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KORONER REVASKÜLARİZASYON İÇİN KULLANILAN POMPALI VE POMPASIZ YÖNTEMLERİN ERKEN DÖNEM SONUÇLARININ KARŞILAŞTIRILMASI

Journal Name:

  • Cerrahpaşa Tıp Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Whether the clinical outcomes of off-pump coronary artery bypass grafting surgery is superior to on-pump coronary arter surgery is still a matter of debate. The aim of this clinical prospective study was to compare the early-term results of off-pump and on-pump techniques for myocardial revascularization. Between 2001 and 2003, 100 patients who needed myocardial revascularization was scheduled to be operated with either conventional technique (n: 50) or off-pump technique (n: 50). In the postoperative period, both groups were compared in terms of blood urea, creatinine, SGOT, SGPT levels, need for (+) inotrop agents, ventilation time, amount of blood and blood products transfusion, hospital and intensive care unit stay and amount of drainage.
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Abstract (Original Language): 
Koroner arter cerrahisinde çalışan kalpte koroner bypas tekniğinin (OPCAB), pompa kullanılarak yapılan cerrahiyle (CPB ile KABG) karşılaştırıldığında, üstünlüğü tartış-malıdır. Çalışmamızın amacı CPB ile KABG ve OPCAB cerrahi yöntemlerinin erken dönem sonuçlarını prospektif olarak karşılaştırmaktır. 2001-2003 yılları arasında koroner revaskü-larizasyon gerektiren 100 hastaya pompalı (n: 50) ve pompasız (n: 50) teknik kullanılarak ko-roner bypas yapıldı. Her iki grup birbiri ile kan üre, kreatinin, SGOT, SGPT düzeyleri, (+) in-otrop ihtiyacı, ventilasyon süresi, kan ve kan ürünleri ihtiyacı, yoğun bakım ve hastanede kalış süreleri ve drenaj miktarı bakımından ameliyat sonrası erken dönemde karşılaştırıldı. OPCAB koroner bypass grubunda, diğer grup-la karşılaştırıldığında, yoğun bakımda kalış sü-resi, karaciğer enzimleri (SGOT, SGPT) ve (+) inotrop ihtiyacı ameliyat sonrası erken dönem-de anlamlı azaldığı tespit edildi. Sonuç olarak; CPB ile KABG yöntemi ile karşılaştırıldığında, OPCAB yönteminin ameli-yat sonrası erken dönemde klinik olarak daha avantajlı olduğu bulunmuştur. Ancak, OPCAB yönteminin geç dönem etkinliğinin gösterilme-si için, uzun dönem takip sonuçlarına ihtiyaç vardır.
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  • 1
7-11
  • Turkish

REFERENCES

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