Özet:

Objective: Today, coronary bypass surgeries are still commonly performed with on-pump CABG and off-pump CABG techniques. In this retrospective clinical study, we investigated the short- and long-term complications of both surgical methods. Materials and Methods: In this study, patients with isolated single-vessel coronary artery disease according to Syntax scoring in our clinic between 2011 and 2015. A total of 43 patients who underwent on-pump (Group 1) and off-pump (Group 2) coronary artery surgery were included. In these patients, early postoperative complications and one-year major adverse cardiovascular and cerebral events were compared. Results: There were no statistically significant differences in terms of demographic values between the two groups. In terms of postoperative complications, atrial fibrillation was found to be significantly less in the off-pump surgery group. There was no significant difference in terms of length of stay in the intensive care unit and hospital, pneumonia, sternal infection and the amount of postoperative drainage. There was no difference between the groups in terms of major adverse cardiovascular and cerebral events (MACCE) in the long term after the operation. Conclusion: In conclusion, we suggest determining the method to be applied in coronary bypass surgery according to the patient's risk scoring.

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