Outcomes of Off-Pump Coronary Artery Bypass Surgery: A Three Year Single Centre Experience

Altarabsheh, Salah E.; Ghouri, Maaz; Altaani, Haitham

doi:10.1016/j.jss.2009.11.161

Cited by 2 publications

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“…Atrial fibrillation occurs in 20-40% of patients who had CABG with cardiopulmonary bypass and is associated with higher risk of cerebrovascular accidents (Altarabsheh, et aI., 2009). Global ischemia, manipulation of the right atrium and the inflammatory response which occur with cardiopulmonary bypass may result in lung and renal injuries with the resulting disturbances of acid-base balance and electrolytes may produce atrial irritability leading to atrial fibrillation (Altarabsheh, et al, 2009 There are also potential economic benefits including reduced postoperative patient instability and faster recovery rate, reduced use of vasoactive drugs, less need for blood products and cost effective resource utilization (Royse, et al, 2003).…”

Section: Original Articlementioning

confidence: 99%

Early Outcome of Off-pump Coronary Artery Bypass Graft Surgery in Patients with Multivessel Coronary Artery Disease

2014

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factors. All co-morbid conditions were homogenously distributed between the two groups. MajoriQ of the patients had triple vessel disease. Nearly three-quarter (73.3%) of patients in OPCAB group and 80% in conventional CABG group received 3 grafts (p:0.a7Q.The mean total operative time (258L39.5 minutes versus 306+44.8 minutes; p<0.001), intubation times (7.6 + 0.3 versus 16.3 + 0.5 hours; p<0.001), blood losses (377.8+22.j ml vs. 602.0+18.9 ml, p<0.001); requirements

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Section: Original Articlementioning

confidence: 99%

Early Outcome of Off-pump Coronary Artery Bypass Graft Surgery in Patients with Multivessel Coronary Artery Disease

2014

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“…Atrial fibrillation occurs in 20-40% of patients who had CABG with cardiopulmonary bypass and is associated with higher risk of cerebrovascular accidents 4 . The higher incidence of post-operative IABP insertion, renal hemodialysis, mechanical ventilation and/or reintubation or tracheostomy could be responsible for the significant higher rate of readmission for CPB patients 5 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Early Outcome of Off-pump and Conventional Coronary Artery Bypass Graft Surgery in Patients with Left Main Coronary Artery Disease with Left Ventricular Dysfunction

Raha,

Hossain,

Biswas

et al. 2023

Bangabandhu Sheikh Mujib Medical Coll J

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Left Main (LM) coronary artery disease and left ventricular dysfunction both are important predictors of in-hospital mortality. To avoid the harmful effects of cardio pulmonary bypass (CPB), many cardiac surgeons are using Offpump Coronary Artery Bypass (OPCAB) as an effective alternative to conventional CABG (CCAB) even in these sub-groups of patients. This study performed in the National Institute of Cardiovascular Diseases (NICVD) evaluated the early outcomes of OPCAB in terms of mortality and major post-operative morbidities and compared them with that of CCAB in patients with left main coronary artery diseases with left ventricular (LV) dysfunction. Total 120 patients with left main coronary artery disease with reduced left ventricular ejection fraction (<_40%) were allocated into two groups: a) 60 patients who underwent OPCAB and b) another 60 patients who underwent conventional CABG between January 2012 and December 2017. All risk factors and co-morbidities were homogenously distributed between the two groups. Majority of the patients had triple vessel disease. Nearly three-quarters (73.3%) of patients in OPCAB group and 80% in CCAB group received 3 grafts (p=0.470). The mean total operative time (p< 0.001), intubation times (p<0.001), blood losses (p < 0.001); requirements for blood and blood products (p < 0.0010), intensive care unit stays (p<0.001) and hospital stays (p< 0.001) were all significantly lower in the OPCAB group. OPCAB is a safe and effective operative revascularization procedure for patients with left main coronary artery disease with left ventricular dysfunction and is associated with reduced morbidity. Bangabandhu Sheikh Mujib Med. Coll. J. 2022;1(1):04-08

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Outcomes of Off-Pump Coronary Artery Bypass Surgery: A Three Year Single Centre Experience

Cited by 2 publications

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Early Outcome of Off-pump Coronary Artery Bypass Graft Surgery in Patients with Multivessel Coronary Artery Disease

Early Outcome of Off-pump Coronary Artery Bypass Graft Surgery in Patients with Multivessel Coronary Artery Disease

Comparison of Early Outcome of Off-pump and Conventional Coronary Artery Bypass Graft Surgery in Patients with Left Main Coronary Artery Disease with Left Ventricular Dysfunction

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