TACTICS OF CORONARY ARTERY BYPASS GRAFTING IN CAD PATIENTS WITH DIFFERENT LEVELS OF SURGICAL RISK

Abstract

Purpose: to study the results of coronary artery bypass grafting (CABG) in patients with ischemic heart disease.Material and methods: the results of 622 patients with ischemic heart disease from the surgical ward were analyzed. Patients were divided into groups according to the level and character of surgical risk. Hospital mortality rate, frequency of perioperative complications and a range of time indices were taken into consideration.Results: the postoperative period went smoothly in patients with low surgical risk, regardless of the method used in performing the operation. On-pump coronary artery bypass grafting beating heart in patients with postinfarction myocardial disability resulted in a decline in the frequency of perioperative complications. Collected data points to an obvious advantage of off-pump coronary bypass grafting in patients with severe comorbidity.Summary: no method of coronary bypass grafting has an absolute advantage over the others. Each of them should be taken into consideration as the optimal variant of operation only after evaluating all clinical and diagnostic indicators.

Keywords

• ischemic heart disease
• coronary artery bypass grafting
• heart-lung pump
• euroscore
• complications