Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE≥6)
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- 作者：Calafiore ; Antonio Maria ; Di Mauro ; Michele ; Canosa ; Carlo ; Di Giammarco ; Gabriele ; Iaco ; Angela Lorena ; et. al.
- 关键词：Off pump surgery ; High-risk ; Myocardial revascularization
- 刊名：European Journal of Cardio-Thoracic Surgery
- 出版年：2003
- 出版时间：March, 2003
- 年：2003
- 卷：23
- 期：3
- 页码：360-367
- 全文大小：103 K
文摘
Objective: To evaluate 30-day and late results in high risk patients (European score (EuroSCORE)≥6) who underwent isolated myocardial revascularization with and without cardiopulmonary bypass (CPB). Methods: From November 1994 to December 2001, 1266 patients with EuroSCORE≥6 underwent isolated myocardial revascularization. Among them, applying the propensity score, we were able to select 1020 patients operated on without CPB (group A, n=510) and with CPB (group B, n=510) with the same preoperative characteristics. The only differences were the higher incidence of patients with age between 61 and 65 years (9.4 % in group A vs. 13.9 % in group B, P=0.025) and the lower number of anastomoses/patient in group A (1.8±0.9 vs. 2.8±0.9, P<0.001). EuroSCORE were identical in both groups (7.8 % ). Results: Thirty-day mortality was higher in group B (5.9 vs. 3.1 % , P=0.035). Group A showed a lower incidence of cerebrovascular accidents (CVAs) (0.6 vs. 3.1 % , P=0.003), whereas incidence of acute myocardial infarction (AMI) was similar (2.0 % in group A vs. 2.5 % in group B, P