Askerov Magomedemin Akhmedalievich (MD, Cardiovascular Surgeon,
Department of Cardiac Surgery
"Mariinsky Hospital", Saint Petersburg
)
Khubulava Gennady Grigorievich (Doctor of Medical Sciences, Professor, Academician
of the Russian Academy of Sciences,
Head of the Cardiac Surgery Center
"Mariinsky Hospital".
)
Bukur Aleksandr Maksimovich (clinical resident of the cardiac surgery department
"Mariinsky Hospital".
)
Delovaya Maria Alekseevna (PhD, Head of the Cardiology Department "Mariinsky Hospital")
Efendiev Vidadi Umudovich (PhD, Cardiovascular Surgeon,
Head of the Cardiac Surgery Department "Mariinsky Hospital"
)
| |
Aim —to study the immediate results and long-term survival after myocardial revascularization by off-pump coronary artery bypass grafting (OPCABG) conditions in patients with coronary artery disease (CAD) suffering from severe comorbid pathology assessed by the Charlson-Deyo index and to determine its prognostic significance.
Material and methods. This study included 187 patients who underwent OPCABG, of which 162 patients (87%) were followed up in the long term. The average age of the patients was 68.8±7.1 years. The Charlson-Deyo comorbidity index was 8.4±1.6 points, which prognostically corresponds to 42% survival within 5 years. We studied long-term survival, the frequency of cardiac complications, and repeated interventions in the immediate and long term. The average follow-up period was 76±25 months.
Results. Overall, in-hospital mortality was 3.2%, myocardial infarction was 3.2%, stroke was 0.5%, re-interventions were 1.6%, and the length of stay in the intensive care unit was 36±20 hours. Remote survival was 72.3%, 14.8% of patients died from cardiac causes, MI and stroke were observed in 7.4% and 11.8% of patients, respectively. The frequency of repeated revascularization was 22.8%, and conduit function was 84%.
Conclusions. Remote survival in patients with coronary artery disease and severe comorbid pathology after OPCABG was higher than the prognostic assessment of the Charlson-Deyo scale, which indicates a positive effect of coronary artery bypass grafting on survival. Key words: ischemic heart disease, coronary artery bypass grafting, Charlson-Deyo index, comorbidity, survival.
Keywords:ischemic heart disease, coronary artery bypass grafting, Charlson-Deyo index, comorbidity, survival
|
|
| |
|
Read the full article …
|
Citation link:
Askerov M. A., Khubulava G. G., Bukur A. M., Delovaya M. A., Efendiev V. U. EVALUATION OF SURVIVAL, IMMEDIATE AND LONG-TERM OUTCOMES AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING IN PATIENTS WITH ISCHEMIC HEART DISEASE AND SEVERE COMORBID PATHOLOGY // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№01/2. -С. 103-109 DOI 10.37882/2223-2966.2025.01-2.04 |
|
|
