Influence of preoperative coronary collateral circulation on in-hospital  mortality in patients undergoing coronary artery bypass graft surgery with intra-aortic balloon pump support

Hasan Gungor, Cemil Zencir, Cagdas Akgullu, Ufuk Eryilmaz, Mithat Selvi, Sevil Onay, Tunay Kurtoglu, Abraham Samuel Babu, Ali Zorlu

Research output: Contribution to journalArticle

Abstract

Background Outcomes in patients requiring coronary artery bypass graft (CABG) surgery have been improved with devices such as the intra-aortic balloon pump (IABP). Good coronary collateral circulation (CCC) has been shown to reduce mortality in patients with coronary artery disease (CAD). We aimed to investigate whether poor preoperative CCC grade is a predictor of in-hospital mortality in CABG surgery requiring IABP support.

Methods Fifty-five consecutive patients who were undergoing isolated first time on-pump CABG surgery with IABP support were enrolled into this study and CCC of those patients was evaluated.

Results Twenty-seven patients had poor CCC and 28 patients had good CCC. In-hospital mortality rate in poor CCC group was significantly higher than good CCC group (14 (50%) vs. 4 (13%), P=0.013). Preoperative hemoglobin level (OR: 0.752; 95% CI, 0.571–0.991, P=0.043), chronic obstructive pulmonary disease (OR: 6.731; 95% CI, 1.159–39.085, P=0.034) and poor CCC grade (OR: 5.750; 95% CI, 1.575–20.986, P=0.008) were associated with post-CABG in-hospital mortality. Poor CCC grade (OR: 4.853; 95% CI, 1.124–20.952, P=0.034) and preoperative hemoglobin level (OR: 0.624; 95% CI, 0.476–0.954, P=0.026) were independent predictors of in-hospital mortality after CABG.

Conclusion Preoperative poor CCC and hemoglobin are predictors of in-hospital mortality after CABG with IABP support.

Original languageEnglish
Pages (from-to)3077-3081
Number of pages5
JournalChinese Medical Journal
Volume127
Issue number17
DOIs
Publication statusPublished - 01-01-2014

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Coronary Circulation
Collateral Circulation
Hospital Mortality
Coronary Artery Bypass
Transplants
Hemoglobins
Mortality
Chronic Obstructive Pulmonary Disease
Coronary Artery Disease
Equipment and Supplies

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Gungor, Hasan ; Zencir, Cemil ; Akgullu, Cagdas ; Eryilmaz, Ufuk ; Selvi, Mithat ; Onay, Sevil ; Kurtoglu, Tunay ; Babu, Abraham Samuel ; Zorlu, Ali. / Influence of preoperative coronary collateral circulation on in-hospital  mortality in patients undergoing coronary artery bypass graft surgery with intra-aortic balloon pump support. In: Chinese Medical Journal. 2014 ; Vol. 127, No. 17. pp. 3077-3081.
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title = "Influence of preoperative coronary collateral circulation on in-hospital  mortality in patients undergoing coronary artery bypass graft surgery with intra-aortic balloon pump support",
abstract = "Background Outcomes in patients requiring coronary artery bypass graft (CABG) surgery have been improved with devices such as the intra-aortic balloon pump (IABP). Good coronary collateral circulation (CCC) has been shown to reduce mortality in patients with coronary artery disease (CAD). We aimed to investigate whether poor preoperative CCC grade is a predictor of in-hospital mortality in CABG surgery requiring IABP support.Methods Fifty-five consecutive patients who were undergoing isolated first time on-pump CABG surgery with IABP support were enrolled into this study and CCC of those patients was evaluated.Results Twenty-seven patients had poor CCC and 28 patients had good CCC. In-hospital mortality rate in poor CCC group was significantly higher than good CCC group (14 (50{\%}) vs. 4 (13{\%}), P=0.013). Preoperative hemoglobin level (OR: 0.752; 95{\%} CI, 0.571–0.991, P=0.043), chronic obstructive pulmonary disease (OR: 6.731; 95{\%} CI, 1.159–39.085, P=0.034) and poor CCC grade (OR: 5.750; 95{\%} CI, 1.575–20.986, P=0.008) were associated with post-CABG in-hospital mortality. Poor CCC grade (OR: 4.853; 95{\%} CI, 1.124–20.952, P=0.034) and preoperative hemoglobin level (OR: 0.624; 95{\%} CI, 0.476–0.954, P=0.026) were independent predictors of in-hospital mortality after CABG.Conclusion Preoperative poor CCC and hemoglobin are predictors of in-hospital mortality after CABG with IABP support.",
author = "Hasan Gungor and Cemil Zencir and Cagdas Akgullu and Ufuk Eryilmaz and Mithat Selvi and Sevil Onay and Tunay Kurtoglu and Babu, {Abraham Samuel} and Ali Zorlu",
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Influence of preoperative coronary collateral circulation on in-hospital  mortality in patients undergoing coronary artery bypass graft surgery with intra-aortic balloon pump support. / Gungor, Hasan; Zencir, Cemil; Akgullu, Cagdas; Eryilmaz, Ufuk; Selvi, Mithat; Onay, Sevil; Kurtoglu, Tunay; Babu, Abraham Samuel; Zorlu, Ali.

