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The Predictive Effects of Clinical Hematological Changes on Saphenous Graft Patency after Coronary Artery Surgery
- Source :
- Brazilian Journal of Cardiovascular Surgery, Brazilian Journal of Cardiovascular Surgery, Volume: 34, Issue: 3, Pages: 297-304, Published: 22 JUL 2019, Brazilian Journal of Cardiovascular Surgery, Vol 34, Iss 3, Pp 297-304, Brazilian Journal of Cardiovascular Surgery v.34 n.3 2019, Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV), instacron:SBCCV
- Publication Year :
- 2019
-
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
- Subjects :
- Male
lcsh:Diseases of the circulatory (Cardiovascular) system
Coronary Artery Disease
Coronary Angiography
Coronary artery bypass surgery
Reference Values
Risk Factors
Occlusion
Clinical endpoint
Treatment Failure
Coronary Artery Bypass
Aged, 80 and over
Ejection fraction
Hematologic Tests
Platelet Distribution Width
Platelet
Age Factors
General Medicine
Middle Aged
Echocardiography
Cardiology
Female
Original Article
Cardiology and Cardiovascular Medicine
Cohort study
Adult
Blood Platelets
medicine.medical_specialty
lcsh:Surgery
Statistics, Nonparametric
Predictive Value of Tests
Internal medicine
Diabetes mellitus
medicine
Humans
Saphenous Vein
Vascular Patency
Aged
Retrospective Studies
business.industry
Platelet Count
lcsh:RD1-811
Coronary Artery Bypass Surgery
medicine.disease
Atherosclerosis
Stenosis
Logistic Models
ROC Curve
lcsh:RC666-701
Surgery
CT Angiography
business
Subjects
Details
- ISSN :
- 16789741
- Volume :
- 34
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Brazilian journal of cardiovascular surgery
- Accession number :
- edsair.doi.dedup.....130188d11c00de14d2eb844572738594