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[Single clamp technique in elderly patients undergoing coronary artery surgery].

AbstractOBJECTIVE:
The results of single clamp and partial clamp techniques were retrospectively compared in elderly patients (>70 years) undergoing coronary artery bypass grafting operation (CABG).
METHODS:
A total of 244 elderly patients undergoing CABG between January 1995 and March 2002 in our center were studied. Single-clamp technique was used in 32 cases (Group 1) and partial-clamp technique was used in 212 cases (Group 2). All patients had isolated coronary artery lesions and a primary elective coronary bypass grafting surgery was planned for every case. Preoperative, operative and postoperative variables; age, gender, pre- and post-operative neurological status (stroke, amaurosis fugax, aphasia, hemiplegia, hemiparesis), cerebrovascular diseases, diabetes mellitus, hypertension, number of distal grafts, left ventricular score, durations of aortic cross-clamping and cardiopulmonary bypass (CPB) times, perfusion pressure during CPB, and postoperative cardiac status were recorded. Patients with a history of neurological complications were excluded from the study.
RESULTS:
Overall, mean age was 71.9+/-2.18 years. Patients in Group 1 were significantly older as compared to patients in Group 2 (p< 0.01). Average duration of cross-clamping in Group 1 was significantly longer (p<0.001) compared to Group 2, but there were no differences with regard to the total duration of cardiopulmonary bypass (p=0.535). No patients had neurological complications in Group 1, however 22 patients in Group 2 had neurological complications (p<0.05).
CONCLUSION:
Although single-clamp technique was associated with a longer cross-clamp time, the duration of CPB was not increased and the incidence of neurological complications was low.
AuthorsMelih Hulusi Us, Mutasim Süngün, Kerim Cağli, Mert Yilmaz, Alaaddin Pekedis, Omer Yüksel Oztürk
JournalAnadolu kardiyoloji dergisi : AKD = the Anatolian journal of cardiology (Anadolu Kardiyol Derg) Vol. 3 Issue 4 Pg. 291-5 (Dec 2003) ISSN: 1302-8723 [Print] Turkey
Vernacular TitleKoroner Arter Cerrahisi Uygulanan Yaşli Hastalarda Tek Klemp Tekniği.
PMID14675875 (Publication Type: English Abstract, Evaluation Studies, Journal Article)
Topics
  • Aged
  • Cardiopulmonary Bypass
  • Coronary Artery Bypass (methods)
  • Coronary Artery Disease (pathology, surgery)
  • Female
  • Health Services for the Aged
  • Humans
  • Male
  • Postoperative Complications
  • Retrospective Studies
  • Severity of Illness Index
  • Time Factors
  • Treatment Outcome
  • Turkey

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