In: Chinese Medical Journal, Vol. 127, No. 17, 01.01.2014, p. 3077-3081.

Research output: Contribution to journalArticle

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T1 - Influence of preoperative coronary collateral circulation on in-hospital  mortality in patients undergoing coronary artery bypass graft surgery with intra-aortic balloon pump support

AU - Gungor, Hasan

AU - Zencir, Cemil

AU - Akgullu, Cagdas

AU - Eryilmaz, Ufuk

AU - Selvi, Mithat

AU - Onay, Sevil

AU - Kurtoglu, Tunay

AU - Babu, Abraham Samuel

AU - Zorlu, Ali

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Background Outcomes in patients requiring coronary artery bypass graft (CABG) surgery have been improved with devices such as the intra-aortic balloon pump (IABP). Good coronary collateral circulation (CCC) has been shown to reduce mortality in patients with coronary artery disease (CAD). We aimed to investigate whether poor preoperative CCC grade is a predictor of in-hospital mortality in CABG surgery requiring IABP support.Methods Fifty-five consecutive patients who were undergoing isolated first time on-pump CABG surgery with IABP support were enrolled into this study and CCC of those patients was evaluated.Results Twenty-seven patients had poor CCC and 28 patients had good CCC. In-hospital mortality rate in poor CCC group was significantly higher than good CCC group (14 (50%) vs. 4 (13%), P=0.013). Preoperative hemoglobin level (OR: 0.752; 95% CI, 0.571–0.991, P=0.043), chronic obstructive pulmonary disease (OR: 6.731; 95% CI, 1.159–39.085, P=0.034) and poor CCC grade (OR: 5.750; 95% CI, 1.575–20.986, P=0.008) were associated with post-CABG in-hospital mortality. Poor CCC grade (OR: 4.853; 95% CI, 1.124–20.952, P=0.034) and preoperative hemoglobin level (OR: 0.624; 95% CI, 0.476–0.954, P=0.026) were independent predictors of in-hospital mortality after CABG.Conclusion Preoperative poor CCC and hemoglobin are predictors of in-hospital mortality after CABG with IABP support.

AB - Background Outcomes in patients requiring coronary artery bypass graft (CABG) surgery have been improved with devices such as the intra-aortic balloon pump (IABP). Good coronary collateral circulation (CCC) has been shown to reduce mortality in patients with coronary artery disease (CAD). We aimed to investigate whether poor preoperative CCC grade is a predictor of in-hospital mortality in CABG surgery requiring IABP support.Methods Fifty-five consecutive patients who were undergoing isolated first time on-pump CABG surgery with IABP support were enrolled into this study and CCC of those patients was evaluated.Results Twenty-seven patients had poor CCC and 28 patients had good CCC. In-hospital mortality rate in poor CCC group was significantly higher than good CCC group (14 (50%) vs. 4 (13%), P=0.013). Preoperative hemoglobin level (OR: 0.752; 95% CI, 0.571–0.991, P=0.043), chronic obstructive pulmonary disease (OR: 6.731; 95% CI, 1.159–39.085, P=0.034) and poor CCC grade (OR: 5.750; 95% CI, 1.575–20.986, P=0.008) were associated with post-CABG in-hospital mortality. Poor CCC grade (OR: 4.853; 95% CI, 1.124–20.952, P=0.034) and preoperative hemoglobin level (OR: 0.624; 95% CI, 0.476–0.954, P=0.026) were independent predictors of in-hospital mortality after CABG.Conclusion Preoperative poor CCC and hemoglobin are predictors of in-hospital mortality after CABG with IABP support.

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