The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Journal of Cardiovascular Surgery (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000300297 |
Resumo: | Abstract Objectives: To investigate the association between clinical hematologic parameters and saphenous vein graft failure after on-pump coronary artery bypass surgery. Methods: A total of 1950 consecutive patients underwent isolated on-pump coronary artery surgery between November 2010 and February 2013. Of these, 284 patients met our inclusion criteria; their preoperative clinical hematological parameters were retrospectively obtained for this cohort study. And of them, 109 patients underwent conventional coronary angiography after graft failure was revealed by coronary computed tomography angiography. The primary endpoint was to catch at least one saphenous vein graft stenosis or occlusion following the coronary angiogram. We then analyzed risk factors for graft failure. In sequential or T grafts, each segment was analyzed as a separate graft. Results: In logistic regression analysis, older age, platelet distribution width, and diabetes mellitus were identified as independent predictors of saphenous vein graft failure (P<0.). In contrast, preserved ejection fraction value favored graft patency (P<0.001). Conclusion: Increased platelet distribution width is easily measurable and can be used as a simple and valuable marker in the prediction of saphenous vein graft failure. |
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Brazilian Journal of Cardiovascular Surgery (Online) |
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The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery SurgerySaphenous VeinAtherosclerosisPlateletCoronary Artery Bypass SurgeryCT AngiographyAbstract Objectives: To investigate the association between clinical hematologic parameters and saphenous vein graft failure after on-pump coronary artery bypass surgery. Methods: A total of 1950 consecutive patients underwent isolated on-pump coronary artery surgery between November 2010 and February 2013. Of these, 284 patients met our inclusion criteria; their preoperative clinical hematological parameters were retrospectively obtained for this cohort study. And of them, 109 patients underwent conventional coronary angiography after graft failure was revealed by coronary computed tomography angiography. The primary endpoint was to catch at least one saphenous vein graft stenosis or occlusion following the coronary angiogram. We then analyzed risk factors for graft failure. In sequential or T grafts, each segment was analyzed as a separate graft. Results: In logistic regression analysis, older age, platelet distribution width, and diabetes mellitus were identified as independent predictors of saphenous vein graft failure (P<0.). In contrast, preserved ejection fraction value favored graft patency (P<0.001). Conclusion: Increased platelet distribution width is easily measurable and can be used as a simple and valuable marker in the prediction of saphenous vein graft failure.Sociedade Brasileira de Cirurgia Cardiovascular2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000300297Brazilian Journal of Cardiovascular Surgery v.34 n.3 2019reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2018-0211info:eu-repo/semantics/openAccessİyigün,TanerKyaruzi,Mugisha MarkiorTimur,BarışSatılmışoğlu,Muhammed Hulusiİyigün,MüzeyyenKaya,Mehmeteng2019-07-18T00:00:00Zoai:scielo:S0102-76382019000300297Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2019-07-18T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false |
dc.title.none.fl_str_mv |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
title |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
spellingShingle |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery İyigün,Taner Saphenous Vein Atherosclerosis Platelet Coronary Artery Bypass Surgery CT Angiography |
title_short |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
title_full |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
title_fullStr |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
title_full_unstemmed |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
title_sort |
The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery |
author |
İyigün,Taner |
author_facet |
İyigün,Taner Kyaruzi,Mugisha Markior Timur,Barış Satılmışoğlu,Muhammed Hulusi İyigün,Müzeyyen Kaya,Mehmet |
author_role |
author |
author2 |
Kyaruzi,Mugisha Markior Timur,Barış Satılmışoğlu,Muhammed Hulusi İyigün,Müzeyyen Kaya,Mehmet |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
İyigün,Taner Kyaruzi,Mugisha Markior Timur,Barış Satılmışoğlu,Muhammed Hulusi İyigün,Müzeyyen Kaya,Mehmet |
dc.subject.por.fl_str_mv |
Saphenous Vein Atherosclerosis Platelet Coronary Artery Bypass Surgery CT Angiography |
topic |
Saphenous Vein Atherosclerosis Platelet Coronary Artery Bypass Surgery CT Angiography |
description |
Abstract Objectives: To investigate the association between clinical hematologic parameters and saphenous vein graft failure after on-pump coronary artery bypass surgery. Methods: A total of 1950 consecutive patients underwent isolated on-pump coronary artery surgery between November 2010 and February 2013. Of these, 284 patients met our inclusion criteria; their preoperative clinical hematological parameters were retrospectively obtained for this cohort study. And of them, 109 patients underwent conventional coronary angiography after graft failure was revealed by coronary computed tomography angiography. The primary endpoint was to catch at least one saphenous vein graft stenosis or occlusion following the coronary angiogram. We then analyzed risk factors for graft failure. In sequential or T grafts, each segment was analyzed as a separate graft. Results: In logistic regression analysis, older age, platelet distribution width, and diabetes mellitus were identified as independent predictors of saphenous vein graft failure (P<0.). In contrast, preserved ejection fraction value favored graft patency (P<0.001). Conclusion: Increased platelet distribution width is easily measurable and can be used as a simple and valuable marker in the prediction of saphenous vein graft failure. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000300297 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000300297 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.21470/1678-9741-2018-0211 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cirurgia Cardiovascular |
dc.source.none.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery v.34 n.3 2019 reponame:Brazilian Journal of Cardiovascular Surgery (Online) instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV |
instname_str |
Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
instacron_str |
SBCCV |
institution |
SBCCV |
reponame_str |
Brazilian Journal of Cardiovascular Surgery (Online) |
collection |
Brazilian Journal of Cardiovascular Surgery (Online) |
repository.name.fl_str_mv |
Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) |
repository.mail.fl_str_mv |
||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br |
_version_ |
1752126600396144640 |