On-pump coronary artery bypass surgery in high-risk patients aged over 65 years (EuroSCORE 6 or more): impact on early outcomes.
The results of on-pump coronary artery bypass graft (CABG) surgery in 166 high-risk elderly patients (EuroSCORE 6 or more; over age 65 years [mean 71.8 years]) were compared with 176 low-risk elderly patients (EuroSCORE below 6; over age 65 years [mean 68.8 years]). There was no significant difference in hospital mortality or number of grafts between the two groups. Rates of inotropic agent use, intra-aortic balloon pump insertion and atrial fibrillation, and the duration of intensive care unit and hospital stay were significantly higher in high-risk than low-risk patients. There were no significant differences in the incidence of major complications between the two groups. The results suggest that, in selected patients, on-pump CABG can be safely performed in high-risk patients over 65 years old with no effect on mortality.
Erdil
N
N
Department of Cardiovascular Surgery, Turgut Ozal Medical Centre, Inonu University, Malatya, Turkey. nerdil@inonu.edu.tr
Nisanoglu
V
V
Kaynak
M
M
Fansa
I
I
Eroglu
T
T
Cihan
H B
HB
Battaloglu
B
B
D000368:Aged; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D011182:Postoperative Care; D011300:Preoperative Care; D012307:Risk Factors; D016896:Treatment Outcome