Off-pump coronary artery bypass in the diabet ic patient-Perioperative clinical analysis / 中国糖尿病杂志

ABSTRACT

ObjectiveDiabetes is an independent risk factor for coronary artery bypasss grafting(CABG). Off pump coronary artery bypasss (OPCAB) experience in 251 cases was reviewed to determine whether diabetes wou ld be applicable in OPCAB procedures.MethodsConsecutive 251 patients underwent OPCAB over 12 month period. This study included 71 diebetic patients (DM group) and 180 nondiabetic patients (NDM group). Preoperative v ariables were compared between the two groups by univariate analysis.R esultsNo differences were found regarding the length of stay in cardio intensive care unit [DM group(2.4?0.3)d; NDM group (2.4?0.3) d;P=0. 386], and sternal complication (DM group 5.7%;NDM group 3.9%;P=0.511) . In hospital complications were as follows death rate(DM group 2.8%; NDM gr oup 1.1%; P=0.680); stroke (DM group 2 8%; NDM group 1 7%; P=0 623 ); hemofiltratioin renal failure (DM group 2.8%; NDM group 0.5%; P=0.194); myocardial infarction(DM group 0%; NDM group 0.5%;P=1.000); blood using were more frequent in DM group comparied with NDM group (P=0.111). ConclusionOPCAB in diabetic patients is as safe as in non diabetic patients.