| Totally arterial off-pump vs. on-pump coronary revascularization: comparison of early outcome. | |
| | |
MedLine Citation:
|
PMID: 17670209 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
|
Our objective was to assess differences in early outcome after completely arterial myocardial revascularization with (on-pump coronary artery bypass grafting or ONCAB) or without cardiopulmonary bypass (off-pump coronary artery bypass grafting or OPCAB). Fifty-eight OPCAB and 91 ONCAB patients receiving exclusively arterial grafts were analyzed. OPCAB patients had more single-vessel (P<0.0001), less triple-vessel (P<0.0001) or left main disease (P=0.0021), higher angina class (P=0.003), more unstable angina (P<0.0001) and previous percutaneous transluminal coronary angioplasty (PTCA; P<0.0001), but similar EuroScores (P=n.s.). ONCAB was associated with longer operation time (P=0.0001) and more anastomoses/patient (P<0.0001). Internal thoracic artery (ITA) use was identical, whereas single left ITA use (P<0.0001) and left ITA jump anastomoses (P<0.0001) were more frequent in OPCAB. Radial artery (RA) use (P<0.0001) and RA jump anastomoses (P<0.0001) were more frequent in ONCAB. Complication rates were similar concerning mortality, arrhythmias, cerebro-vascular accidents (CVA), and renal failure with shorter ventilatory support (P<0.0001) and a trend towards less perioperative myocardial infarction (PMI) (P=0.12) and low output (P=0.089), and more respiratory complications (P=0.056) after OPCAB. Arterial OPCAB patients have less extensive CAD, but more severe symptoms. Early outcome is similar concerning mortality, arrhythmias, CVA, renal failure, or intensive care unit and hospital stay, but with shorter ventilatory support and a trend towards lower PMI and low output, and higher respiratory complication rates after OPCAB. |
| | |
Authors:
|
Pascal A Berdat; Karen Müller; Jürg Schmidli; Beat Kipfer; Friedrich Eckstein; Franz F Immer; Thierry Carrel |
Related Documents
:
|
10883459 - Is median sternotomy invasive? a comparison between minimally invasive direct coronary ... 848659 - Eelvated postoperative renal clearance of amylase without pancreatitis after cardiopulm... 3501229 - Thallium scintigraphy in prediction of occlusion of bypass grafts in asymptomatic and s... 8197429 - Conduction disturbances after blood and crystalloid cardioplegia in coronary bypass sur... 1554539 - Clinical and angiographic prediction of cardiac death after coronary artery bypass graf... 22537329 - Prevalence of conduction abnormalities in a systolic heart failure population by race, ... 7332519 - Myocardial lactate dehydrogenase isoenzyme distribution in the normal heart. 8143299 - Inhibition of ace/kininase-ii, acute myocardial infarction, and survival. 8889879 - Mechanisms of dynamic cardiomyoplasty: current concepts. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Interactive cardiovascular and thoracic surgery Volume: 3 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2004 Mar |
Date Detail:
|
Created Date: 2007-08-02 Completed Date: 2007-08-07 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
|
Languages: eng Pagination: 176-81 Citation Subset: - |
Affiliation:
|
Clinic for Cardiovascular Surgery, Swiss Cardiovascular Center Bern, University Hospital, CH-3010 Bern, Switzerland. pascal.berdat@insel.ch |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Acute respiratory failure and tracheal obstruction in patients with posterior giant mediastinal (int...
Next Document: Long-term hypothermic lung preservation: does adenosine A1 receptor antagonism have a role in ischem...