Meta-Analysis of Randomized Trials Comparing Off-Pump With On-Pump Coronary Artery Bypass Graft Patency

Parolari, Alessandro; Alamanni, Francesco; Polvani, Gianluca; Agrifoglio, Marco; Chen, Yong Bing; Kassem, Samer; Veglia, Fabrizio; Tremoli, Elena; Biglioli, Paolo

doi:10.1016/j.athoracsur.2005.05.007

Cited by 90 publications

(50 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Se ha descrito que la cirugía sin CEC se asocia a un menor número de puentes que la cirugía con CEC 6,22,23 . Creemos que esto no necesariamente refleja una revascularización incompleta.…”

Section: Resultados Inmediatosunclassified

See 1 more Smart Citation

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

González

Stockins

et al. 2013

Rev. méd. Chile

View full text Add to dashboard Cite

show abstract

Section: Resultados Inmediatosunclassified

“…Exceptuando por la necesidad de revascularización, la mayoría de los autores concuerdan en que los resultados alejados son comparables entre ambas técnicas 22,[26][27][28][29] .…”

Section: Resultados Alejadosunclassified

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

González

Stockins

et al. 2013

Rev. méd. Chile

View full text Add to dashboard Cite

show abstract

“…A significantly lowered patency for saphenous vein grafts than for internal thoracic artery grafts was suggested to result from the type of graft, presence of hyperlipidemia, the exposure and quality of stabilization, and increased procoagulant activity in OPCAB patients [6,11]. Although some studies demonstrated similar early vein graft patencies between OPCAB and conventional CABG [12][13][14], other meta-analysis using five randomized studies showed that OPCAB significantly increased the risk of graft failure, with the odds of graft occlusion 51% higher within the first postoperative year [5]. Those differences were mainly attributable to the lower saphenous vein or radial artery graft patency rate.…”

Section: Discussionmentioning

confidence: 98%

“…With resurgent interest in off-pump coronary artery bypass surgery (OPCAB), a favorable composite of death, stroke, and myocardial infarction was demonstrated in patients undergoing OPCAB [3]. With regard to graft patency, however, patients undergoing OPCAB demonstrated a lower graft patency than patients undergoing conventional CABG [4,5], and concerns have been raised about the further lowered patency of saphenous vein grafts in patients undergoing OPCAB compared with patients undergoing conventional CABG [6,7].…”

Section: Introductionmentioning

confidence: 99%

Influence of vein graft use on postoperative 1-year results after off-pump coronary artery bypass surgery

Cho

Jeong

Kim

2007

European Journal of Cardio-Thoracic Surgery

View full text Add to dashboard Cite

Objective: We studied the postoperative 1-year results after off-pump coronary artery bypass surgery (OPCAB) with one or more saphenous vein grafts. Methods: We compared the clinical and angiographic results of 833 patients who underwent OPCAB between 1998 and 2004. Group 1 patients (n = 135) received one or more vein grafts. Group 2 patients (n = 698) received total arterial grafts. Coronary angiographies were performed early postoperatively (n = 804, 1.6 AE 1.5 days), and 1 year postoperatively (n = 671, 12.1 AE 4.2 months). Results: There were no significant differences in patient characteristics, operative mortalities, and morbidities between the two groups ( p = ns). Both the early postoperative and 1-year angiographies demonstrated significantly lower overall graft patency rates in group 1 than in group 2 (early: 90.9% vs 99.1%, p < 0.001; 1 year: 78.8% vs 95.1%, p < 0.001), which might be affected by the lower vein graft patency rates in group 1 (early: 86.4%; 1 year: 67.9%). There was no difference in the 1-year patency of internal thoracic arteries between the two groups (94.3% vs 95.6%, p = 0.402). Multivariate analysis demonstrated the use of vein graft (Odds ratio = 5.204, p < 0.001) as an independent predictor of graft failure during the first postoperative year. Target vessel revascularization rate during the postoperative 1 year was significantly higher in group 1 than in group 2 (7.4% vs 2.0%, p = 0.002). Conclusions: Our study revealed that saphenous vein graft use in OPCAB independently predicted the graft failure while increasing the target vessel revascularization rate during the first postoperative year. Exclusive arterial revascularization would be a preferable strategy in OPCAB. #

show abstract

“…[6][7][8][9][10][11] However, many recent reports including the analysis of randomized control studies have evoked the controversial arguments against the superiority of OPCAB including mortality and morbidity such as incidence of stroke, perioperative myocardial infarction and renal failure. [12][13][14][15][16][17][18][19][20][21] In addition, less complete revascularization rate 12,13) and poor graft patency in OPCAB 16,18) are suspected the main cause of high incidence of repeat revascularization compared with conventional CABG. 9,16,17) Even with the hands of Japanese experts for OPCAB, early graft patency without stenosis was inferior to that of on-pump CABG.…”

Section: Comparison Between Opcab and On-pump Cardiac Arrest Cabgmentioning

confidence: 99%

Which is the Best Technique for CABG; OPCAB, On-pump Arrest CABG or On-pump Beating CABG?

Masuda¹

2011

ATCS

View full text Add to dashboard Cite

Meta-Analysis of Randomized Trials Comparing Off-Pump With On-Pump Coronary Artery Bypass Graft Patency

Cited by 90 publications

References 27 publications

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

Resultados inmediatos y a mediano plazo de la cirugía coronaria sin circulación extracorpórea: Experience in 220 patients

Influence of vein graft use on postoperative 1-year results after off-pump coronary artery bypass surgery

Which is the Best Technique for CABG; OPCAB, On-pump Arrest CABG or On-pump Beating CABG?

Contact Info

Product

Resources

About