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Off-pump versus on-pump coronary artery bypass surgery in high-risk patients (EuroSCORE >/= 6).
Thorac Cardiovasc Surg. 2007 Feb; 55(1):13-8.TC

Abstract

OBJECTIVE

The aim of this study was to review the results of off-pump (OPCAB) versus conventional on-pump coronary artery bypass surgery (CCAB) in high-risk patients.

METHODS

In a cohort of patients with an additive EuroSCORE >/= 6, 67 underwent OPCAB and 112 underwent CCAB.

RESULTS

Thirty-day postoperative death and stroke rates were 7.5 % and 6.0 % for the OPCAB group, and 5.4 % (P = 0.75) and 8.0 % (P = 0.77) for the CCAB group, respectively. No significant differences were observed for other major outcome endpoints other than cardiac troponin I (OPCAB: 117 +/- 428 ng/ml vs. CCAB: 58 +/- 99 ng/ml, P = 0.028), a result which was probably due to preoperative massive myocardial infarction in two very high-risk patients who underwent OPCAB. A similar outcome was also observed among propensity score-matched pairs. Congestive heart failure (P = 0.006, OR: 6.366, 95 % CI: 1.682 - 24.093) and baseline cardiac index (P = 0.018, OR: 0.171, 95 % CI: 0.040 - 0.735) were independent predictors of 30-day postoperative mortality.

CONCLUSIONS

OPCAB can be safely performed in high-risk patients with results as satisfactory as those achieved with CCAB.

Authors+Show Affiliations

Division of Cardiothoracic and Vascular Surgery, Department of Surgery, Oulu University Hospital, Oulu, Finland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17285468

Citation

Lahtinen, J, et al. "Off-pump Versus On-pump Coronary Artery Bypass Surgery in High-risk Patients (EuroSCORE >/= 6)." The Thoracic and Cardiovascular Surgeon, vol. 55, no. 1, 2007, pp. 13-8.
Lahtinen J, Biancari F, Rimpiläinen J, et al. Off-pump versus on-pump coronary artery bypass surgery in high-risk patients (EuroSCORE >/= 6). Thorac Cardiovasc Surg. 2007;55(1):13-8.
Lahtinen, J., Biancari, F., Rimpiläinen, J., Kytökorpi, R., Mosorin, M., Rainio, P., Cresti, R., Juvonen, T., & Lepojärvi, M. (2007). Off-pump versus on-pump coronary artery bypass surgery in high-risk patients (EuroSCORE >/= 6). The Thoracic and Cardiovascular Surgeon, 55(1), 13-8.
Lahtinen J, et al. Off-pump Versus On-pump Coronary Artery Bypass Surgery in High-risk Patients (EuroSCORE >/= 6). Thorac Cardiovasc Surg. 2007;55(1):13-8. PubMed PMID: 17285468.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Off-pump versus on-pump coronary artery bypass surgery in high-risk patients (EuroSCORE >/= 6). AU - Lahtinen,J, AU - Biancari,F, AU - Rimpiläinen,J, AU - Kytökorpi,R, AU - Mosorin,M, AU - Rainio,P, AU - Cresti,R, AU - Juvonen,T, AU - Lepojärvi,M, PY - 2007/2/8/pubmed PY - 2007/4/4/medline PY - 2007/2/8/entrez SP - 13 EP - 8 JF - The Thoracic and cardiovascular surgeon JO - Thorac Cardiovasc Surg VL - 55 IS - 1 N2 - OBJECTIVE: The aim of this study was to review the results of off-pump (OPCAB) versus conventional on-pump coronary artery bypass surgery (CCAB) in high-risk patients. METHODS: In a cohort of patients with an additive EuroSCORE >/= 6, 67 underwent OPCAB and 112 underwent CCAB. RESULTS: Thirty-day postoperative death and stroke rates were 7.5 % and 6.0 % for the OPCAB group, and 5.4 % (P = 0.75) and 8.0 % (P = 0.77) for the CCAB group, respectively. No significant differences were observed for other major outcome endpoints other than cardiac troponin I (OPCAB: 117 +/- 428 ng/ml vs. CCAB: 58 +/- 99 ng/ml, P = 0.028), a result which was probably due to preoperative massive myocardial infarction in two very high-risk patients who underwent OPCAB. A similar outcome was also observed among propensity score-matched pairs. Congestive heart failure (P = 0.006, OR: 6.366, 95 % CI: 1.682 - 24.093) and baseline cardiac index (P = 0.018, OR: 0.171, 95 % CI: 0.040 - 0.735) were independent predictors of 30-day postoperative mortality. CONCLUSIONS: OPCAB can be safely performed in high-risk patients with results as satisfactory as those achieved with CCAB. SN - 0171-6425 UR - https://www.unboundmedicine.com/medline/citation/17285468/Off_pump_versus_on_pump_coronary_artery_bypass_surgery_in_high_risk_patients__EuroSCORE_>/=_6__ L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/s-2006-924484 DB - PRIME DP - Unbound Medicine ER -