Document Detail


Single coronary artery bypass grafting--a comparison between minimally invasive 'off pump' techniques and conventional procedures.
MedLine Citation:
PMID:  9814785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: At present, few studies directly comparing minimally invasive and conventional coronary artery bypass grafting are available. The aim of the present study was to evaluate the clinical outcome of the two techniques. METHODS: We retrospectively compared our first consecutive 20 patients undergoing minimally invasive coronary artery single bypass grafting on the beating heart (group I) with 23 consecutive patients receiving single coronary artery bypass via sternotomy using cardiopulmonary bypass and cardioplegia (group II). The procedures were performed during the period from Jan 1, 1994 to Feb 20, 1997. There were no significant differences in demographic data. RESULTS: Statistically significant differences were found concerning total operative time (172.6 min in group I and 149.6 min in group II P = 0.0009) and myocardial ischemic time (23.7 min local coronary occlusion time in group I and 17.6 min aortic cross-clamp time in group II P = 0.03. Patients treated minimally invasive received significantly fewer blood transfusions (25.0% vs. 69.6% P = 0.0035) and were discharged significantly earlier from the hospital (admission rate on the fifth postoperative day 68.4% in group I vs. 100.0% in group II P = 0.0004). CONCLUSION: We conclude that minimally invasive coronary artery bypass grafting on the beating heart in comparison to conventional single coronary artery bypass grafting during the learning curve requires longer operative times but can reduce blood transfusion requirements and hospital stay.
Authors:
J Bonatti; R Ladurner; H Antretter; C Hörmann; G Friedrich; N Moes; V Mühlberger; O Dapunt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  14 Suppl 1     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-01-19     Completed Date:  1999-01-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  S7-12     Citation Subset:  IM    
Affiliation:
University Clinic of Surgery/Cardiac Surgery, Innsbruck, Austria. johannes.o.bonatti@uibk.ac.at
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MeSH Terms
Descriptor/Qualifier:
Blood Transfusion / utilization
Cardiopulmonary Bypass
Case-Control Studies
Coronary Artery Bypass / methods*,  statistics & numerical data
Female
Heart Arrest, Induced
Humans
Internal Mammary-Coronary Artery Anastomosis / methods*,  statistics & numerical data
Male
Middle Aged
Retrospective Studies
Sternum / surgery
Surgical Procedures, Minimally Invasive / methods,  statistics & numerical data
Thoracotomy / methods
Time Factors
Treatment Outcome

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


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