Ten-year experience with off-pump coronary artery bypass grafting: Lessons learned from early postoperative angiography

Kim, Ki Bong; Kim, Jun Sung; Kang, Hyun–Jae; Koo, Bon Kwon; Kim, Hyo Soo; Oh, Byung Hee; Park, Young Bae

doi:10.1016/j.jtcvs.2009.08.040

Cited by 20 publications

(19 citation statements)

References 21 publications

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“…In general, the initial experience of performing OPCABG operations (performed generally in low-risk patients), based on numerous studies, could not convincingly demonstrate the advantages over performing such procedures on-pump. (5)(6)(7)(8) During the same period, the first reports on the results of OPCABG in high-risk patients appeared. (9) The milestone work was published by J.Puskas et al, (10) which convincingly demonstrated the advantages of OPCABG over on-pump CABG in high-risk patients.…”

Section: Discussionmentioning

confidence: 99%

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Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Sharipov¹,

Yarbekov²,

Omonov³

et al. 2017

IJBM

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Section: Discussionmentioning

confidence: 99%

“…This proportion varies from 49% to 99%, according to the reports from different authors. (3)(4)(5)(6)(7)10,11) Leading groups in this area, such as J.Puskas' group, perform OPCABG operations in 99% of all cases. In our series of 300 isolated CABG operations, 270(90%) were performed off-pump.…”

Section: Discussionmentioning

confidence: 99%

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Sharipov¹,

Yarbekov²,

Omonov³

et al. 2017

IJBM

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“…These results meant a 96% overall graft patency. In their recent study Kim et al [5] performed early postoperative angiography to assess anastomosis accuracy and patency after off-pump coronary artery bypass grafting in 1345 patients between 1998 and 2007. Of the 1345 patients, 1278 patients (95.0%) underwent early postoperative angiography on postoperative 1.6±1.2 days.…”

Section: Patency Rates After Cabgmentioning

confidence: 99%

“…Despite its highly favorable outcomes, a significant number of patients suffer early graft failure after CABG. Several angiographic studies have demonstrated that up to 15% of saphenous vein grafts and 8% of left internal thoracic artery grafts are occluded in the very early postoperative period of CABG [1][2][3][4][5][6]. If identified, this problem may be repaired shortly after or at the time of the operation because it is thought to be mainly a result of a surgical or technical problem.…”

Section: Introductionmentioning

confidence: 99%

Early graft failure after coronary artery bypass grafting: diagnosis and treatment

Türk

2016

Eur Res J

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Early postoperative graft failure after coronary artery bypass grafting (CABG) is still a significant problem that results in high morbidity and mortality. Different therapeutic options are available to manage this complication which include reoperation, balloon angioplasty, angioplasty along with stenting and conservative medical management. Herein, we review the existing literature in diagnosis and treatment options for overcoming early graft failure immediately following CABG.Eur Res J 2016;2(2):85-92

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“…The basic surgical procedures and strategies of OPCAB have been previously described (6,7). During the study period, we changed revascularization strategies based on our patency study after OPCAB (6); however, the left internal thoracic artery has continuously been used as the first conduit of choice for CABG.…”

Section: Operative Techniquementioning

confidence: 99%

Concomitant off-pump coronary artery bypass and non-cardiovascular surgery

Han

Choi

et al. 2016

J. Thorac. Dis.

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Background: Reports on concomitant cardiac and non-cardiovascular surgeries have noted disadvantages in the use of extracorporeal circulation. We assessed the results of concomitant off-pump coronary artery bypass (OPCAB) and non-cardiovascular surgery, and compared them with isolated OPCAB results.Methods: Of 2,439 patients who underwent OPCAB between 1999 and 2014, 115 patients underwent concomitant OPCAB and non-cardiovascular surgery. Combined non-cardiovascular diseases included 63 malignant and 52 benign diseases. Concomitant non-cardiovascular surgeries performed were general (n=62), thoracic (n=47), orthopedic (n=3), urologic (n=2) and otolaryngologic surgeries (n=1). Operative results were compared between the OPCAB patients who underwent concomitant non-cardiovascular surgeries (group 1, n=115) and isolated OPCAB patients (group 2, n=2,251). Because preoperative characteristics of the two groups were different, a 1:2 propensity score-matched analysis was performed and operative results of the two matched groups were compared.Results: Operative mortality rates were 0.9% (1/115) in group 1 and 1.0% (22/2,251) in group 2 (P=0.909).Although there were differences in preoperative patient characteristics, postoperative complications, including atrial fibrillation (36.5% vs. 28.8%), perioperative myocardial infarction (MI) (4.3% vs. 5.2%), acute renal failure (1.7% vs. 4.9%), mediastinitis (0.9% vs. 0.8%), bleeding reoperation (0.9% vs. 2.9%), and respiratory complications (2.6% vs. 2.1%), did not show significant differences between the two groups.After a 1:2 propensity score-matched analysis, there were no statistical differences in operative complications between the two groups.Conclusions: Concomitant OPCAB and non-cardiovascular surgeries were not associated with increased mortality and postoperative morbidities when compared with isolated OPCAB.

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Ten-year experience with off-pump coronary artery bypass grafting: Lessons learned from early postoperative angiography

Abstract: Early patency of venous grafts was significantly lower than that of arterial grafts. Intraoperative flowmetry and revision of abnormal grafts improved early graft patency, and reoperation according to early angiographic findings may further improve graft patency.

Cited by 20 publications

References 21 publications

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Effects of the Presence of Left Main Coronary Artery Disease on the Results of Off-pump Coronary Artery Bypass Grafting Surgery

Early graft failure after coronary artery bypass grafting: diagnosis and treatment

Concomitant off-pump coronary artery bypass and non-cardiovascular surgery

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