Long-Term Results of Coronary Artery Bypass Grafting with Extracorporeal Circulation and on Beating Heart in CHD Patients with Diabetes
Abstract
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.
About the Authors
I. Yu. Sigaev
The Bakulev Scientific Center for Cardiovascular Surgery
Russian Federation
Russian Federation
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
R. R. Yarbekov
The Bakulev Scientific Center for Cardiovascular Surgery
Russian Federation
Russian Federation
Yarbekov Rustam Raimkulovich - PhD, doctoral
Moscow, Leninsky Prospect, 8, k.7
Tel. 8-499-236-92-53
V. Yu. Мerzlyakov
The Bakulev Scientific Center for Cardiovascular Surgery
Russian Federation
Russian Federation
Merzlyakov Vadim Yurevich- MD, Head of Department of Minimally Invasive Surgery
Moscow, Leninsky Prospect, 8, k.7
Tel. 8-499-236-92-53
A. A. Nazarov
The Bakulev Scientific Center for Cardiovascular Surgery
Russian Federation
Russian Federation
Nazarov Afanasi Anatolevich - Postgraduate student
Moscow, Leninsky Prospect, 8, k.7
Tel. 8-499-236-92-53
M. A. Keren
The Bakulev Scientific Center for Cardiovascular Surgery
Russian Federation
Russian Federation
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
A. V. Kazaryan
The Bakulev Scientific Center for Cardiovascular Surgery
Russian Federation
Russian Federation
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
References
1. Bockeria L.A., Golukhova E.Z., Sigayev I.Y. et al. Sovremennye podhody k hirurgicheskomu lecheniju IBS u bolnyh s saharnym diabetom. [Modern approaches to the surgical treatment of coronary artery disease in patients with diabetes mellitus]. Vestnik RAMN [Bulletin of RAMN]. 2012; 1: 20‐26.
2. Detre K.M., Guo P., Holubkov R., et al. Coronary revascularization in diabetic patients. A comparison of the randomized and observational components of the Bypass Angioplasty Revascularization Investigation (BARI). Circulation 1999; 99:633–40.
3. Emmert M.Y., Salzberg S.P., Seifert B., et al. Is off‐pump superior to conventional coronary artery bypass grafting in diabetic patients with multivessel disease? Eur J Cardiothorac Surg 2011;40:233–9
4. Fukui T., Takanashi S., Hosoda Y. et al. Early and Midterm Results of Off‐Pump Coronary Artery Bypass Grafting. Ann Thorac Surg 2007; 83:115–9.
5. Marcheix B., Eynden F.V. Influence of Diabetes Mellitus on Long‐Term Survival in Systematic Off‐Pump Coronary Artery Bypass Surgery. Ann Thorac Surg 2008;86:1181– 8.
6. Matsuura K., Imamaki M., Ishida A., et al.Off‐pump coronary artery bypass grafting for poorly controlled diabetic patients. Ann Thorac Cardiovasc Surg. Vol. 15. №1, 2009. p‐ 18‐22.
7. Myers W.O., Blackstone E.H., Davis K.et al. CASS registry long term surgical survival. Coronary Artery Surgery Study. J Am Coll Cardiol 1999;33:488‐98
8. Patel N.C., Deodhar A.P., Grayson A.D., et al. Neurological outcomes in coronary surgery: independent effect of avoiding cardiopulmonary bypass. Ann Thorac Surg 2002;74:400–5.
9. Srinivasan A.K., Grayson A.D., Fabri B.M. On‐pump versus off‐pump coronary artery bypass grafting in diabetic patients: a propensity score analysis. Ann Thorac Surg 2004;78:1604–9.
10. Stamou S.C., Jablonski K.A., Hill P.C. Coronary revascularization without cardiopulmonary bypass versus the conventional approach in high‐risk patients. Ann Thorac Surg 2005;79:552–7.
Review
For citations:
Sigaev I.Yu., Yarbekov R.R., Мerzlyakov V.Yu., Nazarov A.A., Keren M.A., Kazaryan A.V. Long-Term Results of Coronary Artery Bypass Grafting with Extracorporeal Circulation and on Beating Heart in CHD Patients with Diabetes. Yakut Medical Journal. 2014;(4):21-24.
Views:
5
Email this article 