Title:

Comparision of Total Arterial Myocardial Revascularisation and Arterial-Venous Myocardial Revascularisation in patients over 70 years old

Author:

Piątek, Jacek.

Subject:

coronary artery disease ; total arterial myocardial revascularization(TAMR)

Abstract:

Introduction Undoubtedly, the incidence of cardiovascular diseases increases with age. Nowadays, they are the most commonly diagnosed disease, as well as the most common cause of death in patients over 70 years old. Therefore, a significant increase of surgeries in elderly patients. Aim of the study 1. Evaluation of the safety of harvesting both internal mammary arteries and radial artery in CABG, in patients over 70 years old. 2. Analysis of the application of TAMR as an import ant risk factor of myocardium infarction and death in patients over 70 years old. 3. Evaluation of the incidence of non-cardiological complications in patiens over 70 years old undergoing TAMR Material and methodsIn the conducted study, retrospective analysis of two homogenous groups over 70 years old. Study group consisted of patients, who underwent TAMR. Control group was operated with usage of LIMA and saphenous vein. Results The infarct of myocardium was comparable in both groups – 5,94% in the study group and 5 % in the control group. Deaths were reported with similar frequency in both groups (1.98 % in the study group and 2 % in the control group). Moreover, no statistically significant differences were found for wound or sternum infection and need for sternal resuture. Conclusions Techinque of TAMR in coronary artery bypass grafting is a safe method in patients over 70 years old. It concludes with similar amount of postoperative complications as standard technique.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

kardiochirurgia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Jerzy Sadowski

Date:

2014

Date issued:

2013

Type:

Praca doktorska

Format:

application/pdf

Call number:

ZB-121449

ControlNumberVIRTUA:

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Language:

pol

Access rights:

nieograniczony

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

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