Is off-pump technique a safer procedure for coronary revascularization? A propensity score analysis of 20 years of experience

Interactive Cardiovascular and Thoracic Surgery
Paula CarmonaJuan Martínez-León

Abstract

We aim to describe our experience in coronary artery bypass grafting (CABG) with or without cardiopulmonary bypass by comparing intraoperative and postoperative outcomes. From January 1993 to June 2013, 3097 patients underwent consecutive emergency and scheduled CABG surgery. A total of 1770 patients underwent on-pump CABG (ONCABG) and 1327 off-pump CABG (OPCABG). A propensity score matching was performed to identify appropriate matched-pair patients; univariable and multivariable logistic regression analyses were performed to assess significant predictors of hospital and 30-day morbidity and mortality composite end-points. Morbidity composite end-point was defined as any renal, pulmonary, cardiovascular and neurological complication that occurred during hospital stay. We collected all-cause mortality data during the study period. We identified 1004 patients in each group. There were no significant differences in thirty day mortality, 2.8 vs 3.8%, in OPCABG and ONCABG, respectively (P = 0.21). Cardiovascular, neurological, respiratory and renal complications were more frequent in the ONCABG group: 13.9 vs 8.7% (P < 0.001), 3.9 vs 2.2% (P = 0.03), 13.5 vs 7.5% (P < 0.001), 7.1 vs 5.3% (P = 0.095), respectively. The long-term all...Continue Reading

References

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Dec 1, 2014·The Journal of Thoracic and Cardiovascular Surgery·Harold L Lazar

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Citations

Apr 27, 2016·Interactive Cardiovascular and Thoracic Surgery·Michael Poullis
Aug 11, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Qiang JiChunSheng Wang
Jul 17, 2019·International Heart Journal·JinQiang ShenChunSheng Wang

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