Off-Pump Koroner Baypas Sonuçlar›n›n De¤erlendirilmesi: Edirne Deneyimi

Anahtar Kelimeler:

Kardiyopulmoner baypas/yöntem, koroner arter baypas/yöntem, sağkalım oranı

Off-Pump Coronary Artery Bypass Grafting: Edirne Experience

Objectives: The aim of this study was to evaluate the mid-term results of off-pump coronary artery bypass surgery. Study Design: The study included 60 patients (45 males, 15 females; mean age 62&plusmn;9.1 years; range 42 to 78 years) who underwent off-pump coronary artery bypass operation in our clinic between 1999 and 2003. All operations were performed by the same surgeon. Data were collected by review of operation and intensive care unit records. Final status of the patients were inquired by telephone calls. The mean follow-up period was 23.3&plusmn;14.9 months (range 1.1 to 59.4 months). Results: Perioperative myocardial infarction was not detected in any patient. No postoperative mortality occurred in the early period. Late mortality was found in four patients (6.7%). Five-year survival was 66% using the Kaplan-Meier survival analysis. Conclusion: Our results show that off-pump coronary artery bypass can be performed with safety and comfort. Turkish Başlık: Off-Pump Koroner Baypas Sonuçlarının Değerlendirilmesi: Edirne Deneyimi Anahtar Kelimeler: Kardiyopulmoner baypas/yöntem; koroner arter baypas/yöntem; sağkalım oranı Amaç: Çalışan kalpte koroner baypas (off-pump) tekniğiyle ameliyat edilen olguların orta dönem sonuçları değerlendirildi. Çalışma Planı: Bu retrospektif çalışmaya 1999-2003 yılları arasında off-pump baypas yapılan 60 olgu (45 erkek, 15 kadın; ort. yaş 62&plusmn;9.1; dağılım 42-78) alındı. Ameliyatlar aynı cerrah tarafından gerçekleştirildi. Hasta verileri ameliyat ve yoğun bakım kayıtları taranarak elde edildi. Dosyalardaki adres veya telefon numaralarından hastalara ulaşılarak son durumları öğrenildi. Ortalama takip süresi 23.3&plusmn;14.9 ay (dağılım 1.1-59.4 ay) idi. Bulgular: Hiçbir hastada ameliyat anında miyokard infarktüsü görülmedi. Ameliyat sonrası erken dönemde hiçbir hasta kaybedilmedi, geç dönem mortalite dört hastada (%6.7) görüldü. Beş yıllık sağkalım Kaplan-Meier yaşam analizine göre %66 bulundu. Sonuç: Bulgularımız, çalışan kalpte koroner baypas ameliyatının güvenli ve rahat uygulanabilir bir teknik olduğu yönündedir.

Keywords:

Cardiopulmonary bypass/methods; coronary artery bypass/methods; survival rate.,

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