Is severely left ventricular dysfunction a predictor of early outcomes in patients with coronary artery bypass graft?

Ahmadi, Seyed Hossein; Karimi, Abbas; Movahedi, Namvar; Shirzad, Mahmood; Marzban, Mehrab; Tazik, Mokhtar; Aramin, Hermineh; Dowlatshahi, Samaneh; Fathollahi, Mahmood Sheikh

doi:10.1136/ha.2009.001008

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…For instance, Gupta et al reported a considerably longer mean ICU stay of 8.73 days for off-pump patients with low ejection fraction, which starkly contrasts with our findings, where the mean ICU stay for on-pump patients was notably shorter (10). Similarly, Ahmedi found an even lower mean ICU stay of 2.46 days for on-pump CABG patients with low ejection fraction (11), further supporting the efficiency of on-pump procedures in minimizing postoperative recovery time. Conversely, Paparella D et al reported an average hospital stay of 12 days for on-pump surgery patients, with an ICU duration of 3.4 days, and posited that off-pump CABG might result in shorter ICU stays, a conclusion that stands in contrast to our observations (12).…”

Section: Discussioncontrasting

confidence: 99%

Effect of on-Pump and Off-Pump Coronary Artery Bypass Graft on Length of Icu Stay among Low Ejection Fraction Patients Going through Cardiac Revascularization

Khan,

⁠Khalil

et al. 2024

JHRR

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Background Coronary artery bypass grafting (CABG) remains a cornerstone in the management of coronary artery disease, especially for patients with severe left ventricular dysfunction. The debate between on-pump and off-pump CABG techniques centers on their impact on postoperative outcomes, particularly the length of ICU stay, which has significant implications for patient recovery and healthcare resources. Objective This study aimed to compare the effects of on-pump and off-pump coronary artery bypass grafting on the length of ICU stay among patients with severe left ventricular dysfunction undergoing cardiac revascularization, with a view to optimizing postoperative outcomes and resource utilization in this high-risk patient population. Methods A longitudinal cross-sectional study was conducted, enrolling 78 participants scheduled for CABG at a single center over one year. Participants were divided into two groups: those undergoing on-pump CABG (n=44) and those undergoing off-pump CABG (n=34). Data collection focused on demographic information, clinical characteristics, and the length of ICU stay. Statistical analysis employed SPSS v25, utilizing means, standard deviations, and Independent t-tests to compare outcomes between the two groups. Results The study revealed that patients undergoing on-pump CABG had a significantly shorter mean ICU stay (4 ± 3.9 days) compared to the off-pump CABG group (5 ± 4.4 days), with a P value of 0.01. Further stratification showed that older patients and those with comorbidities such as diabetes and hypertension experienced longer ICU stays, irrespective of the surgical technique used. Conclusion On-pump CABG is associated with shorter ICU stays compared to off-pump CABG in patients with severe left ventricular dysfunction, suggesting that the on-pump technique may be preferable for optimizing postoperative recovery and resource allocation in this patient cohort.

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Section: Discussioncontrasting

confidence: 99%

Effect of on-Pump and Off-Pump Coronary Artery Bypass Graft on Length of Icu Stay among Low Ejection Fraction Patients Going through Cardiac Revascularization

Khan,

⁠Khalil

et al. 2024

JHRR

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“…17 Although this does not translate into decreased LVEF as an independent risk predictor for inhospital mortality in most studies, a combination of risk factors usually correlates with perioperative adverse events. 18 Furthermore, the characterisation of complexity of CAD reflected by the SYNTAX score provides an important tool for risk stratification, as a high SYNTAX score correlates with increased mortality in patients with left ventricular dysfunction. 19 Depressed left ventricular function is also a risk factor for increased 30-day mortality after CABG.…”

Section: Discussionmentioning

confidence: 99%

Comparison of peri and post-procedural complications in patients undergoing revascularisation of coronary artery multivessel disease by coronary artery bypass grafting or protected percutaneous coronary intervention with the Impella 2.5 device

Becher

Baumann

Eder

et al. 2017

European Heart Journal: Acute Cardiovascular Care

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Patients with complex multivessel coronary artery disease undergoing protected percutaneous coronary intervention with the Impella 2.5 device experience similar intrahospital major adverse cardiac and cerebrovascular event rates when compared to coronary artery bypass grafting. Protected percutaneous coronary intervention represents a safe alternative to coronary artery bypass grafting in terms of inhospital adverse events.

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Is severely left ventricular dysfunction a predictor of early outcomes in patients with coronary artery bypass graft?

Cited by 2 publications

References 26 publications

Effect of on-Pump and Off-Pump Coronary Artery Bypass Graft on Length of Icu Stay among Low Ejection Fraction Patients Going through Cardiac Revascularization

Effect of on-Pump and Off-Pump Coronary Artery Bypass Graft on Length of Icu Stay among Low Ejection Fraction Patients Going through Cardiac Revascularization

Comparison of peri and post-procedural complications in patients undergoing revascularisation of coronary artery multivessel disease by coronary artery bypass grafting or protected percutaneous coronary intervention with the Impella 2.5 device

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