Miderm follow-up after off-pump versus on-pump coronary artery bypass grafting

Lycops, Ann; Wever, Carolien F.; Vandekerkhof, Jos; Mees, Urbain; Hendrikx, Marc

doi:10.2143/ac.60.3.2005010

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…Also Kaplan-Meier estimation analysis showed similar results between groups (Log-Rank p = 0.064). In our study the number of grafts was similar to the results by Lycops et al [19]. Interestingly, in terms of 5-year survival Lycops et al revealed 78% in OPCAB group and 68% in on-pump group, whereas we found a 7-year follow-up survival rate of 81% in OPCAB surgery and 89% in on-pump group.…”

Section: Discussionsupporting

confidence: 91%

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Early and long-term outcomes of coronary artery bypass surgery with and without use of heart-lung machine and with special respect to renal function - A retrospective study

et al. 2019

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The aim of our study was to compare early and long-term outcome of patients undergoing either on-pump or off-pump coronary artery bypass grafting with special focus on impairment of renal function. Five hundred ninety-three consecutive patients undergoing coronary artery bypass grafting were retrospectively analyzed. They were assigned either to on-pump (n = 281) or to off-pump (n = 312) group. Early and long-term outcomes were analyzed with special focus on renal function. Basic demographics and preoperative characteristics did not differ between groups (p>0.05) as well as postoperative renal parameters (p>0.05). Postoperative odds ratios (OR) of off-pump group in comparison to on-pump group were higher without reaching significance in terms of incidence of gastrointestinal complications and pneumonia (OR = 2.23 and 1.61, respectively) as well as hazard ratios (HR) on long-term follow-up for mortality and incidence of myocardial infarction (HR = 1.50 and 2.29, respectively). Kaplan-Meier estimation analysis also revealed similar results for both groups in terms of mid- and long-term survival (Breslow p = 0.062 and Log-Rank p = 0.064, respectively) and for incidence of myocardial infarction (Breslow p = 0.102 and Log-Rank p = 0.103, respectively). Our study suggests that use or not use of coronary artery bypass did not influence postoperative renal function. Odds of early outcomes were similar in both groups as well as incidence of myocardial infarction and mortality in long-term follow-up.

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Section: Discussionsupporting

confidence: 91%

“…OPCAB may be a better alternative because of decreased blood loss, and shorter hospital stay [1, 18]. Previously published studies comparing the effect of off-pump versus on-pump CABG on clinical end-points with respect to renal impairment have yielded conflicting results [9, 19, 20].…”

Section: Introductionmentioning

confidence: 99%

Early and long-term outcomes of coronary artery bypass surgery with and without use of heart-lung machine and with special respect to renal function - A retrospective study

et al. 2019

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“…Avoidance of extracorporeal circulation (ECC) emerged as a valuable alternative for conventional coronary surgery, but tends to have significantly lower frequencies of complete revascularization, which could lead to repeated procedures and increased mortality, irrespective of the technical difficulties. 3-5 Due to the fact that off-pump techniques apply only to coronary surgery (OPCAB), ECC is still necessary for valve surgery procedures where the heart chambers need to be opened for surgical repair. Minimally invasive extracorporeal circulation (MiECC) has been developed in an attempt to integrate all advances in cardiopulmonary bypass technology in one closed circuit, classified in four different types according to Anastasiadis et al 6…”

Section: Introductionmentioning

confidence: 99%

A comparison between minimized extracorporeal circuits and conventional extracorporeal circuits in patients undergoing aortic valve surgery: is ‘minimally invasive extracorporeal circulation’ just low prime or closed loop perfusion ?

et al. 2017

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“…On the contrary, other studies comparing data of conventional and beating-heart cardiac operations found that cardioplegic arrest did not increase the incidence of postoperative AF. 9 -13 Lycops et al, 14 comparing off-pump and on-pump groups with similar preoperative characteristics, found that the incidence of AF did not differ between groups.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Early Postoperative Atrial Fibrillation after Off-Pump Myocardial Revascularization

Prapas

Karatza

Panagiotopoulos

et al. 2007

Innovations�(Phila)

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Objective We determined the incidence and the predisposing factors of atrial fibrillation (AF) after aorta nontouch coronary artery bypass grafting without extracorporeal circulation. Methods From February 2001 to November 2005, 1359 patients (1159 men, 85.3%) of mean (±SD) age 64.8 (±9.8) years, who underwent off-pump coronary artery bypass grafting (OP-CAB), were prospectively enrolled. Demographics, perioperative data, and comorbidities were recorded in all patients. A 24-hour rhythm monitoring was performed in all patients until hospital discharge. Results Among 1359 patients, 273 (20.1%) had development of atrial fibrillation in the early postoperative period. Patients with AF had higher mean (±SD) age, 68.3 (±8.8) years, compared with control subjects [63.9 (± 9.9)] (P ≤ 0.0005). Univariate analysis showed that apart from age, history of arterial hypertension (P ≤ 0.02), chronic obstructive pulmonary disease (P ≤ 0.02), and the use of bilateral internal mammary arteries (P≤< 0.01) were predisposing factors for the development of AF. Logistic regression analysis showed that age, history of arterial hypertension, and the use of bilateral internal mammary arteries were predisposing factors for early postoperative AF after OP-CAB. Conclusions Atrial fibrillation occurred in approximately 20% of patients undergoing OP-CAB, mainly in older patients with arterial hypertension who received bilateral internal mammary artery grafts.

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Miderm follow-up after off-pump versus on-pump coronary artery bypass grafting

Abstract: OPCAB surgery is a safe and reproducible technique, yielding short-and midterm outcomes comparable to conventional CABG.

Cited by 5 publications

References 19 publications

Early and long-term outcomes of coronary artery bypass surgery with and without use of heart-lung machine and with special respect to renal function - A retrospective study

Early and long-term outcomes of coronary artery bypass surgery with and without use of heart-lung machine and with special respect to renal function - A retrospective study

A comparison between minimized extracorporeal circuits and conventional extracorporeal circuits in patients undergoing aortic valve surgery: is ‘minimally invasive extracorporeal circulation’ just low prime or closed loop perfusion ?

Predictors of Early Postoperative Atrial Fibrillation after Off-Pump Myocardial Revascularization

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