Abstract
Coronary artery revascularization with cardiopulmonary bypass (ONCAB) has been reported to carry several risks for patients with poor left ventricular (LV) function (ejection fraction <30%). Off-pump CABG (OPCAB) has been proposed to result in a better outcome, but mid- and long-term survival rates have never been compared. The aim of this study is to assess the effect of cardiopulmonary bypass on this group of patients. In a 10-year period, a total of 934 patients with poor LV function undergoing isolated first-time coronary artery bypass graft were studied. They were divided into two groups, the ONCAB group, with 528 patients, and the OPCAB group with 406 patients. The EuroSCORE was significantly higher in the OPCAB group (P=0.049). After adjusting for the preoperative characteristics, postoperative complications, in-hospital mortality, mid-term survival rate (five years), and long-term survival rate (10 years) were compared. The average number of grafts was 3.7 in the ONCAB group and 3.1 in the OPCAB group (P<0.001). Postoperative complications of ONCAB and OPCAB groups such as; atrial fibrillation (29.6% vs. 28.6%), renal failure (9.3% vs. 9.6%), stroke (2.3% vs. 0.7%), and perioperative myocardial infarction (MI) (3.8% vs....Continue Reading
References
Aug 1, 1991·Chest·F J BenettiL Geffner
May 1, 1985·Anesthesiology·D T Mangano
Oct 1, 1983·Circulation·E L AldermanM Schloss
Jun 1, 1997·The Annals of Thoracic Surgery·Y MoshkovitzR Mohr
Apr 10, 1999·The Annals of Thoracic Surgery·A M CalafioreV Mazzei
Jul 27, 1999·The Annals of Thoracic Surgery·S WanA P Yim
Aug 23, 2001·The Annals of Thoracic Surgery·A M CalafioreS D'Alessandro
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·U Lockowandt, A Franco-Cereceda
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S Al-RuzzehM Amrani
Nov 22, 2001·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·F BouchartR Soyer
Jan 10, 2002·The Journal of Thoracic and Cardiovascular Surgery·Eugene H Blackstone
Jul 31, 2002·Lancet·Yasir Abu-Omar, David P Taggart
Oct 29, 2002·The Annals of Thoracic Surgery·Zile Singh MeharwalNaresh Trehan
Dec 21, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sharif Al-RuzzehMohamed Amrani
Mar 17, 2005·The Heart Surgery Forum·Ioannis K ToumpoulisDaniel G Swistel
Aug 28, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Young-Nam YounKyung-Jong Yoo
Oct 3, 2008·Current Opinion in Cardiology·Faraz KerendiJohn D Puskas
Citations
Jan 6, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Francesca O'BoyleMichael Poullis
Oct 26, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Francesca O'BoyleMichael Poullis
Mar 17, 2012·Interactive Cardiovascular and Thoracic Surgery·Omar A JarralThanos Athanasiou
Mar 2, 2013·Interactive Cardiovascular and Thoracic Surgery·Richard WarwickMichael Poullis
Apr 22, 2014·Heart, Lung & Circulation·Omar A JarralThanos Athanasiou
Sep 23, 2011·The Annals of Thoracic Surgery·Omar A JarralThanos Athanasiou
Mar 23, 2013·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Toshihiro FukuiShuichiro Takanashi
Jun 22, 2012·Asian Cardiovascular & Thoracic Annals·Nizar AlWaqfiKhaled Ibrahim
Apr 9, 2013·Perfusion·V YukselT Ege
Aug 24, 2011·Korean journal of anesthesiology·Youn Yi JoYong Seon Choi
Dec 23, 2017·Journal of Huazhong University of Science and Technology. Medical Sciences = Hua Zhong Ke Ji Da Xue Xue Bao. Yi Xue Ying De Wen Ban = Huazhong Keji Daxue Xuebao. Yixue Yingdewen Ban·Chuang-Yan WuJia-Hong Xia
Jul 7, 2020·Journal of Cardiac Surgery·Laura SeeseArman Kilic
May 13, 2020·Journal of Cardiothoracic Surgery·Zhiyuan GuanChunli Song
Jan 28, 2021·Journal of Cardiac Surgery·Chandrasekaran AnanthanarayananPratik Shah
Aug 16, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mateo Marin-CuartasPiroze M Davierwala