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70 Yaş Üzeri Hastalarda On-Pump, Off-Pump Koroner Revaskülarizasyon

Off-Pump and On-Pump Coronary Revascularisation in Over 70 Years Old Patients

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2006

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Though perioperative outcome of beating heart surgery have been considered better than conventional methods, late results are still controversial especially in elderly patients. In this clinical trial we have compared early and late results of 71 aged cases operated either by beating or conventional methods. Preoperative risk factors of both groups were comparable except chronic obstructive pulmonary disease. In perioperative parameters, conventional group had statistically significantly longer intensive care and hospital stay days. During late follow-up period mortality rates were comparable but functional capacity of conventional group were better. Perioperative merits and late outcomes of both techniques should be evaluated for decision of operative technique.
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Abstract (Original Language): 
Atan kalp yönteminin hastane morbiditesi üzerinde açık yararı ortaya konulmuşsa da geç dönem sonuçları özellikle yüksek riskli gruplarda halen tartışılmaktadır. Bu klinik çalışmada atan kalp veya konvansiyonel yöntemle opere edilen, ileri yaş grubundaki 71 hastanın, erken ve uzun dönem sonuçlarını karşılaştırdık. Preoperatif risk faktörleri açısından kronik obstrüktif akciğer hastalığı hariç her iki grupta fark yoktu. Hastane ve yoğun bakım kalış süreleri konvansiyonel grupta uzun bulundu. Takip süresince ise sürvi farkı yokken konvansiyonel yöntemle opere edilen hastaların fonksiyonel kapasiteleri daha iyiydi. Yaşlı hasta grubunda perioperatif morbidite ve mortalite atan kalp tekniği ile daha iyi gibi görünse de geç dönem fonksiyonel kapasite açısından konvansiyonel yöntem daha iyi gözükmektedir. Erken dönem yüksek peroperatif komplikasyon oranı ile orta-uzun dönem dezavantajları iyi değerlendirilmelidir.
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  • Turkish

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