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Thorac Cardiovasc Surg 2019; 67(06): 444-449
DOI: 10.1055/s-0038-1669928
Original Cardiovascular
Georg Thieme Verlag KG Stuttgart · New York

Mid- and Long-Term Outcomes of Total Arterial Myocardial Revascularization in Patients Aged 70 Years and Older: A Single-Center Experience

Jill Jussli-Melchers
1   Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany
,
Bernd Panholzer
1   Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany
,
Christine Friedrich
1   Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany
,
Ole Broch
2   Department of Anaesthesiology and Intensive Care Medicine, University Hospital of Schleswig-Holstein, Kiel, Germany
,
Katharina Huenges
1   Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany
,
Joachim Cremer
1   Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany
,
Assad Haneya
1   Department of Cardiovascular Surgery, University Hospital of Schleswig-Holstein, Kiel, Germany
› Author Affiliations
Further Information

Publication History

08 June 2018

27 July 2018

Publication Date:
15 September 2018 (online)

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Abstract

Background Patients receiving arterial grafts have superior late survival after coronary artery bypass graft (CABG) surgery. The aim of our study was to evaluate the mid- and long-term results of total arterial (TA) revascularization in the elderly.

Methods Between January 2005 and December 2012, a retrospective study on age-, gender-, and EuroSCORE-matched patients aged 70 years and older was performed. Altogether, 356 patients who received isolated CABG were assigned to either TA group or control (CON) group.

Results No significant differences were noted in regard to preoperative risk factors. The number of distal anastomoses was significantly higher in the CON group (3.6 ± 0.6 vs. 2.9 ± 0.8; p < 0.001). Postoperatively, no significant differences were noted in regard to morbidity or mortality. There were no significant differences in mortality rate at 1 year (5.6 vs. 5.2%; p = 0.98), or 5 years (9.0 vs. 12.1%; p = 0.39) between both groups. However, the TA group was associated with significantly higher rate of event-free survival (p = 0.017).

Conclusion This study suggests that TA revascularization is an effective procedure. Lower rates of late cardiac events encourage the use of this concept for the elderly.

Keywords

CABG - elderly patients - outcomes - mortality - morbidity - total arterial myocardial revascularization
 

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