Systematic off-pump coronary artery revascularization in multivessel disease: Experience of three hundred cases

Cartier, Raymond; Brann, Stacey; Dagenais, François; Martineau, Raymond; Couturier, A.

doi:10.1016/s0022-5223(00)70176-0

Cited by 143 publications

(74 citation statements)

References 18 publications

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“…Importantly there data suggest that an off-pump strategy reduces the likelihood of reoperation for bleeding. There conclusion agrees with others [22,23] who have documented less perioperative bloodloss with off-pump CABG. The need for transfusion was significantly less in the beating heart group.…”

Section: Medline Embase Cochrane Controlled Trialssupporting

confidence: 93%

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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Section: Medline Embase Cochrane Controlled Trialssupporting

confidence: 93%

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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“…In our study, we observed lower rates of hemorrhagic shock and also decrease in the need for blood transfusions in the OPCAB group compared to on-pump CABG group. This removal of blood transfusion reduces the risk of infections [13]. In our study, women undergoing OPCAB had less pneumonia and sepsis compared to patients undergoing on-pump CABG, however, we can not say that this decrease was necessarily due to decrease in blood product transfusions, since we have not performed that analysis.…”

Section: Discussioncontrasting

confidence: 54%

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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“…Observational studies have already suggested similar results to conventional CABG [15]. The effectiveness of off-pump CABG surgery has been demonstrated in patients with multivessel disease [22], or in those with disease in the left coronary artery [16], and in high-risk patients preoperatively as well [17].…”

Section: Discussionmentioning

confidence: 87%

Análise dos resultados imediatos da cirurgia de revascularização do miocárdio com e sem circulação extracorpórea

Cantero¹,

Almeida²,

Galhardo³

2011

Rev Bras Cir Cardiovasc

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Objective: The objective of this study is to compare the immediate results of patients undergoing on-pump versus off-pump coronary artery bypass graft (CABG) surgery.Methods: From January 2007 to January 2009, 177 patients underwent CABG. Of these, 92 underwent off-pump CABG and 85 on-pump CABG. We evaluated the demographics, preoperative risk factors, preoperative functional class, and risk assessment by the EuroSCORE. A comparison between both groups regarding the postoperative evolution was carried out as well.Results: The mean number of grafts per patient was 2.48 ± 0.43 in the off-pump group versus 2.90 ± 0.59 in the onpump group. In the off-pump group, 97.8% of patients received an internal thoracic artery graft, while in the onpump group, the percentage was 94.1% (P = 0.03). The rate of complete revascularization was similar in both groups. In the off-pump group, the circumflex artery (circumflex branch of the left coronary artery) was revascularized in 48.9% of the patients versus 68.2% of the patients in the onpump group (P = 0.01). Hospital mortality was 4.3% for offpump CABG and 4.7% for on-pump CABG (P = 0.92). The off-pump group had fewer complications in relation to perioperative myocardial infarction (P = 0.02) and use of intra-aortic balloon pump (P = 0.01).Conclusion: The off-pump CABG is a safe procedure with hospital mortality similar to that observed in on-pump CABG, with lower rates of complications and less need for intra-aortic balloon. Rev Bras Cir Cardiovasc 2012;27(1):38-44 Descriptors

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Systematic off-pump coronary artery revascularization in multivessel disease: Experience of three hundred cases

Abstract: In a majority of patients, off-pump complete coronary artery revascularization is an acceptable alternative to conventional operations, yielding good results given progressive experience, rigorous technique, and adequate coronary artery stabilization.

Cited by 143 publications

References 18 publications

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

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

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

Análise dos resultados imediatos da cirurgia de revascularização do miocárdio com e sem circulação extracorpórea

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