Patients with diabetes who underwent heart bypass surgery to live longer when surgeons used an artery rather than a vein, when you create a shunt. This is evidenced by the results of a study published in the "Annals of Thoracic Surgery."
Scientists from the Royal Melbourne Hospital examined more than 63 000 cases of cardiac surgery from the database of the Australian and New Zealand Society of Cardiothoracic Surgeons. They identified 34,181 patients who underwent coronary artery bypass surgery for the first time, in the period from 2001 to 2012. Of these, 2017 people are diagnosed with diabetes, survived the operation using only the arteries (complete arterial revascularization) and 1967 with diabetes - standard operation, which is mainly used veins.
In those situations where the complete arterial revascularization in patients with diabetes was significantly increased survival and improved long-term results. From 100 persons undergoing standard operation, the 10-year survival rate was observed in 78 diabetics. At the same time, the number of patients who underwent total arterial revascularization was 82 people at the same longevity.
The researchers also found that the use of arteries in aortocoronary bypass surgery does not increase the complication rate such as angina pectoris (chest pain), heart attacks, heart failure and re-hospitalization. Furthermore, the operation is quite achievable, and may be performed by any qualified and trained heart surgeon. Its implementation is necessary to increase the duration of life and improve its quality among diabetics, and reduce medical costs.
Based on materials news-medical.net