članak: 1 od 1  
Medicinski pregled
2011, vol. 64, br. 5-6, str. 274-278
jezik rada: engleski
izvorni naučni članak
doi:10.2298/MPNS1106274K

Revaskularizacija miokarda bez ekstrakorporalne cirkulacije kod pacijenata s visokim operativnim rizikom
Univerzitet u Novom Sadu, Medicinski fakultet, Institut za kardiovaskularne bolesti

e-adresa: sakacar@gmail.com

Sažetak

Uvod. Danas se u svetu kod više od 25% pacijenata izvodi hirurška revaskularizacija bez korišćenja ekstrakorporalne cirkulacije. Cilj rada je bio da se prikažu rezultati hirurške revaskularizacije miokarda bez korišćenja ekstrakorporalne cirkulacije kod pacijenata s izrazito visokim operativnim rizikom kod kojih je vrednost logističkog EuroSCORE-a veća od 10. Materijal i metode U institutima za kardiovaskularne bolesti Vojvodine u Sremskoj Kamenici i u Beogradu, od septembra 2005. godine do septembra 2008. godine, kod 28 pacijenata, prosečne starosti 72,1 godina, koji su pripadali grupi bolesnika s izrazito povišenim operativnim rizikom (vrednost logističkog EuroSCORE-a veća od 10%), načinjena je hirurška revaskularizacija miokarda bez ekstrakorporalne cirkulacije. Rezultati Postoperativni mortalitet u grupi visokorizičnih pacijenata bio je 0%. Prosečan broj načinjenih anastomoza bio je 2,4. Kod 8 pacijenata (28,6%) registrovane su postoperativne komplikacije. Zaključak Naši rezultati ukazuju na to da je hirurška revaskularizacija bez upotrebe ekstrakorporalne cirkulacije siguran i efikasan način lečenja u grupi pacijenata s visokim operativnim rizikom koji nisu kandidati za klasičnu koronarnu hirurgiju.

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