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Başlık: A comparison of off-and on-pump beating-heart coronary artery bypass surgery on long-term cardiovascular events
Yazarlar: Gürbüz, Orçun
Kumtepe, Gencehan
Özkan, Hakan
Karal, İlker Hasan
Ercan, Abdulkadir
Ener, Serdar
Uludağ Üniversitesi/Tıp Fakültesi/Kalp ve Damar Cerrahisi Anabilim Dalı.
Yolgösteren, Atıf
AAG-2372-2021
57193236800
Anahtar kelimeler: Cardiovascular system & cardiology
Major cardiovascular event
Off-pump coronary artery bypass grafting
On-pump beating heart
Cardiac-surgery
Transfusion requirements
Randomized-trials
Risk patients
Metaanalysis
Mortality
Blood
Morbidity
Revascularization
Biomarkers
Yayın Tarihi: 2017
Yayıncı: Clinics Cardive Publication
Atıf: Gürbüz, O. vd. (2017). ''A comparison of off-and on-pump beating-heart coronary artery bypass surgery on long-term cardiovascular events''. Cardiovascular Journal of Africa, 28(1), 30-35.
Özet: Objective: Our aim was to compare short-term outcomes and long-term major adverse cardiovascular event (MACE)-free survival and independent predictors of long-term MACE after off-pump (OPCAB) versus on-pump beating-heart (ONBHCAB) coronary artery bypass grafting (CABG). Methods: We retrospectively reviewed data of all consecutive patients who underwent elective CABG, performed by the same surgeon, from January 2003 to October 2009. A propensity score analysis was carried out to adjust for baseline characteristics and a total of 398 patients were included: ONBHCAB (n = 181), OPCAB (n = 217). Results: OPCAB was associated with significantly shorter ventilation times (p < 0.001), intensive care unit stay (p < 0.001) and hospital stay (p < 0.001). The total blood loss was significantly more in the ONBHCAB group (p < 0.001), and accordingly, the number of transfused blood units was significantly lower in the OPCAB group (p < 0.001). Incidence of peri-operative renal complications were significantly higher in the ONBHCAB group (p = 0.004). The OPCAB group showed significantly lower long-term MACE-free survival (p = 0.029). The mean number of transfused blood units was the only independent predictor of MACE (HR: 1.218, 95% CI: 1.089-1.361; p = 0.001). Conclusion: OPCAB provided better long-term MACE-free survival compared with ONBHCAB. Fewer units of blood transfused following OPCAB surgery may have been the main reason for this result.
URI: https://doi.org/10.5830/CVJA-2016-049
1680-0745
http://hdl.handle.net/11452/31263
ISSN: https://journals.co.za/doi/abs/10.5830/CVJA-2016-049
1995-1892
Koleksiyonlarda Görünür:Scopus
Web of Science

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