Prediction of complications and death in octogenarians with left main coronary artery disease after coronary artery bypass implantation - off-pump, on-pump and minimally invasive techniques comparison.

coronary artery bypass left main disease octogenarians

Journal

Postepy w kardiologii interwencyjnej = Advances in interventional cardiology
ISSN: 1734-9338
Titre abrégé: Postepy Kardiol Interwencyjnej
Pays: Poland
ID NLM: 101272671

Informations de publication

Date de publication:
2019
Historique:
received: 13 10 2018
accepted: 06 01 2019
entrez: 10 9 2019
pubmed: 10 9 2019
medline: 10 9 2019
Statut: ppublish

Résumé

Off-pump coronary artery bypass grafting is considered potentially more effective than on-pump surgery in elderly patients. To compare the early and long-term results of these techniques in patients ≥ 80 years of age with left main coronary artery disease. All patients ≥ 80 years of age ( There were significant differences in preoperative status between the groups in the whole cohort, which were not observable after propensity score matching. The in-hospital mortality was significantly higher in the LMS group operated on-pump (10.5% vs. 7.0%; Off-pump coronary bypass grafting may optimize the outcomes in elderly patients with significant left main stenosis. Octogenarians surgically treated for coronary artery disease, despite increased post-operative risks, present encouraging long-term survival.

Identifiants

pubmed: 31497055
doi: 10.5114/aic.2019.86015
pii: 86015
pmc: PMC6727235
doi:

Types de publication

Journal Article

Langues

eng

Pagination

218-225

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

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Auteurs

Anetta Kowalczuk-Wieteska (A)

Department of Cardiac Surgery, Transplantology, Vascular Surgery and Endovascular, Medical University of Silesia, Silesian Center for Heart Diseases, Zabrze, Poland.

Monika Parys (M)

Department of Cardiac Surgery, Transplantology, Vascular Surgery and Endovascular, Medical University of Silesia, Silesian Center for Heart Diseases, Zabrze, Poland.

Rafał Pawlaczyk (R)

Department of Cardiovascular Surgery, Medical University of Gdansk, Gdansk, Poland.

Krzysztof Filipiak (K)

Cardiac Surgery Clinic, Independent Public Clinical Hospital No. 2, Pomeranian Medical University, Szczecin, Poland.

Marek Cisowski (M)

First Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biala, Poland.

Andrzej Bochenek (A)

First Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biala, Poland.

Zdzisław Tobota (Z)

First Department of Cardiac Surgery, American Heart of Poland, Bielsko-Biala, Poland.

Bohdan Maruszewski (B)

Institute "Memorial - Children's Health Center", Warsaw, Poland.

Michał Zembala (M)

Department of Cardiac Surgery, Transplantology, Vascular Surgery and Endovascular, Medical University of Silesia, Silesian Center for Heart Diseases, Zabrze, Poland.

Marian Zembala (M)

Department of Cardiac Surgery, Transplantology, Vascular Surgery and Endovascular, Medical University of Silesia, Silesian Center for Heart Diseases, Zabrze, Poland.

Classifications MeSH