Off‐Pump Versus On‐Pump Reoperative CABG Via a Left Thoracotomy for Circumflex Coronary Artery Revascularization

Shapira, Oz M.; Natarajan, Vijay; Kaushik, Shantesh; DeAndrade, Kolleen; Shemin, Richard J.

doi:10.1111/j.0886-0440.2004.04042.x

Cited by 11 publications

(14 citation statements)

References 17 publications

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“…The 21 studies regarding off-pump versus on-pump in patients undergoing redo coronary surgery were included in the final analysis. 18,19,[36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54] Comprehensive search using the terms had been performed in November 2012 and May 2013 by the previous two meta-analysis, but the inclusion and exclusion criteria in our study were stricter than those used in the previous studies. 29,30 Even though the previous two studies included 12 articles, 18,43,[44][45][46][49][50][51][52][53][54][55] one study 47 that was missed and eight studies 19,[36][37][38][39][40][41][42] published after May 2013 were included in this study.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…18,19,[36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54] Comprehensive search using the terms had been performed in November 2012 and May 2013 by the previous two meta-analysis, but the inclusion and exclusion criteria in our study were stricter than those used in the previous studies. 29,30 Even though the previous two studies included 12 articles, 18,43,[44][45][46][49][50][51][52][53][54][55] one study 47 that was missed and eight studies 19,[36][37][38][39][40][41][42] published after May 2013 were included in this study. Besides, Alamanni's study was not included in our metaanalysis for the reason of only reporting off-pump redo coronary artery bypass grafting results.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

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Off-pump versus on-pump redo coronary artery bypass grafting: a systematic review and meta-analysis

et al. 2020

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Background: Redo coronary artery bypass grafting (redo CABG) is associated with increased mortality and morbidity. The aim of this study was to systematically evaluate the evidence comparing the outcomes of off-pump with on-pump redo CABG. Methods: Studies were systematically searched and identified using PubMed, EMBASE, the Cochrane Library, and the International Clinical Trials Registry Platform (ICTRP) by two researchers independently. The primary outcome was 30-day mortality, and the secondary outcomes were in-hospital mortality, post-operative complications, completeness of revascularization, blood transfusion rate, duration of mechanical ventilation, intensive care unit and hospital stays. Results: The 21 studies including 4,889 patients were enrolled in our meta-analysis. Compared with on-pump, the off-pump technique was associated with significantly reduced 30-day mortality (odds ratio [OR] = 0.43, 95% confidence interval [CI] = 0.26-0.72, p = 0.001). Moreover, a notably decreased in-hospital mortality (OR = 0.55, 95% CI = 0.39-0.76, p = 0.0004) and incidence of post-operative new-onset atrial fibrillation, myocardial infarction, acute kidney injury, low cardiac output state, blood transfusion rate (OR = 0.46, 95% CI = 0.35-0.60, p < 0.00001; OR = 0.54, 95% CI = 0.38-0.78, p = 0.0007; OR = 0.51, 95% CI = 0.37-0.70, p < 0.0001; OR = 0.31, 95% CI = 0.20-0.47, p < 0.00001; OR = 0.29, 95% CI = 0.14-0.61, p = 0.001) and significantly shortened duration of mechanical ventilation, intensive care unit and hospital stays (mean difference [MD] = −8.21 h, 95% CI = −11.74 to −4.68, p < 0.00001; MD = −0.77 d, 95% CI = −0.81 to −0.73, p < 0.00001; MD = −2.24 d, 95% CI = −3.17 to −1.32, p < 0.00001) could be observed when comparing the outcomes of off-pump with on-pump redo CABG. There was nonsignificant difference between off-pump and on-pump redo CABG in completeness of revascularization. Conclusion: In patients undergoing redo CABG surgery, the off-pump technique was associated with decreased mortality, less post-operative complications when compared to on-pump.

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Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Off-pump versus on-pump redo coronary artery bypass grafting: a systematic review and meta-analysis

et al. 2020

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“…Twenty-one ( 21) studies consistently reported data regarding perioperative mortality data [10,[21][22][23][25][26][27][28][29][31][32][33][34][35][36][37][38][39][40][41][42]. The 30day mortality rate was 3.4% (n=68/2,024) and 7.4% (n=238/ 3,225) in the OPCAB and ONCAB repeat CABG groups, respectively.…”

Section: Periprocedural (Within 30 Days) Outcomesmentioning

confidence: 97%

Repeat Coronary Artery Bypass Grafting: A Meta-Analysis of Off-Pump versus On-Pump Techniques in a Large Cohort of Patients

Tzoumas

Giannopoulos

Kakargias

et al. 2021

Heart, Lung and Circulation

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“…The advent of peripheral cannulation techniques and endoluminal aortic occlusion balloons has allowed MIDCAB to be performed either on-or off-pump. Clinical studies have demonstrated that this procedure can be performed safely, with limited morbidity and mortality, under both native and re-operative situations (78)(79)(80)(81). Preliminary studies suggest excellent long-term patency of grafts following MIDCAB.…”

Section: Minimally Invasive and Robotic Coronary Revascularizationmentioning

confidence: 99%

Off‐pump, minimally invasive and robotic coronary revascularization yield improved outcomes over traditional on‐pump CABG

Atluri

Kozin

Hiesinger

et al. 2008

Robotics Computer Surgery

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Coronary artery disease is a global health concern, with increasing morbidity and mortality. Surgical coronary artery bypass grafting has been performed on cardiopulmonary bypass for nearly four decades, with excellent long-term durability. Beating-heart coronary surgery has been increasing in frequency in an attempt to decrease cardiopulmonary bypass-related morbidity. Furthermore, with increasing expertise and technology, minimally invasive and robotic techniques have been developed to enhance postoperative recovery, patient satisfaction and cosmesis. Several clinical trials have demonstrated decreased morbidity and more rapid recovery following off-pump, minimally invasive and robotic procedures when compared to on-pump coronary artery bypass grafts (CABGs). An equivalent extent of revascularization and medium-term anastomotic patency has been demonstrated among all approaches. Furthermore, for a large number of patients who do not have anatomy amenable to traditional coronary revascularization, adjunctive molecular therapies may provide alternative myocardial micro-revascularization.

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Off‐Pump Versus On‐Pump Reoperative CABG Via a Left Thoracotomy for Circumflex Coronary Artery Revascularization

Cited by 11 publications

References 17 publications

Off-pump versus on-pump redo coronary artery bypass grafting: a systematic review and meta-analysis

Off-pump versus on-pump redo coronary artery bypass grafting: a systematic review and meta-analysis

Repeat Coronary Artery Bypass Grafting: A Meta-Analysis of Off-Pump versus On-Pump Techniques in a Large Cohort of Patients

Off‐pump, minimally invasive and robotic coronary revascularization yield improved outcomes over traditional on‐pump CABG

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