Off-pump versus on-pump coronary artery bypass surgery: does the pump influence outcome?

Journal of the American College of Surgeons
Andrew J BersonLoren F Hiratzka

Abstract

This study assessed hospitalization outcome differences for patients undergoing off-pump coronary artery bypass (OPCAB) grafting compared with patients having coronary artery bypass grafting with cardiopulmonary bypass. We conducted a nested case-control study from an 8-year, hospitalization cohort (n = 7,905) in which the data were collected prospectively. Inclusion criteria included a coronary artery bypass graft only and age greater than 18 years. Cases were patients undergoing OPCAB (n = 360) and controls were patients undergoing coronary artery bypass grafting with cardiopulmonary bypass (n = 1,080). Cases were matched to controls 1:3 on five variables: age (+/- 3 years), gender, diabetes, New York Heart Association Functional Classification, and surgical year (+/- 3 years). The 13 outcomes of interest were mortality, length of hospitalization, ICU length of stay, return to ICU, ventilator time, intraoperative complications, pulmonary complications, neurologic complications, renal complications, gastrointestinal complications, sternal wound infections, highest postoperative creatine kinase level, and units of blood products given during the procedure. Using logistic regression we controlled for eight confounding variables....Continue Reading

Citations

Jan 1, 2007·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Kitipan V AromPermyos Ruengsakulrach
Feb 16, 2007·Journal of Cardiothoracic Surgery·A B Johan GroeneveldJoanne Verheij
Sep 22, 2009·The Annals of Thoracic Surgery·Marco CirilloGiovanni Troise
May 29, 2007·The Annals of Thoracic Surgery·Constance K HaanEric D Peterson
Feb 13, 2010·Journal of Cardiac Surgery·Roberto RodriguezFrank W Sellke
May 13, 2006·International Journal of Cardiology·Gil BolotinGideon Uretzky
Jan 24, 2006·Journal of Cardiac Surgery·Hunaid A Vohra, Wadih R Dimitri
Oct 15, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Jörn Karhausen, Mark Stafford-Smith
Dec 15, 2011·The Heart Surgery Forum·Markus J WilhelmMichele Genoni
Nov 18, 2015·Oxidative Medicine and Cellular Longevity·Emad Al JaalyGianni D Angelini
Nov 6, 2008·Asian Cardiovascular & Thoracic Annals·Enisa M F CarvalhoTomas A Salerno

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery
Y Van BelleghemG Van Nooten
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Sharif Al-RuzzehMohamed Amrani
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Ardawan Julian RastanFriedrich Wilhelm Mohr
© 2022 Meta ULC. All rights reserved