Document Detail


Off-pump coronary artery bypass grafting for patients with three-vessel disease.
MedLine Citation:
PMID:  12110796     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Off-pump coronary artery bypass grafting (CABG) has been performed since 1996 in our institute, and its application has recently been expanded to patients with three-vessel disease. A study was performed to clarify the benefit of off-pump CABG for patients with three-vessel disease. METHODS: Between June 1, 1991 and September 30, 2001, a total of 1089 patients with three-vessel disease (832 men and 257 women; mean age, 64.0 +/- 9.1 years) underwent on-pump CABG. After 1997, a total of 310 patients with three-vessel disease (223 men and 87 women; mean age, 68.8 +/- 8.6 years) underwent off-pump CABG. Data of the historical cohort of on-pump CABG and the concurrent cohort of off-pump CABG were analyzed retrospectively. RESULTS: The 2 groups were age and gender matched. Significant comorbidities were more often observed in the off-pump group than in the on-pump group. The mean number of bypass grafts in the off-pump versus on-pump CABG was 3.3 vs 3.7, P <.0001. The mean intubation period, intensive care unit stay, and postoperative hospital stay were 7.9 vs 11.7 hours, 2.2 vs 3.0 days, and 14.5 vs 17.5 days, respectively (P <.0001). In-hospital mortality rate (0.6% vs 1.2%, respectively) and morbidity rates (10.3% vs 12.9%, respectively) were not significantly different. After surgery, calculated event-free rates at 2 years were 93.3% vs 91.9%, respectively; P = not significant. CONCLUSIONS: In patients with multivessel disease, off-pump CABG provided early recovery, and its complication rates and early follow-up results were equivalent to on-pump CABG.
Authors:
Hitoshi Hirose; Atushi Amano; Akihito Takahashi
Related Documents :
16844636 - Opening the cardiac chambers does not make any difference in p300 measurement.
11823666 - Postoperative hyperthermia is associated with cognitive dysfunction after coronary arte...
7572586 - Comparison of early and late complications in patients undergoing coronary artery bypas...
15086266 - The influence of coronary artery disease on quality of life after mechanical valve repl...
942766 - Intention myoclonus: successful treatment with clonazepam.
17984886 - Low temperatures in post-operative knee rehabilitation in rheumatoid arthritis patients.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Surgery     Volume:  132     ISSN:  0039-6060     ISO Abbreviation:  Surgery     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-07-11     Completed Date:  2002-08-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0417347     Medline TA:  Surgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  57-65     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Surgery, Kobari General Hospital, Chiba, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Cardiopulmonary Bypass
Coronary Artery Bypass* / methods
Coronary Disease / pathology*,  surgery
Coronary Vessels / pathology
Female
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Biliary complications in adult living donor liver transplantation with duct-to-duct hepaticocholedoc...
Next Document:  Single nucleotide polymorphism (G994-->T) in the plasma platelet-activating factor-acetylhydrolase g...