CABG in diabetic patients using bilateral skeletonized internal mammary arteries (BIMA) has long term survival and patency rates.
Methods:
Retrospective study to evaluate the outcome of off pump CABG using bilateral skeletonized mammeries in type II diabetics.
Results
69 type II diabetics patients had off pump CABG with bilateral skeletonized mammeries (Group I) compared to 69 diabetics patients with single skeletonized mammary artery(Group II).There was no statistically significant difference between both group regarding preoperative and demographic data. No significant difference in operative time (212.73±7.26 min in Group I minutes versus 197.50±6.85 min in group II, P =0.06).No difference in ventilation time (10.32±2.24 hours in Group I versus 9.28±2.03 hours in Group II, P = 0.07).There was no significant difference in postoperative chest tube drainage (546.61±294.86 ML in Group I versus 465.50±256.07ML in Group II, P =0.08.Three patients in Group I (4.34%) re-opened for bleeding versus two patients (2.89%) in Group II with no significant difference, P = 0.29. No significant value regarding incidence of wound infection, 4 patients (5.79%) had superficial wound infection in Group I versus 3 patients (4.34%) in Group II, P = 0.68. Two patients had mediastinitis (2.89%) in Group I versus one patient (1.44%) in Group II, P = 0.55.There was no significant difference in hospital stay (8.13±1.0 days in Group I versus 7.85±0.91days in Group II, P = 0.09).
Conclusion:
Off pump CABG using BIMA in type II diabetics can be done safely without significant increase in postoperative complications.
Keywords: OFF PUMP, BIMA, DIABETICS.