Early outcomes of radial artery use in all arterial grafting of thecoronary arteries in patients 65 years and older

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dc.authorid8752en_US
dc.authorid223334en_US
dc.authorid9608en_US
dc.contributor.authorErdil, Nevzat
dc.contributor.authorNisanoğlu, Vedat
dc.contributor.authorEroğlu, Tamer
dc.contributor.authorFansa, Iyad
dc.contributor.authorCihan, H. Berat
dc.contributor.authorBattaloğlu, Bektaş
dc.date.accessioned2017-10-04T06:37:57Z
dc.date.available2017-10-04T06:37:57Z
dc.date.issued2010
dc.departmentİnönü Üniversitesien_US
dc.descriptionTex Heart Inst J 2010;37(3):301-6.en_US
dc.description.abstractWe retrospectively evaluated early clinical results of coronary revascularization using none but arterial grafts in patients aged 65 years and older. The cases of 449 consecutive patients who had undergone isolated myocardial revascularization were divided into 2 groups: the arterial conduit group (n=107) received a left internal mammary artery (LIMA) graft and 1 or both radial arteries (RAs), while the mixed-conduit group (n=342) received a LIMA graft and 1 or more saphenous vein grafts (SVGs), with or without an RA. There was no significant difference between the groups’ rates of mortality. The arterial conduit group had a significantly shorter overall postoperative hospital stay than did the mixed-conduit group (mean, 6.6 ± 0.9 vs 7.2 ± 5 days; P=0.04). Linear regression analysis revealed that the presence of hypertension (β=0.13; 95% confidence interval [CI], 0.054–0.759; P=0.02) and high EuroSCORE (β=0.24; 95% CI, 0.053–0.283; P=0.004) were the major predicting factors for long hospital stay. Graft-harvest-site infection was statistically more frequent in the mixed-conduit group than in the arterial conduit group (6.4% vs 0, respectively; P=0.007). Angiography was performed postoperatively (mean, 24.9 ± 16.3 mo; range, 11–65 mo) in 21 patients. In these patients, all LIMA grafts were patent, as were 86.9% of the SVGs and 90.9% of the RA grafts. Myocardial revascularization using all arterial grafts (at least 50% RAs) in patients aged 65 years and older is safe and reliable, produces short-term results equal to those of saphenous vein grafting, and can reduce graft-harvest-site infections. (Tex Heart Inst J 2010; 37(3):301-6)en_US
dc.identifier.citationE. Nevzat , N. Vedat , E. Tamer , F. Iyad , C. Hasan Berat , B. Bektas (2010). Early Outcomes of Radial Artery Use in All Arterial Grafting of theCoronary Arteries in Patients 65 Years and Older.Texas Heart Instıtute Journal.en_US
dc.identifier.endpage0en_US
dc.identifier.issue0en_US
dc.identifier.startpage0en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2879222/pdf/20100600s00008p301.pdf
dc.identifier.urihttps://hdl.handle.net/11616/7760
dc.identifier.volume0en_US
dc.language.isoenen_US
dc.publisherTexas Heart Instıtute Journalen_US
dc.relation.ispartofTexas Heart Instıtute Journalen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAgeden_US
dc.subjectCoronary artery bypassen_US
dc.subjectCoronary diseaseen_US
dc.titleEarly outcomes of radial artery use in all arterial grafting of thecoronary arteries in patients 65 years and olderen_US
dc.typeArticleen_US

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