Early Outcomes of Radial Artery Use in All-Arterial Grafting of the Coronary Arteries in Patients 65 Years and Older

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dc.authoriderdil, nevzat/0000-0002-8275-840X
dc.contributor.authorErdil, Nevzat
dc.contributor.authorNisanoglu, Vedat
dc.contributor.authorEroglu, Tamer
dc.contributor.authorFansa, Iyad
dc.contributor.authorCihan, Hasan Berat
dc.contributor.authorBattaloglu, Bektas
dc.date.accessioned2024-09-18T19:52:29Z
dc.date.available2024-09-18T19:52:29Z
dc.date.issued2010
dc.departmentHatay Mustafa Kemal Üniversitesien_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 (beta=0.13; 95% confidence interval [CI], 0.054-0.759; P=0.02) and high EuroSCORE (beta=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, 17-65 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.endpage306en_US
dc.identifier.issn0730-2347
dc.identifier.issue3en_US
dc.identifier.pmid20548806en_US
dc.identifier.startpage301en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12483/7458
dc.identifier.volume37en_US
dc.identifier.wosWOS:000278517600008en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTexas Heart Insten_US
dc.relation.ispartofTexas Heart Institute Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAgeden_US
dc.subjectcoronary artery bypassen_US
dc.subjectcoronary disease/surgeryen_US
dc.subjectmyocardial revascularizationen_US
dc.subjectpostoperative complicationsen_US
dc.subjectradial artery/transplantationen_US
dc.subjectretrospective studiesen_US
dc.subjectsaphenous vein/transplantationen_US
dc.subjectsurgical wound infection/prevention & controlen_US
dc.subjecttissue and organ harvestingen_US
dc.subjecttransplantationen_US
dc.subjectautologousen_US
dc.subjectthoracic arteries/transplantationen_US
dc.subjecttreatment outcomeen_US
dc.titleEarly Outcomes of Radial Artery Use in All-Arterial Grafting of the Coronary Arteries in Patients 65 Years and Olderen_US
dc.typeArticleen_US

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