Coronary Artery Revascularization (CARE) Registry: An Observational Study of On-Pump and Off-Pump Coronary Artery Revascularization

Palmer, George J.; Herbert, Morley A.; Prince, Syma L.; Williams, Janet L.; Magee, Mitchell J.; Brown, Phillip P.; Katz, Marc

doi:10.1016/j.athoracsur.2006.10.057

Cited by 41 publications

(26 citation statements)

References 13 publications

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“…The only signifi cant diff erence between the two groups was the postoperative blood loss, which was higher in the ONCAB group. In contrast to previously published studies, we found no signifi cant diff erence in the durations of intubation, ICU stay, hospitalization and mortality between the groups [3][4][5][6][7][8] . Also, the frequencies of postoperative episodes of neurological complications, reoperations for bleeding, atrial fi brillations, and sternum infections did not diff er between the groups.…”

Section: Resultscontrasting

confidence: 56%

The Choice of on- Or Off-Pump Coronary Bypass Grafting - A Surgeon's Dilemma

Gwozdziewicz¹,

Olsak²,

Lonský³

et al. 2008

BIOMED PAP

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Background: Off -pump coronary bypass grafting (OPCAB) is a routine method of heart revascularization. This study was designed to compare the results of OPCAB and ONCAB performed by a single surgeon at our institution over a 3-year period.Methods: The study enrolled 345 patients undergoing elective myocardial revascularization procedures, of which 173 (50.1%) were OPCAB and 172 (49.9 %) were ONCAB. The postoperative outcomes of both groups were analyzed, retrospectively.Results: The mean number of grafts was signifi cantly lower in the OPCAB group (2.9) than in the ONCAB group (3.7). There were no postoperative myocardial infarctions or hospital deaths in any of the patients. The postoperative total blood loss was signifi cantly higher in the ONCAB group. The frequencies of postoperative confused states, strokes, postoperative transfusions, reoperations for bleeding, and atrial fi brillation, and the durations of intubation, ICU stay, and hospital stay did not diff er signifi cantly between the two groups.Conclusions: The OPCAB procedures are safe and provide good clinical outcomes, similar to those of ONCAB operations. The outcomes of this study favor neither of the compared techniques.

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Section: Resultscontrasting

confidence: 56%

The Choice of on- Or Off-Pump Coronary Bypass Grafting - A Surgeon's Dilemma

Gwozdziewicz¹,

Olsak²,

Lonský³

et al. 2008

BIOMED PAP

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“…Last, and perhaps the most compelling evidence supporting a relationship between CPB-mediated coagulopathy and bleeding-related complications is a substantial experience with off-pump CABG, wherein patients going ''on pump'' experience higher rates of reoperation for bleeding and transfusions than those having off-pump surgical revascularization [61]. The subject of off-pump CABG is discussed further in a subsequent section.…”

Section: Coagulation Protein Concentrations and Hemorrhagic Complicatmentioning

confidence: 97%

Coagulation and fibrinolytic protein kinetics in cardiopulmonary bypass

Yavari

Becker

2008

J Thromb Thrombolysis

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The development of Cardiopulmonary Bypass (CPB) catopulted the field of cardiothoracic surgery into a new dimension--one that changed the lives of individuals with congenital and acquired heart disease worldwide. Despite its contributions, CPB has clear limitations and creates unique challenges for clinicians and patients alike, stemming from profound hemostatic pertubations and accompanying risk for bleeding and possibly thrombotic complications.

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“…Off-pump KABG cerrahisinde inflamatuar yanıt şiddeti daha azdır. Bin iki yüz elli bir hastayı içeren çalışmada off-pump teknikle POAF'da azalma görülmüşken, 10716 hastalık Cohrane sistematik derlemede off-pump cerrahi tekniğin POAF'ı azaltmada etkili olmadığı saptanmıştır [16][17][18] . Venöz kanülasyonun lokalizasyonu da AF üzerine etkili bulunmuştur.…”

Section: Patofizyolojiunclassified