[Off-pump coronary artery bypass grafting in patients over the age of seventy].
OBJECTIVE
To discuss the choice of surgical methods and the safety and efficacy of off-pump coronary artery bypass grafting (OPCAB) in elderly patients.


METHODS
From Sept. 1997 to Feb. 2003, 63 cases over the age of seventy (including seventy) undertook OPCAB in our department. We compared the clinical data of those patients with that of 94 cases undertook conventional coronary artery bypass grafting (CABG) at the same age group and that of 58 cases younger than seventy received OPCAB.


RESULTS
The clinical outcomes of OPCAB is better than that of CABG in elderly patients concerning inotropic drug, postoperative transfusion, re-operation, intubation time, complications incidence and in-hospital mortality. Furthermore, there is no significant difference of complication incidence and in-hospital mortality between the elderly OPCAB group and the younger OPCAB group.


CONCLUSIONS
OPCAB is a safe and efficacious method of myocardial revascularization in the elderly.
Department of Cardiovascular Surgery, Shanghai First People's Hospital, Shanghai 200080, China.
Song
S
Xue
Bo
B
Xie
Sha
S
Liu
Ming-Di
MD
Xiao
D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion / Q000706:statistics & numerical data; D002316:Cardiotonic Agents / Q000008:administration & dosage; D047549:Coronary Artery Bypass, Off-Pump / Q000401:mortality / Q000592:standards*; D017052:Hospital Mortality; D006801:Humans; D009204:Myocardial Revascularization; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies
D002316:Cardiotonic Agents