title: [Advanced myocardial ischemia in patients with diabetes mellitus--early results of surgical treatment].
abstract: In this restrospetive study, data on 272 coronary artery disease patients with concomitant diabetes mellitus treated between 12/1997 and 12/2002 were analyzed. Eighty patients inderwent complete arterial revascularization (DM-ART), whereas 192 patients underwent coronary revascularization using arterial-venous grafts (DN-NEART). The following preoperative data and risk factors were analyzed: arterial hypertension, hyperlipoproteinemia, number of vessels involved, left coronary artery stenosis, unstable angina, previous myocardial infarction (MI), previous cardiac surgery, EuroScore. During a 30-day postoperative period, the following complications were analyzed: bleeding, perioperative MI, wound infection, sternal dehiscence, neurologic dysfunction, mortality. DM-ART patients had a higher rate of hyperlipoproteinemia (p=0.004). Difference was only found for the occurrence of perioperative MI in DM-NEART group (p<0.001). Total arterial revascularization without cardiopulmonary bypass is a reliable and safe choice in patients with concomitant diabetes mellitus irrespective of its type. Definitive conclusions can only be made after five- or ten-year evaluation of postoperative mirbidity and mortality.
authors.affiliation: Klinika za kirurgiju, Klinicka bolnica Split.
authors.forename: Bojan
authors.initials: B
authors.lastname: Stambuk
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Sutlić
authors.forename: Bojan
authors.initials: B
authors.lastname: Biocina
authors.forename: Igor
authors.initials: I
authors.lastname: Rudez
authors.forename: Davor
authors.initials: D
authors.lastname: Barić
authors.forename: Daniel
authors.initials: D
authors.lastname: Unić
authors.forename: Kristina
authors.initials: K
authors.lastname: Brkić
mesh_terms: D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D006951:Hyperlipoproteinemias / Q000150:complications; D006973:Hypertension / Q000150:complications; D008297:Male; D011183:Postoperative Complications