Do off-pump techniques reduce the incidence of postoperative atrial fibrillation in elderly patients undergoing coronary artery bypass grafting?

Preoperative plasma brain natriuretic peptide level is an independent predictor of postoperative atrial fibrillation following off-pump coronary artery bypass surgery

“…Offpump coronary artery bypass (OPCAB) surgery has been widely used over the past decade. However, controversy still remains as to whether OPCAB can reduce the incidence of postoperative AF [2][3][4][5]. Although a recent metaanalysis showed OPCAB signifi cantly reduced the incidence of postoperative AF compared with conventional CABG [6], the incidence of postoperative AF following OPCAB has been reported to remain high, at 21%-32% [2,3,[7][8][9].…”

Meta-analysis of observational studies of ileorectal versus ileal pouch–anal anastomosis for familial adenomatous polyposis

“…It is unclear, however, from published data whether IPAA or IRA is the better choice in this regard. Metaanalysis can evaluate the literature in both a qualitative and quantitative way by comparing and integrating the results of different studies, taking into account variations in characteristics that may influence the overall estimate of the outcome of interest 21,22 . The present study uses meta-analytical techniques to compare IRA and IPAA as the primary treatment for FAP with respect to functional outcome, quality of life, postoperative complications and long-term adverse events.…”

Early outcomes of coronary artery bypass with and without cardiopulmonary bypass in octogenarians

“…Recent meta-analyses have suggested that compared with conventional coronary artery bypass (CCAB) surgery, OPCAB surgery may significantly reduce stroke (OR of 0.38, 95% CI 0.22 to 0.65) (8), duration of ventilation (3.4 fewer hours, 95% CI 1.7 to 5.0) (9), atrial fibrillation (OR of 0.58 to 0.7, 95% CI 0.44 to 0.89) (9,10), transfusion requirements (OR of 0.43, 95% CI 0.29 to 0.65) (9) and postoperative length of stay (LOS) (one fewer day in hospital, 95% CI 0.5 to 1.5) (9). Conversely, some randomized controlled trials have been unable to show such benefits (11)(12)(13), BACKGROUND: Off-pump coronary artery bypass (OPCAB) surgery has been successfully used in diverse patient populations and has been postulated to be safer than conventional coronary artery bypass (CCAB) surgery in some high-risk patients, including the elderly.…”