OP-11. The Effect of Naples Prognostic Score in Predicting Saphenous Vein Graft Disease in Patients with Coronary Bypass

• Published in: The European research journal Vol. 10; pp. S27 - S29
• Main Authors: Torun, Akın, Kılıç, Şahhan, Şeker, Mehmet, Dilmen, Serkan, Doğan, Selami, Yavuz, Samet, Mirzamidinov, Didar
• Format: Journal Article
• Language: English
• Published: Bursa The Association of Health Research & Strategy 01.03.2024
• Subjects: Cardiovascular disease; Coronary vessels
• ISSN: 2149-3189

Objective: Coronary artery bypass graft surgery (CABG) is one of the main revascularization methods in coronary artery disease. However, incidence of saphenous vein graft disease (SVGD) is high in the long term. Inflammatory processes affect the formation of SVGD. Therefore, we evaluated the predictive value of Naples prognostic score for SVGD. Methods: The study was retrospective in design. We included the data of 514 patients who presented to two centers between 2019-2022. A stenosis of 50% or more in the saphenous graftother than the anastomotic line was considered as SVGD. Patients with a history of inflammatory disease were excluded from the study. Results from routine rheological and biochemical studies obtained 24 hours before the operation were evaluated. The Naples scores of the SVGD group and the control group were compared and their effects on saphenous vein graft disease were investigated. Results: Naples score was higher in the group with saphenous vein disease (mean: 2.2±1.2) than the group without saphenous vein disease (mean: 1.8±1.2) (P=0.006) (Table 1-2). Also, Naples classification was found to be higher in the group with saphenous vein disease (mean: 2.3±0.7) than in the group without saphenous vein disease (mean: 2.1±0.7) (P=0.029) (Table 3). Conclusion: Naples prognostic score is a simple, cost-effective and easily calculable prognostic score. Considering the inflammatory processes in the pathophysiology of atherosclerosis, the Naples prognostic score was observed to be useful in predicting saphenous vein graft disease. This positive prognostic effect is present in both the Naples score and the Naples group classification.