Coronary artery bypass grafting in the awake patient: three years’ experience in 137 patients

摘要: Abstract Objective: Our experience with 137 patients operated on without general anesthesia is reviewed to explore the validity of our surgical strategy. Methods: Between October 1998 and January 2002, underwent coronary artery bypass grafting high thoracic epidural anesthesia. There were 47 female 90 male patients, ranging in age from 37 92 years (mean, 68 ± 12 years). Two reoperation. Nineteen had contraindications for Target vessels involved left anterior descending 122, right 6, plus 7, circumflex 2 patients. Coronary was performed through limited access 74 (H-graft 42 rib cage lifting 32 patients) a median sternotomy 63 Cardiopulmonary not used. Results: In 39 (28.4%) pneumothorax observed during intervention. no mortality. Of 132 (96.3%) completed procedure awake. 58 intensive care unit Eight discharged hospital day their operation. Mean length hospitalization 1 (range, 0–3 days). One hundred thirty-one followed up period 3 months after operations, 94.7% symptom free. Control angiograms obtained 41 Graft patency 100%, one radial graft spasm. Conclusions: initial confirms feasibility safety performing conscious patient Further study required define possible extent limitations this