Five-Year Survival of Patients Treated with Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Compared with the General Swiss Population.

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Thoracic and Cardiovascular Surgeon Pub Date : 2024-09-01 Epub Date: 2023-04-12 DOI:10.1055/s-0043-1768035
Oliver Reuthebuch, Alina Stein, Luca Koechlin, Brigitta Gahl, Denis Berdajs, David Santer, Friedrich Eckstein
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Abstract

Background:  To evaluate the midterm follow-up and 5-year survival outcome of the minimally invasive direct coronary artery bypass (MIDCAB) procedure compared with the survival of the general Swiss population.

Methods:  Retrospective study on preoperative data, intraoperative data, and postoperative outcome of patients who underwent MIDCAB surgery between June 2010 and February 2019. To assess validity of this surgical therapy, outcomes were compared with survival data of a gender- and age-matched cohort of the general Swiss population taken from the database of the Swiss Federal Statistical Office.

Results:  A total of 88 patients were included. Median (interquartile range [IQR[) age was 66 (56-75) years, and 27% (n = 24) were female. The median (IQR) length of the in-hospital stay was 7 (6-8) days. No postoperative stroke occurred. The 30-day mortality was 1.1% (n = 1). Reintervention for failed left internal mammary artery was needed in 1.1% (n = 1). The median (IQR) ejection fraction was 58% (47-60) preoperatively and remained stable during follow-up. The median (IQR) follow-up period was 3 (1.1-5.2) years. Five years postoperatively, 83% (confidence interval, 69-91) of the patients were alive, showing an overlap with the range of survival of the matched subcohort of the general Swiss population (range, 84-100%).

Conclusion:  Though suffering from coronary heart disease, patients after MIDCAB show almost equal survival rates as an equivalent subcohort corresponding to the general Swiss population matched on age and gender. Thus, our data show this treatment to be safe and beneficial.

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采用微创冠状动脉直接搭桥术 (MIDCAB) 治疗的患者与瑞士普通人群的五年生存率比较。
背景:评估微创直接冠状动脉搭桥术(MIDCAB)的中期随访和5年生存率:评估微创冠状动脉直接搭桥术(MIDCAB)的中期随访和5年生存结果,并与瑞士普通人群的生存情况进行比较:方法:对2010年6月至2019年2月期间接受MIDCAB手术的患者的术前数据、术中数据和术后结果进行回顾性研究。为评估该手术疗法的有效性,将结果与瑞士联邦统计局数据库中性别和年龄匹配的瑞士普通人群的生存数据进行了比较:结果:共纳入 88 名患者。年龄中位数(四分位数间距[IQR])为66(56-75)岁,27%(n = 24)为女性。住院时间中位数(IQR)为7(6-8)天。术后未发生中风。30天死亡率为1.1%(n = 1)。1.1%(n = 1)的患者因左乳内动脉手术失败而需要再次手术。术前射血分数中位数(IQR)为 58% (47-60),随访期间保持稳定。中位(IQR)随访时间为 3 (1.1-5.2) 年。术后五年,83%(置信区间,69-91)的患者存活,与瑞士普通人群中匹配子群的存活率范围(84%-100%)相吻合:结论:尽管患有冠心病,但接受 MIDCAB 手术的患者的存活率几乎与年龄和性别匹配的瑞士普通人群中的同等亚群存活率相同。因此,我们的数据表明这种治疗方法是安全和有益的。
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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
365
审稿时长
3 months
期刊介绍: The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.
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