Diyabetik Yaşlı ve İleri Yaş Hasta Gruplarında Atan Kalpte Koroner Arter Cerrahisinin Perioperatif ve Klinik Sonuçları

Off-Pump Coronary Artery Surgery in Diabetic Elderly and Octogenerian Groups :Perioperative Outcome and Clinical Results

Özet

Giriş: İleri yaş diyabetik hastalarda koroner arter cerrahisine bağlı perioperatif mortalite ve morbidite riski mevcuttur. Çalışmamızda yaşlı (Grup I) ve ileri yaş (Grup II) diyabetik hasta gruplarında atan kalpte koroner arter cerrahisinin risk faktörlerini ve sonuçlarını karşılaştırmayı amaçladık.

Abstract

-Increased risk for perioperative morbidity and mortality after beating heart coronary artery bypass grafting(CABG) in diabetic octogenarians (Group II) and elderly (Group I) can be in question. We aimed to compare the risk factors and the results of off-pump CABG between diabetic elderly and octogenarian groups .Methods- This study retrospectively enrolled 37 diabetic patients with an age equal to or greater than 65 years who underwent isolated OPCAB at our department . Twenty-five patients were between 65 and 75 years of age while 12 patients had an age equal to or greater than 76 years. Each study group was assessed for preoperative properties, operative characteristics, and postoperative outcomes. Results-Elderly patients had a significantly higher mean number of arterial anastomoses (p=0.045), body mass index (BMI) (P=0.001), number of smoking subjects (p=0.027), and number of subjects using ACE inhibitors (P=0.027) compared to the octogenarians. Octogenarians had a significantly greater mean number of venous grafts (1.5±0.61 vs 2.25±0.75, p= 0.008).Conclusions-People of advanced age have been increasingly operated with CABG operation as persons 80 years old or older live longer than previously expected. Off-pump CABG was a beneficial surgical coronary revascularization method for both elderly and octogenarian patients-

Anahtar kelimeler: Yaşlı, ileri yaşlı, diyabetik, atan kalpte koroner arter cerrahisi