ymjЯкутский медицинский журналYakut Medical Journal1813-19052312-1017ЯНЦ КМПymj-1317Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHОтдаленные результаты аортокоронарного шунтирования с искусственным кровообращением и на работающем сердце у больных ИБС с сахарным диабетомLong-Term Results of Coronary Artery Bypass Grafting with Extracorporeal Circulation and on Beating Heart in CHD Patients with DiabetesСигаевИ. Ю.SigaevI. Yu.

Сигаев Игорь Юрьевич – д.м.н., проф., руковод. отделения сочетанных заболеваний коронарных и магистральных артерий 

Sigaev Igor Yurevich - MD, Professor, Head of Department of comorbid diseases of the coronary and great arteries

Moscow, Leninsky Prospect, 8, k.7

Tel. 8-499-236-92-53

ЯрбековР. Р.YarbekovR. R.

Ярбеков Рустам Раимкулович – к.м.н., докторант

Yarbekov Rustam Raimkulovich - PhD, doctoral

Moscow, Leninsky Prospect, 8, k.7

Tel. 8-499-236-92-53

yarbekov@mail.ruМерзляковВ. Ю.МerzlyakovV. Yu.

Мерзляков Вадим Юрьевич – д.м.н., руковод. отделения малоинвазивной хирургии

Merzlyakov Vadim Yurevich- MD, Head of Department of Minimally Invasive Surgery

Moscow, Leninsky Prospect, 8, k.7

Tel. 8-499-236-92-53

НазаровА. А.NazarovA. A.

Назаров Афанасий Анатольевич – аспирант

Nazarov Afanasi Anatolevich - Postgraduate student

Moscow, Leninsky Prospect, 8, k.7

Tel. 8-499-236-92-53

КеренМ. А.KerenM. A.

Керен Милена Абрековна – д.м.н., н.с.

Keren Milena Abrekovna - MD, a researcher, the Department of comorbid diseases of the coronary and great arteries

Moscow, Leninsky Prospect, 8, k.7

Tel. 8-499-236-92-53

КазарянА. В.KazaryanA. V.

Казарян Артак Варужанович – к.м.н., н.с.

Kazaryan Artak Varuzhanovich -PhD, researcher, Department of comorbid diseases of the coronary and great arteries

Moscow, Leninsky Prospect, 8, k.7

Tel. 8-499-236-92-53

ФГБУ Научного центра сердечно-сосудистой хирургии им. А.Н. БакулеваРоссияThe Bakulev Scientific Center for Cardiovascular SurgeryRussian Federation201412092025042124Copyright © Сигаев И.Ю., Ярбеков Р.Р., Мерзляков В.Ю., Назаров А.А., Керен М.А., Казарян А.В., 20252025Сигаев И.Ю., Ярбеков Р.Р., Мерзляков В.Ю., Назаров А.А., Керен М.А., Казарян А.В.Sigaev I.Y., Yarbekov R.R., Мerzlyakov V.Y., Nazarov A.A., Keren M.A., Kazaryan A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://ymj.elpub.ru/jour/article/view/1317

В исследовании представлено сравнение отдаленных результатов АКШ у больных с сопутствующим сахарным диабетом 2 типа, среди них больные после АКШ в условиях искусственного кровообращения (ИК) и после АКШ на работающем сердце (РС). Выявлено, что 5-летняя выживаемость и «свобода» от возвратной стенокардии у больных с СД, перенесших АКШ с ИК и на РС, сопоставимы. Достоверных различий при сравнении 5-летней частоты развития инфаркта миокарда и проведения повторной реваскуляризации между группами не получено. При сравнении частоты «больших» сердечно-сосудистых осложнений между группами преимущества наблюдались в группе больных после АКШ на РС.

We compared long-term results for coronary artery bypass grafting in 195 patients with associated diabetes, 108 (55%) patients underwent coronary artery bypass grafting (CABG) with cardiopulmonary bypass (CPB) and 87 (45%) patients underwent off – pump coronary artery bypass grafting (off – pump CABG). Mean follow-up was 56 ±11 months. (≈4.6 years). Fiveyear survival and the "freedom" of recurrent angina pectoris in patients with diabetes who underwent CABG with CPB and off – pump CABG comparable. We have not received significant differences when compared to the five-year incidence of the myocardial infarction and re-revascularization between the groups. The benefits observed in patients after off – pump CABG, when comparing the frequency of "large" cardiovascular complications between the two groups.

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The authors declare that there are no conflicts of interest present.