Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 6 , Pages 784-792 , December 2007

Results and Predictors of Early and Late Outcomes of Coronary Artery Bypass Graft Surgery in Octogenarians

  • Farzan Filsoufi, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY
    • Corresponding Author InformationAddress reprint requests to Farzan Filsoufi, MD, Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, 1190 Fifth Avenue, Box 1028, New York, NY 10029.
    • ,
  • Parwis B. Rahmanian, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Javier G. Castillo, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • Joanna Chikwe, FRCS-CTh

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY
    • ,
  • George Silvay, MD, PhD

      Affiliations

    • Department of Anesthesiology, Mount Sinai School of Medicine, New York, NY.
    • ,
  • David H. Adams, MD

      Affiliations

    • Department of Cardiothoracic Surgery, Mount Sinai School of Medicine, New York, NY

References 

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  2. Ferguson TB, Hammill BG, Peterson ED, et al. A decade of change—Risk profiles and outcomes for isolated coronary artery bypass grafting procedures, 1990-1999: a report from the STS National Database Committee and the Duke Clinical Research Institute (Society of Thoracic Surgeons). Ann Thorac Surg. 2002;73:480–489discussion 489-490
  3. Akins CW, Daggett WM, Vlahakes GJ, et al. Cardiac operations in patients 80 years old and older. Ann Thorac Surg. 1997;64:606–614discussion 614-615
  4. Scott BH, Seifert FC, Grimson R, et al. Octogenarians undergoing coronary artery bypass graft surgery: Resource utilization, postoperative mortality, and morbidity. J Cardiothorac Vasc Anesth. 2005;19:583–588
  5. Alexander KP, Anstrom KJ, Muhlbaier LH, et al. Outcomes of cardiac surgery in patients ≥80 years: Results from the National Cardiovascular Network. J Am Coll Cardiol. 2000;35:731–738
  6. Nashef SA, Roques F, Michel P, et al. European system for cardiac operative risk evaluation (EuroSCORE). Eur J Cardiothorac Surg. 1999;16:9–13
  7. Social Security Death Index interactive search. Available at: http://ssdi.rootsweb.com/cgi-bin/ssdi.cgi. Accessed May 2007
  8. Aranki SF, Rizzo RJ, Adams DH, et al. Single-clamp technique: An important adjunct to myocardial and cerebral protection in coronary operations. Ann Thorac Surg. 1994;58:296–302discussion 302-303
  9. Mullany CJ, Darling GE, Pluth JR, et al. Early and late results after isolated coronary artery bypass surgery in 159 patients aged 80 years and older. Circulation. 1990;82:IV229–IV236
  10. Weintraub WS, Clements SD, Ware J, et al. Coronary artery surgery in octogenarians. Am J Cardiol. 1991;68:1530–1534
  11. Edmunds LH, Stephenson LW, Edie RN, et al. Open-heart surgery in octogenarians. N Engl J Med. 1988;319:131–136
  12. Hannan EL, Burke J. Effect of age on mortality in coronary artery bypass surgery in New York, 1991-1992. Am Heart J. 1994;128:1184–1191
  13. Kaul TK, Fields BL, Wyatt DA, et al. Angioplasty versus coronary artery bypass in octogenarians. Ann Thorac Surg. 1994;58:1419–1426
  14. Morris RJ, Strong MD, Grunewald KE, et al. Internal thoracic artery for coronary artery grafting in octogenarians. Ann Thorac Surg. 1996;62:16–22
  15. Bridges CR, Edwards FH, Peterson ED, et al. Cardiac surgery in nonagenarians and centenarians. J Am Coll Surg. 2003;197:347–356discussion 356-357
  16. Eagle KA, Guyton RA, Davidoff R, et al. ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery). Circulation. 2004;110:e340–e437
  17. Watanabe K, Fukuda I, Osaka M, et al. Axillary artery and transapical aortic cannulation as an alternative to femoral artery cannulation. Eur J Cardiothorac Surg. 2003;23:842–843
  18. Gold JP, Charlson ME, Williams-Russo P, et al. Improvement of outcomes after coronary artery bypass (A randomized trial comparing intraoperative high versus low mean arterial pressure). J Thorac Cardiovasc Surg. 1995;110:1302–1311discussion 1311-1314
  19. Filsoufi F, Adams DH. Surgical approaches to coronary artery disease. Curr Treat Options Cardiovasc Med. 2002;4:55–63
  20. Kirsch M, Guesnier L, LeBesnerais P, et al. Cardiac operations in octogenarians: Perioperative risk factors for death and impaired autonomy. Ann Thorac Surg. 1998;66:60–67
  21. Charlson M, Peterson J, Szatrowski TP, et al. Long-term prognosis after perioperative cardiac complications. J Clin Epidemiol. 1994;47:1389–1400
  22. Hein OV, Birnbaum J, Wernecke KD, et al. Three-year survival after four major post-cardiac operative complications. Crit Care Med. 2006;34:2729–2737
  23. Wahl GW, Swinburne AJ, Fedullo AJ, et al. Long-term outcome when major complications follow coronary artery bypass graft surgery (Recovery after complicated coronary artery bypass graft surgery). Chest. 1996;110:1394–1398
  24. Gatti G, Cardu G, Lusa AM, et al. Predictors of postoperative complications in high-risk octogenarians undergoing cardiac operations. Ann Thorac Surg. 2002;74:671–677
  25. Panesar SS, Athanasiou T, Nair S, et al. Early outcomes in the elderly: A meta-analysis of 4921 patients undergoing coronary artery bypass grafting—Comparison between off-pump and on-pump techniques. Heart. 2006;92:1808–1816
  26. Salzberg SP, Adams DH, Filsoufi F. Coronary artery surgery: Conventional coronary artery bypass grafting versus off-pump coronary artery bypass grafting. Curr Opin Cardiol. 2005;20:509–516

PII: S1053-0770(07)00246-7

doi: 10.1053/j.jvca.2007.08.007

Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 6 , Pages 784-792 , December 2007

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