Pregled bibliografske jedinice broj: 280203
AORTA "NO-TOUCH" VS STANDARD APPROACH FOR OFF-PUMP TOTAL ARTERIAL REVASCULARIZATION
AORTA "NO-TOUCH" VS STANDARD APPROACH FOR OFF-PUMP TOTAL ARTERIAL REVASCULARIZATION // Knjiga sažetaka / Župačić, Božidar (ur.).
Zagreb: Hrvatsko kirurško društvo, 2006. (poster, domaća recenzija, sažetak, znanstveni)
CROSBI ID: 280203 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
AORTA "NO-TOUCH" VS STANDARD APPROACH FOR OFF-PUMP TOTAL ARTERIAL REVASCULARIZATION
Autori
Unić, Daniel ; Rudež, Igor ; Sutlić, Željko ; Biočina, Bojan ; Barić, Davor ; Nenadić, Denis ; Ivković, Mira
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni
Izvornik
Knjiga sažetaka
/ Župačić, Božidar - Zagreb : Hrvatsko kirurško društvo, 2006
Skup
4. hrvatski kirurški kongres s međunarodnim sudjelovanjem
Mjesto i datum
Zadar, Hrvatska, 24.05.2006. - 27.05.2006
Vrsta sudjelovanja
Poster
Vrsta recenzije
Domaća recenzija
Ključne riječi
aorto "no-touch"; off-pump; cardiac surgery
Sažetak
Objective: We sought to compare the early clinical outcome of two surgical approaches for off-pump total arterial revascularization. Methods: From 2/1998 to 12/2004, 279 patients underwent off-pump total arterial revascularization utilizing both IMA's and radial arteries. Standard approach with proximal aortic anastomoses was used in 179 patients (group A), and aorta "no-touch" technique was used in 100 patients (group B). Fourteen percent of patients in group A had left-main stenosis vs 24% in group B (p=0.031). There were no significant differences in other demographic characteristics between groups preoperativelly, including the risk profile. Median EuroSCORE was 2 in both groups (p=0.481). Results: The number of distal anastomoses created was 2, 3± ; 0, 5 in group A vs 2, 6± ; 0, 7 in group B (p<0.001). One patient suffered a perioperative stroke in group A and 1 on group B (p=1.000). Five patients (3%) suffered a perioperative MI in group A and 3 (3%) in group B (p=0.716). Overall early mortality was 2.8% in group A vs 5% in group B (p=0.338). Conclusions: Aorta "no-touch" technique is as safe as standard methods for total arterial off-pump revascularization. Further analysis is neccessary to investigate whether relatively high mortality rates in both groups should be attributed to graft choices, surgical technique or postoperative management.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti
