Current practice and outcomes of off-pump multivessel coronary artery bypass.

Abstract

Outcomes of off-pump multivessel coronary artery bypass were compared with those of the on-pump procedure. From July 2001 to June 2006, 3,637 patients with multivessel coronary disease underwent off-pump coronary artery bypass, and 3,586 patients had on-pump coronary artery bypass in our center. The rates of operative mortality, permanent stroke, renal failure and perioperative myocardial infarction were significantly lower in the off-pump group, and these patients required fewer blood transfusions, shorter durations of ventilatory support, and shorter hospital stays. However, the patients who underwent on-pump coronary artery bypass were considered more high-risk and tended to have more complex procedures.

• Authors: Xiumei Sun, Roger Michael Lim, Peter C Hill, Elizabeth Haile, Paul J Corso, Jorge M Garcia
• Journal: Asian cardiovascular & thoracic annals (Asian Cardiovasc Thorac Ann) Vol. 17 Issue 4 Pg. 362-7 (Aug 2009) ISSN: 1816-5370 [Electronic] England
• PMID: 19713331 (Publication Type: Comparative Study, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Blood Transfusion
• Coronary Artery Bypass (adverse effects, mortality)
• Coronary Artery Bypass, Off-Pump (adverse effects, mortality)
• Coronary Artery Disease (mortality, surgery)
• Female
• Humans
• Length of Stay
• Male
• Myocardial Infarction (etiology)
• Outcome and Process Assessment, Health Care
• Registries
• Renal Insufficiency (etiology)
• Respiration, Artificial
• Risk Assessment
• Severity of Illness Index
• Stroke (etiology)
• Time Factors
• Treatment Outcome