Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

Background: Coronary artery bypass graft surgery without cardiopulmonary bypass (CPB) is an alternative technique for myocardial revascularization. Aim: To report the early results and 4 yearsfollow up ofthefirst 220 cases operated with this technique. Patients and Methods: Descriptive study of 220...

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Autores principales:	Seguel S,Enrique, González,Roberto, Stockins,Aleck, Alarcón C,Emilio, Concha C,Ricardo
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2013
Materias:	Coronary artery bypass Coronary disease Off pump Outcome assessment (Health care)
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000300001
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spelling	oai:scielo:S0034-988720130003000012013-11-15Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patientsSeguel S,EnriqueGonzález,RobertoStockins,AleckAlarcón C,EmilioConcha C,Ricardo Coronary artery bypass Coronary disease Off pump Outcome assessment (Health care) Background: Coronary artery bypass graft surgery without cardiopulmonary bypass (CPB) is an alternative technique for myocardial revascularization. Aim: To report the early results and 4 yearsfollow up ofthefirst 220 cases operated with this technique. Patients and Methods: Descriptive study of 220 patients aged 60.6 ±8.8 years (171 men) undergoing off-pump coronary surgery between 2004 and 2008. One hundred seventy six (80%) patients had hypertension, 59 (26.8%) had diabetes, 86 (39%) dyslipidemia and 85 (38.6%) were smokers. One hundred forty one patients (64.1%) had stable angina. Fiftyfour (24.5%) had a recent infarction (< 90 days) and 46 (20.9%) had a previous angioplasty. Ejection fraction was < 30% in 9 (4.1%), 30% - 50% in 57 (25.9%) and > 50% in 154 (70%). Additive and logistic EuroSCORE were 3.32 and 3.55% respectively. We studied the complications and mortality at 30 days. Long term follow up (late mortality and major cardiovascular events such as myocardial infarction (MI) stroke and re-intervention were assessed using data of medical records and National Identification Registry Service until June 30, 2011. Results: A total of 481 bypasses were performed (2.27 bypassesl patient). There were 4 (1.8%) conversions and no incomplete revascularization. Post-Operative complications occurred in 42 patients. Eight neurological (five strokes), five renal (two required dialysis), 16 cardiovascular (four myocardial infarctions), 15 surgical and 11 infections. Three patients died (1.36%). After a follow up of 4.26 ± 1.02 years, overall survival was 92.3%, and survival free of myocardial infarction, stroke or re - intervention was 96.8%, 96.8% and 95.9% respectively. Conclusions: Off-pump coronary surgery in selected patients has immediate and late results comparable to traditional surgery.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.3 20132013-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000300001es10.4067/S0034-98872013000300001
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Coronary artery bypass Coronary disease Off pump Outcome assessment (Health care)
spellingShingle	Coronary artery bypass Coronary disease Off pump Outcome assessment (Health care) Seguel S,Enrique González,Roberto Stockins,Aleck Alarcón C,Emilio Concha C,Ricardo Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients
description	Background: Coronary artery bypass graft surgery without cardiopulmonary bypass (CPB) is an alternative technique for myocardial revascularization. Aim: To report the early results and 4 yearsfollow up ofthefirst 220 cases operated with this technique. Patients and Methods: Descriptive study of 220 patients aged 60.6 ±8.8 years (171 men) undergoing off-pump coronary surgery between 2004 and 2008. One hundred seventy six (80%) patients had hypertension, 59 (26.8%) had diabetes, 86 (39%) dyslipidemia and 85 (38.6%) were smokers. One hundred forty one patients (64.1%) had stable angina. Fiftyfour (24.5%) had a recent infarction (< 90 days) and 46 (20.9%) had a previous angioplasty. Ejection fraction was < 30% in 9 (4.1%), 30% - 50% in 57 (25.9%) and > 50% in 154 (70%). Additive and logistic EuroSCORE were 3.32 and 3.55% respectively. We studied the complications and mortality at 30 days. Long term follow up (late mortality and major cardiovascular events such as myocardial infarction (MI) stroke and re-intervention were assessed using data of medical records and National Identification Registry Service until June 30, 2011. Results: A total of 481 bypasses were performed (2.27 bypassesl patient). There were 4 (1.8%) conversions and no incomplete revascularization. Post-Operative complications occurred in 42 patients. Eight neurological (five strokes), five renal (two required dialysis), 16 cardiovascular (four myocardial infarctions), 15 surgical and 11 infections. Three patients died (1.36%). After a follow up of 4.26 ± 1.02 years, overall survival was 92.3%, and survival free of myocardial infarction, stroke or re - intervention was 96.8%, 96.8% and 95.9% respectively. Conclusions: Off-pump coronary surgery in selected patients has immediate and late results comparable to traditional surgery.
author	Seguel S,Enrique González,Roberto Stockins,Aleck Alarcón C,Emilio Concha C,Ricardo
author_facet	Seguel S,Enrique González,Roberto Stockins,Aleck Alarcón C,Emilio Concha C,Ricardo
author_sort	Seguel S,Enrique
title	Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients
title_short	Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients
title_full	Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients
title_fullStr	Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients
title_full_unstemmed	Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients
title_sort	resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: experience in 220 patients
publisher	Sociedad Médica de Santiago
publishDate	2013
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000300001
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Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

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