Off-Pump to On-Pump Emergency Conversion: Incidence, Risk Factors, and Impact on Short- and Long-Term Results

Castellanos, Luis Carlos Maroto; Carnero, Manuel; Cobiella, Francisco Javier; Alswies, Ali; Ayaon, A.; Reguillo, Fernando del Rey; García, Mónica

doi:10.1111/jocs.12614

Cited by 8 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This rate varies by different authors from 1% to 15%. (10,(15)(16)(17) In our series of operations, this rate amounted to 1.6%, and it is also within the values reached by other leading groups.…”

Section: Discussionsupporting

confidence: 87%

“…In the literature available to us, we only managed to find several reports devoted to the analysis of conversion causes. (16,17,19) However, a high surgical risk is not highlighted as a conversion risk factor. In the above-mentioned papers, the presence of AF prior to the surgery and history of coronary artery stenting are identified as risk factors of conversion.…”

Section: Discussionmentioning

confidence: 99%

“…In the above-mentioned papers, the presence of AF prior to the surgery and history of coronary artery stenting are identified as risk factors of conversion. (16) Other risk factors are the presence of left main stem disease, as well as low LVEF. (19) Pullan and co-authors (17) have shown that the planned transition to on-pump operation (conversion) before the occurrence of emergency situations does not increase significantly the rate of complications and mortality in these patients in comparison with patients without conversion.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Results of Off-Pump Coronary Artery Bypass Surgery in Patients with EuroSCORE≥5

Sharipov¹,

Karimov²,

Kurbanov³

2019

IJBM

View full text Add to dashboard Cite

Background: The lack of reliable data on the possibility, safety and results of OPCABG in patients with high surgical risk hinders the further wide introduction into clinical practice of such operations. In this regard, conducting a comparative evaluation of the results of OPCABG in patients with low and high surgical risk seems to us a worthwhile project. Materials and Methods: During the period between 2015 and 2017, 310 OPCABG operations were performed. Patients were divided into 2 groups depending on the EuroSCORE risk calculator value. Group 1 consisted of 130 (41.9%) patients with a high surgical risk (EuroSCORE≥5), and Group 2 consisted of 180 (58.1%) patients with a low surgical risk (EuroSCORE<5). Results: We could not find between the two groups significant differences in the number of mean grafts per patients (3.12 in Group 1 and 3.13 in Group 2), in operation times, or in the level of morbidity and mortality (1.5% in Group 1 and 1.2% in Group 2). All intraoperative conversions to on-pump CABG (5 cases or 3.8%) occurred in patients of Group 1 (P=0.008). Conclusion: The OPCABG operation in patients of high-risk group is a safe method and can be performed without compromising the completeness of myocardial revascularization with the same low mortality as in low-risk patients. The most common type of complication in high-risk patients is on-pump conversion, which at earlier and planned implementation is not reflected significantly at the level of hospital mortality.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Results of Off-Pump Coronary Artery Bypass Surgery in Patients with EuroSCORE≥5

Sharipov¹,

Karimov²,

Kurbanov³

2019

IJBM

View full text Add to dashboard Cite

show abstract

“…Furthermore, IOC is associated with increased costs102 as well as hospital readmissions and infectious complications 103. Midterm and event‐free survival is significantly reduced for patients who undergo IOC 64, 104…”

Section: Intraoperative Conversion From Off‐pump To On‐pumpmentioning

confidence: 99%

Off‐Pump Coronary Artery Bypass Grafting: 30 Years of Debate

Gaudino

Angelini

Antoniades

et al. 2018

JAHA

View full text Add to dashboard Cite

“…The correlation between experience and conversion to ONCAB is important, since conversion has been correlated with increased risk of perioperative complications such as myocardial ischemic injury, stroke, renal failure, prolonged mechanical ventilation, increased readmissions, infectious complications and increased hospital cost and mortality (42)(43)(44). Similarly, mid-term survival and event-free survival appear to be significantly reduced for patients who underwent intraoperative conversion (45).…”

Section: Learning Curve For Opcabmentioning

confidence: 99%