Off-pump versus on-pump coronary bypass in high-risk subgroups

Yokoyama, Tetsuji; Baumgartner, Fritz; Gheissari, Ali; Capouya, Eli R.; Panagiotides, George P; Declusin, Richard J.

doi:10.1016/s0003-4975(00)01922-6

Cited by 188 publications

(116 citation statements)

References 13 publications

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“…Although our data do not allow an effective conclusion about the effects of extracorporeal circulation in the transplanted kidney in the in-hospital and late periods, the current literature has stressed that surgery without extracorporeal circulation has its major benefit in patients with clinical morbidity in the preoperative period [28][29][30] . The in-hospital mortality rate in renal transplant patients has been reported as approximately 10% in the largest case series.…”

Section: % Survivalcontrasting

confidence: 65%

Myocardial revascularization in renal transplant patients

Delgado¹,

Gerola²,

Hossne³

et al. 2002

Arq. Bras. Cardiol.

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Section: % Survivalcontrasting

confidence: 65%

Myocardial revascularization in renal transplant patients

Delgado¹,

Gerola²,

Hossne³

et al. 2002

Arq. Bras. Cardiol.

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“…Inflammatory response induced by CPB seems to impair lung function, [24]. In our study, women undergoing OPCAB demonstrated significant reduction in respiratory complications, indicating less pulmonary injury.…”

Section: Discussionsupporting

confidence: 54%

“…The etiology of renal dysfunction after cardiac surgery is multifactorial [23] and in patients with multiple comorbidities that are associated with postoperative renal dysfunction (elderly, diabetics, previous renal failure), the CPB is associated with increased risk of developing renal failure requiring dialysis [24]. In our series, women undergoing OPCAB had a significant reduction of acute renal failure requiring dialysis postoperatively compared to those undergoing on-pump CABG.…”

Section: Discussionmentioning

confidence: 61%

Estudo comparativo entre cirurgia de revascularização miocárdica com e sem circulação extracorpórea em mulheres

Sá

Lima

Rueda

et al. 2010

Rev Bras Cir Cardiovasc

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Estudo comparativo entre cirurgia de revascularização miocárdica com e sem circulação extracorpórea em mulheresComparative study between on-pump and off-pump coronary artery bypass graft in women of Abstract Background: It has been well documented that women have higher morbidity and mortality rates than men following coronary artery bypass graft (CABG) surgery. In view of this evidence, it is necessary to know if there is benefit to off-pump CABG surgery in women in comparison to on-pump CABG.Objectives: Compare outcomes between off-pump CABG and on-pump CABG in women.Methods: Retrospective study. Our investigation analyzes comparatively clinical profile, thirteen procedure complications and mortality of a population of 941 consecutive women undergoing CABG surgery (549 off-pump and 392 on-pump) at two hospitals for the period January 2000 to December 2005.Results: Mortality rate for women undergoing off-pump CABG surgery is lower than for women undergoing on-pump surgery, however, not statistically significant (3.1% vs 5.3%; P=0.134). The complication rates analyzed (hemorrhagic shock, neurologic, respiratory, acute renal failure, adult respiratory distress syndrome, septicemia, pneumonia, atrial fibrillation) were lower (significant statistically difference) for women off-pump than women on-pump, with the exception of low cardiac output and wound infection.Conclusions: Evidence suggests that off-pump CABG surgery may be better for women than on-pump CABG 239 SÁ, MPBO ET AL -Comparative study between on-pump and off-pump coronary artery bypass graft in women Bras Cir Cardiovasc 2010; 25(2): 238-244 in outcomes in female patients undergoing on-pump CABG compared with those undergoing OPCAB, tracing the preoperative clinical profile and analyzing the differences in rates of complications and possible differences in mortality rates. Rev METHODSWe studied 941 female patients undergoing CABG with two centers:

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“…The etiology of renal dysfunction after cardiac surgery is multi-factorial [38] and in patients with co-morbid conditions that are associated with post-operative renal dysfunction (elderly, diabetics, renal impairment), CPB is associated with an increased risk of dialysis dependant renal failure [39,40]. However, renal hypoperfusion and inflammatory damage resulting from CPB are widely regarded as the most important causes of acute renal failure [41,42].…”

Section: Acute Renal Failurementioning

confidence: 99%

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

Hijazi¹

2010

Rev Bras Cir Cardiovasc

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Off-pump versus on-pump coronary bypass in high-risk subgroups

Cited by 188 publications

References 13 publications

Myocardial revascularization in renal transplant patients

Myocardial revascularization in renal transplant patients

Estudo comparativo entre cirurgia de revascularização miocárdica com e sem circulação extracorpórea em mulheres

Is it time to adopt beating-heart coronary artery bypass grafting? A review of literature

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