistic regression analysis identified chronic obstructive pulmonary disease (COPD) and arrhythmia as significant risk factors for 30-day-mortality, but not age. Conclusions CABG in combination with synchronous endarterectomy can also be performed with satisfactory results in elderly patients. Electronic supplementary material The online version of this article (10.1186/s13019-019-0928-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Ravesh

Rusch

Friedrich

et al. 2019

J Cardiothorac Surg

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“…20 Briefly, the left anterior descending artery was revascularized via in situ internal thoracic artery (ITA) grafting, mostly achieved with right ITA grafting. The left circumflex artery was revascularized with another ITA or a great saphenous vein (SVG) graft.…”

Section: Revascularization Strategymentioning

confidence: 99%

Impact of Chronic Kidney Disease on Long-Term Outcome of Coronary Artery Bypass Grafting in Patients With Diabetes Mellitus

Ohira

Doi

Numata

et al. 2016

Circ J

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“…So at the least patients with OPCAB. 20 In addition, the total arterial grafting rate was significantly lower in the present patients with aggravated LVDD. In this study, almost all of the operations (99.5%) were performed using the internal thoracic artery as a graft, and the majority of total arterial grafting operations were arterial composite grafting (Y anastomosis using the radial artery, internal thoracic artery, or gastroepiploic artery as a free graft) with sequential bypass.…”

Section: Discussionmentioning

confidence: 52%

Predictors and Clinical Impacts of Aggravated Left Ventricular Diastolic Dysfunction After Off-Pump Coronary Artery Bypass Grafting

Lee

Kim

Joo

et al. 2016

Circ J

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Does Age at Operation Influence the Short- and Long-Term Outcomes of Off-Pump Coronary Artery Bypass Grafting?

Cited by 15 publications

References 36 publications

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Impact of Chronic Kidney Disease on Long-Term Outcome of Coronary Artery Bypass Grafting in Patients With Diabetes Mellitus

Predictors and Clinical Impacts of Aggravated Left Ventricular Diastolic Dysfunction After Off-Pump Coronary Artery Bypass Grafting

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