Coronary Artery Bypass Surgery in Diabetic Patients

Brandt, M.; Harder, Kristina; Walluscheck, Knut P.; Fraund, S.; Böning, Andreas; Cremer, Jochen

doi:10.1111/j.0886-0440.2004.04007.x

Cited by 20 publications

(10 citation statements)

References 18 publications

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“…Similar to our findings, in some other studies, no significant relationship was found between diabetes and mortality [16,17].…”

Section: Discussionsupporting

confidence: 93%

Preoperative Hba1c level in prediction of short-term morbidity and mortality outcomes following coronary artery bypass grafting surgery

Arslan¹,

Memetoğlu²,

Kutlu³

et al. 2015

RusOMJ

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Abstract:Objective -This study was conducted to determine whether HbA1c is a predictor of short term mortality and morbidity after coronary artery bypass graft operation. Methods -The coronary artery bypass graft operation was performed on the patients between January 2009 and January 2013. Each patient's medical record was retrospectively reviewed. The patients who were included in the study were evaluated in groups of 60. One group was comprised of nondiabetic patients, whose HbA1c level is below 6% (the control group 0), the other included diabetic patients with the HbA1c level is between 6-6.9% (the group 1) and the last group, group 2, included those patients with HbA1c level is equal or greater than 7%. Pre, peri and post operation data was compared. The deaths that occured in the first 30 days were evaluated as mortality and complications as morbitity. Results -While mortality was not observed in the control group, one incident was observed in group 1 and 5 in group 2, which corresponds to 1.7% and 8.3% respectively. The mortality ratio in the group with patients whose HbA1c was greater or equal to 7% found statistically significant compared to the control group (P=0.02). The following parameters were observed in group 2 and were found statistically significant: the need for dialisis (25%, P<0.01), atrial fibrillation (33%, P=0.01), revision due to bleeding (10%, P=0.18), cerebrovascular event (16,7%, P=0.01), duration of mechanic ventilation (19.5±21.6, P=0.06), duration of hospital stay (approximately 9.91±5.35 days, P=0.01), infection in scar (53%, P<0.01), mediastenit (11%, P=0.01) and urinary tract infection (10%, P=0.01) Conclusion -We concluded that in those diabetic patients that elective coronart artery bypass graft is applied, highly reactive HbA1c levels (HbA1c ≥7), may indicate morbitity in the early stages of post operation.

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“…Similar to our findings, in some other studies, no significant relationship was found between diabetes and mortality [16,17].…”

Section: Discussionsupporting

confidence: 93%

Preoperative Hba1c level in prediction of short-term morbidity and mortality outcomes following coronary artery bypass grafting surgery

Arslan¹,

Memetoğlu²,

Kutlu³

et al. 2015

RusOMJ

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“…Preoperative factors associated with increased incidence of SV infection include increased age, 10,11 female sex, 9,12-14 increased body mass index, 9,10,13,[14][15][16] and comorbidities such as DM, 9,[11][12][13]17 PVD, [11][12][13] low preoperative hemoglobin levels, 14 congestive heart failure, and chronic renal failure, whereas the peroperative factors include duration of surgery, open technique of harvesting, 1,18-21 harvesting from the leg with deep vein thrombosis, inappropriate use of electrocautery, and IABP use, and these factors are modifiable.…”

Section: Risk Factors Associated With Gsvhsimentioning

confidence: 99%

Saphenous vein harvest wound complications: risk factors, identification, prevention, and management

Siddiqi¹

2016

CWCMR

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Coronary artery bypass grafting is a commonly performed surgery worldwide that gives good results. Great saphenous vein is used as a conduit for bypass in over 95% cases. The harvesting technique has remained unchanged over the years. However, wound complications from harvesting the great saphenous vein by open method can be a major source of postoperative morbidity. With the objective of preventing major complications, identification of risk factors for saphenous vein harvest site infection is important. It is imperative to develop approaches that prevent infection and to allow for early recognition of patients who are at high risk and who may need more watchful monitoring so as to prevent development of wound complications. It is desirable to assess the patient completely, delineate the anatomy of peripheral vessels particularly in a patient with associated peripheral vascular disease, identify the best site to perform the saphenous vein harvest incision, employ a meticulous surgical technique, recognize complications early, and start the recommended treatment without delay. The aim of this paper is to identify the risk factors for saphenous vein harvest site complications and their identification, prevention, and management.

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“…There is also a high comorbidity between Peripheral Vascular Disease and Coronary Artery Disease (Brandt et al, 2004;Eagle et al, 1994;Hertzer et al, 1984). While several studies have reported short-term adverse outcomes in Coronary Artery Bypass Grafting patients that also have Peripheral Vascular Disease (Gersh et al, 1989;Grover et al, 1990;Higgins et al, 1992;Kunadian et al, 2007;Magovern et al, 1996;O'Connor et al, 1992;Rosenthal et al, 2003;Sutton-Tyrrell et al, 1998) the long-term outcomes have not been thoroughly investigated.…”

Section: Comorbidity With Coronary Artery Diseasementioning

confidence: 99%

Psychiatric Factors Which Impact Coronary Heart Disease and Influence Outcomes Post-Coronary Artery Bypass Grafting Surgery

Mahoney¹,

Voelkel²,

Bannister³

et al. 2012

Front Lines of Thoracic Surgery

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Coronary Artery Bypass Surgery in Diabetic Patients

Abstract: The present study suggests that diabetes increases the risk of superficial wound infections after coronary artery bypass grafting. But diabetics do not necessarily have an increased risk of major complications and mortality.

Cited by 20 publications

References 18 publications

Preoperative Hba1c level in prediction of short-term morbidity and mortality outcomes following coronary artery bypass grafting surgery

Preoperative Hba1c level in prediction of short-term morbidity and mortality outcomes following coronary artery bypass grafting surgery

Saphenous vein harvest wound complications: risk factors, identification, prevention, and management

Psychiatric Factors Which Impact Coronary Heart Disease and Influence Outcomes Post-Coronary Artery Bypass Grafting Surgery

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