TY - JOUR
T1 - Multivessel off-pump revascularization in octogenarians
T2 - Early and midterm outcomes
AU - Beauford, Robert B.
AU - Goldstein, Daniel J.
AU - Sardari, Frederic F.
AU - Karanam, Ravindra
AU - Luk, Brandon
AU - Prendergast, Thomas W.
AU - Burns, Paul G.
AU - Garland, Patricia
AU - Chen, Chunguang
AU - Patafio, Onofrio
AU - Saunders, Craig R.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/7/1
Y1 - 2003/7/1
N2 - Background. Octogenarians are increasingly being referred for coronary artery revascularization. However, the prevalence of comorbid events and the propensity for neurologic dysfunction place octogenarians at higher risk for cardiopulmonary bypass-induced morbidity and mortality. Therefore, octogenarian patients represent a particularly attractive target for application of off-pump coronary artery bypass grafting. Methods. From January 1999 to August 2001, 113 octogenarians had off-pump coronary artery bypass grafting. Their data were prospectively entered into the cardiac surgery database and analyzed retrospectively. Follow-up information was obtained through telephone survey. Results. The mean age of the patients was 83 ± 2.5 years, and the mean number of grafts per patient was 3.3 ± 1. The most prevalent postoperative complication was atrial fibrillation (43%). Postoperative neurologic complications were seen in 5 patients (4%). There was one postoperative death (30-day mortality rate, 0.9%). The mean follow-up was 13.2 ± 7 months and was complete for 90% of the patients. At the time of telephone survey, 85 (87%) of 98 patients were free from angina, and 91 (88%) were free from cardiac-related readmission. There were three late deaths. The majority of octogenarians (66%) reported that in retrospect, they would have the operation again. Conclusions. Off-pump multivessel revascularization in octogenarians is associated with excellent early and intermediate outcomes and provides a satisfactory quality of life.
AB - Background. Octogenarians are increasingly being referred for coronary artery revascularization. However, the prevalence of comorbid events and the propensity for neurologic dysfunction place octogenarians at higher risk for cardiopulmonary bypass-induced morbidity and mortality. Therefore, octogenarian patients represent a particularly attractive target for application of off-pump coronary artery bypass grafting. Methods. From January 1999 to August 2001, 113 octogenarians had off-pump coronary artery bypass grafting. Their data were prospectively entered into the cardiac surgery database and analyzed retrospectively. Follow-up information was obtained through telephone survey. Results. The mean age of the patients was 83 ± 2.5 years, and the mean number of grafts per patient was 3.3 ± 1. The most prevalent postoperative complication was atrial fibrillation (43%). Postoperative neurologic complications were seen in 5 patients (4%). There was one postoperative death (30-day mortality rate, 0.9%). The mean follow-up was 13.2 ± 7 months and was complete for 90% of the patients. At the time of telephone survey, 85 (87%) of 98 patients were free from angina, and 91 (88%) were free from cardiac-related readmission. There were three late deaths. The majority of octogenarians (66%) reported that in retrospect, they would have the operation again. Conclusions. Off-pump multivessel revascularization in octogenarians is associated with excellent early and intermediate outcomes and provides a satisfactory quality of life.
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U2 - 10.1016/S0003-4975(03)00014-6
DO - 10.1016/S0003-4975(03)00014-6
M3 - Article
C2 - 12842504
AN - SCOPUS:0038676470
SN - 0003-4975
VL - 76
SP - 12
EP - 17
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 1
ER -