PMID- 27760636
OWN - NLM
STAT- MEDLINE
DCOM- 20180313
LR  - 20181023
IS  - 0376-2491 (Print)
IS  - 0376-2491 (Linking)
VI  - 96
IP  - 36
DP  - 2016 Sep 27
TI  - [Safety and efficacy of off-pump coronary artery bypass grafting in 
      octogenarians].
PG  - 2903-2905
LID - 10.3760/cma.j.issn.0376-2491.2016.36.012 [doi]
AB  - Objective: To discuss the clinical safety and efficacy about off-pump coronary 
      artery bypass grafting (OPCABG) in octogenarians. Methods: From June 2005 to July 
      2014, 252 patients (male 208, female 44, with a mean age of 81.7 years old) 
      underwent OPCABG in Beijing Anzhen Hospital who were aged 80 years or older were 
      enrolled. Results: Eight (3.2%) patients were diagnosed as single vessel coronary 
      artery disease (CAD), 29 cases (11.5%) were diagnosed as bifurcation vessel CAD, 
      and 215 cases (85.3%) were multivessel CAD. One hundred and one cases (40.1%) 
      were diagnosed as left main artery disease, among which 51 cases (20.2%) had old 
      myocardial infarction. Two hundred and forty-eight patients belonged to Canadian 
      Cardiovascular Society (CCS) classⅠ-Ⅲ and 4 cases to CCS class Ⅳ. One hundred and 
      forty-five cases belonged to New York Heart Association (NYHA) classⅠ-Ⅱ and 107 
      cases to NYHA class Ⅲ-Ⅳ. Mean graft number was 3. Two hundred and six patients 
      (81.7%) received total vein graft operation. Intra-aortic balloon pump (IABP) was 
      used in 43 patients (17.1%). In-hospital death occurred in 15 cases (6.0%). Major 
      in-hospital complications included reoperation (16 cases), re-intubation (16 
      cases), dialysis (11 cases), sternum infection (2 cases), atrial fibrillation (63 
      cases). The follow-up time was from 1 to 11 years (with a mean time of 6 years). 
      All-cause mortality was 18.1% (43 cases). The major out-of-hospital complications 
      included recurrent myocardial infarction (3 cases), stroke (3 cases), 
      re-admission (27 cases) and recurrent angina pectoris (20 cases). Conclusion: 
      OPCABG is safe and effective for myocardial revascularization in patients aged 80 
      years and over.
FAU - Liu, T S
AU  - Liu TS
AD  - Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing Institute of Heart, Lung and Vessel Disease, Beijing 100029, 
      China.
FAU - Chen, B T
AU  - Chen BT
AD  - Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing Institute of Heart, Lung and Vessel Disease, Beijing 100029, 
      China.
FAU - Dong, R
AU  - Dong R
AD  - Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing Institute of Heart, Lung and Vessel Disease, Beijing 100029, 
      China.
FAU - Li, Y
AU  - Li Y
AD  - Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing Institute of Heart, Lung and Vessel Disease, Beijing 100029, 
      China.
FAU - Zhao, Y
AU  - Zhao Y
AD  - Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing Institute of Heart, Lung and Vessel Disease, Beijing 100029, 
      China.
FAU - Hua, K
AU  - Hua K
AD  - Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical 
      University, Beijing Institute of Heart, Lung and Vessel Disease, Beijing 100029, 
      China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Yi Xue Za Zhi
JT  - Zhonghua yi xue za zhi
JID - 7511141
SB  - IM
MH  - Aged, 80 and over
MH  - Angina Pectoris
MH  - *Coronary Artery Bypass, Off-Pump
MH  - Coronary Artery Disease
MH  - Female
MH  - Humans
MH  - Intra-Aortic Balloon Pumping
MH  - Male
MH  - Myocardial Infarction
MH  - Reoperation
MH  - Stroke
MH  - Treatment Outcome
EDAT- 2016/10/21 06:00
MHDA- 2018/03/14 06:00
CRDT- 2016/10/21 06:00
PHST- 2016/10/21 06:00 [pubmed]
PHST- 2018/03/14 06:00 [medline]
PHST- 2016/10/21 06:00 [entrez]
AID - 10.3760/cma.j.issn.0376-2491.2016.36.012 [doi]
PST - ppublish
SO  - Zhonghua Yi Xue Za Zhi. 2016 Sep 27;96(36):2903-2905. doi: 
      10.3760/cma.j.issn.0376-2491.2016.36.012.