Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea

Seguel, Enrique; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción; Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción; González, Roberto; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción;  Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción; Stockins, Aleck; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción;  Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción; Alarcon, Emilio; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción; Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción; Concha, Ricardo; Alumno de Medicina, Universidad de Concepción.

OFF-PUMP CORONARY SURGERY. EXPERIENCE IN 220 PATIENTS

dc.contributor		es-ES
dc.contributor		en-US
dc.creator	Seguel, Enrique; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción; Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción
dc.creator	González, Roberto; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción; Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción
dc.creator	Stockins, Aleck; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción; Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción
dc.creator	Alarcon, Emilio; Departamento de Cirugía, Facultad de Medicina, Universidad de Concepción; Centro Cardiovascular, Hospital Guillermo Grant Benavente de Concepción
dc.creator	Concha, Ricardo; Alumno de Medicina, Universidad de Concepción.
dc.date	2013-03-13
dc.date.accessioned	2019-11-11T18:27:27Z
dc.date.available	2019-11-11T18:27:27Z
dc.identifier	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/2192
dc.identifier.uri	https://revistaschilenas.uchile.cl/handle/2250/111153
dc.description	Background: Coronary artery bypass graft surgery without cardiopulmonary bypass (CPB) is an alternative technique for myocardial revascularization. Aim: To report the early results and 4 years follow up of the first 220 cases operated with this technique. Patients and methods: Descriptive study of 220 patients aged 60.6 ± 8.8 years (171 men) undergoing off-pump coronary surgery between 2004 and 2008. One hundred seventy six (80%) patients had hypertension, 59 (26.8%) had diabetes, 86 (39%) hypercholesterolemia and 85 (38.6%) were smokers. One hundred forty one patients (64.1%) had stable angina. Fifty four (24.5%) had a recent infarction (< 90 days) and 46 (20.9%) had a previous angioplasty. Ejection fraction was 50% in 154 (70%). Additive and logistic EuroSCORE were 3.32 and 3.55% respectively. We studied the complications and mortality at 30 days. Long term follow up (late mortality and major cardiovascular events such as myocardial infarction (MI) stroke and re-intervention were assessed using data of medical records and National Identification Registry Service until June 30, 2011 Results: A total of 481 bypasses were performed (2.27 bypasses/ patient). There were 4 (1.8%) conversions and no incomplete revascularization. Post-Operative complications occurred in 42 patients. Eight neurological (five Strokes), five renal (two required dialysis), 16 cardiovascular (four myocardial infarctions), 15 surgical and 11 infections. Three patients died (1.36%). After a follow up 4.26 ± 1.02 years, overall survival was 92.3%, and survival free of myocardial infarction, stroke or re - intervention was 96.8%, 96.8% and 95.9% respectively. Conclusions: Off-pump coronary surgery in selected patients has immediate and late results comparable to traditional surgery. (Rev Med Chile...) (Key-words: Coronary artery bypass; Coronary disease; Off pump; Outcome assessment (Health care)).	es-ES
dc.description	Background: Coronary artery bypass graft surgery without cardiopulmonary bypass (CPB) is an alternative technique for myocardial revascularization. Aim: To report the early results and 4 years follow up of the first 220 cases operated with this technique. Patients and methods: Descriptive study of 220 patients aged 60.6 ± 8.8 years (171 men) undergoing off-pump coronary surgery between 2004 and 2008. One hundred seventy six (80%) patients had hypertension, 59 (26.8%) had diabetes, 86 (39%) hypercholesterolemia and 85 (38.6%) were smokers. One hundred forty one patients (64.1%) had stable angina. Fifty four (24.5%) had a recent infarction (< 90 days) and 46 (20.9%) had a previous angioplasty. Ejection fraction was 50% in 154 (70%). Additive and logistic EuroSCORE were 3.32 and 3.55% respectively. We studied the complications and mortality at 30 days. Long term follow up (late mortality and major cardiovascular events such as myocardial infarction (MI) stroke and re-intervention were assessed using data of medical records and National Identification Registry Service until June 30, 2011 Results: A total of 481 bypasses were performed (2.27 bypasses/ patient). There were 4 (1.8%) conversions and no incomplete revascularization. Post-Operative complications occurred in 42 patients. Eight neurological (five Strokes), five renal (two required dialysis), 16 cardiovascular (four myocardial infarctions), 15 surgical and 11 infections. Three patients died (1.36%). After a follow up 4.26 ± 1.02 years, overall survival was 92.3%, and survival free of myocardial infarction, stroke or re - intervention was 96.8%, 96.8% and 95.9% respectively. Conclusions: Off-pump coronary surgery in selected patients has immediate and late results comparable to traditional surgery. (Rev Med Chile...) (Key-words: Coronary artery bypass; Coronary disease; Off pump; Outcome assessment (Health care))	en-US
dc.format	application/pdf
dc.language	spa
dc.publisher	Revista Médica de Chile	es-ES
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/2192/71
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dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2192/6295
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2192/6296
dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2192/6297
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dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2192/6539
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dc.relation	http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2192/8145
dc.source	Revista Médica de Chile; Vol. 141, núm. 3 (2013): MARZO 2013	es-ES
dc.source	0034-9887
dc.subject	Coronary artery bypass; Coronary disease; Off pump; Outcome assessment (Health care)	es-ES
dc.subject	Coronary artery bypass; Coronary disease; Off pump; Outcome assessment (Health care).	en-US
dc.title	Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea	es-ES
dc.title	OFF-PUMP CORONARY SURGERY. EXPERIENCE IN 220 PATIENTS	en-US
dc.type	info:eu-repo/semantics/article
dc.type	info:eu-repo/semantics/publishedVersion
dc.type		es-ES

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Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea

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