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Early outcome of off-pump versus on-pump coronary revascularization

INTRODUCTION: The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versu...

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Autores principales: Davoodi, Saeed, Karimi, Abbasali, Ahmadi, Seyed Hossein, Marzban, Mehrab, Movahhedi, Namvar, Abbasi, Kyomars, Omran, Abbas Salehi, Shirzad, Mahmood, Sheikhvatan, Mehrdad, Abbasi, Seyed Hesameddin, Bina, Payvand
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198433/
https://www.ncbi.nlm.nih.gov/pubmed/25328605
http://dx.doi.org/10.11604/pamj.2014.17.309.1723
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author Davoodi, Saeed
Karimi, Abbasali
Ahmadi, Seyed Hossein
Marzban, Mehrab
Movahhedi, Namvar
Abbasi, Kyomars
Omran, Abbas Salehi
Shirzad, Mahmood
Sheikhvatan, Mehrdad
Abbasi, Seyed Hesameddin
Bina, Payvand
author_facet Davoodi, Saeed
Karimi, Abbasali
Ahmadi, Seyed Hossein
Marzban, Mehrab
Movahhedi, Namvar
Abbasi, Kyomars
Omran, Abbas Salehi
Shirzad, Mahmood
Sheikhvatan, Mehrdad
Abbasi, Seyed Hesameddin
Bina, Payvand
author_sort Davoodi, Saeed
collection PubMed
description INTRODUCTION: The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versus off-pump CABG. METHODS: We conducted a retrospective database review of 13866 patients (13560 patients undergoing on-pump CABG and 306 patients undergoing off-pump CABG) at Tehran Heart Center between January 2002 and January 2007. We compared preoperative, operative, and postoperative characteristics between them. RESULTS: In-hospital mortality in the on-pump group was 0.8% compared to 0.7% in the off-pump group (P=0.999) and in-hospital morbidity was 11.7% and 6.5%, respectively (OR: 1.533, 95%CI: 0.902-2.605, P=0.114). Postoperative atrial fibrillation was more prevalent in on-pump versus off-pump surgery (6.0% vs 3.0%, P=0.028), however there were no statistical significant differences in other postoperative complications with regard to cardiac arrest (P=0.733), prolonged ventilation (P=0.363), brain stroke (P=0.999), renal failure (P=0.525), and postoperative bleeding (P=0.999). The mean length of stay in hospital (P=0.156) and in ICU (P=0.498) was also similar between the two groups. CONCLUSION: The results from an Iranian population-based study showed similar early mortality and morbidity of off-pump CABG in comparison to on-pump surgery.
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spelling pubmed-41984332014-10-17 Early outcome of off-pump versus on-pump coronary revascularization Davoodi, Saeed Karimi, Abbasali Ahmadi, Seyed Hossein Marzban, Mehrab Movahhedi, Namvar Abbasi, Kyomars Omran, Abbas Salehi Shirzad, Mahmood Sheikhvatan, Mehrdad Abbasi, Seyed Hesameddin Bina, Payvand Pan Afr Med J Research INTRODUCTION: The use of coronary artery bypass surgery (CABG) with cardiopulmonary bypass (CPB) or without CPB technique (off-pump) can be associated with different mortality and morbidity and their outcomes remain uncertain. The goal of this study was to evaluate the early outcome of on-pump versus off-pump CABG. METHODS: We conducted a retrospective database review of 13866 patients (13560 patients undergoing on-pump CABG and 306 patients undergoing off-pump CABG) at Tehran Heart Center between January 2002 and January 2007. We compared preoperative, operative, and postoperative characteristics between them. RESULTS: In-hospital mortality in the on-pump group was 0.8% compared to 0.7% in the off-pump group (P=0.999) and in-hospital morbidity was 11.7% and 6.5%, respectively (OR: 1.533, 95%CI: 0.902-2.605, P=0.114). Postoperative atrial fibrillation was more prevalent in on-pump versus off-pump surgery (6.0% vs 3.0%, P=0.028), however there were no statistical significant differences in other postoperative complications with regard to cardiac arrest (P=0.733), prolonged ventilation (P=0.363), brain stroke (P=0.999), renal failure (P=0.525), and postoperative bleeding (P=0.999). The mean length of stay in hospital (P=0.156) and in ICU (P=0.498) was also similar between the two groups. CONCLUSION: The results from an Iranian population-based study showed similar early mortality and morbidity of off-pump CABG in comparison to on-pump surgery. The African Field Epidemiology Network 2014-04-22 /pmc/articles/PMC4198433/ /pubmed/25328605 http://dx.doi.org/10.11604/pamj.2014.17.309.1723 Text en © Saeed Davoodi et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Davoodi, Saeed
Karimi, Abbasali
Ahmadi, Seyed Hossein
Marzban, Mehrab
Movahhedi, Namvar
Abbasi, Kyomars
Omran, Abbas Salehi
Shirzad, Mahmood
Sheikhvatan, Mehrdad
Abbasi, Seyed Hesameddin
Bina, Payvand
Early outcome of off-pump versus on-pump coronary revascularization
title Early outcome of off-pump versus on-pump coronary revascularization
title_full Early outcome of off-pump versus on-pump coronary revascularization
title_fullStr Early outcome of off-pump versus on-pump coronary revascularization
title_full_unstemmed Early outcome of off-pump versus on-pump coronary revascularization
title_short Early outcome of off-pump versus on-pump coronary revascularization
title_sort early outcome of off-pump versus on-pump coronary revascularization
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198433/
https://www.ncbi.nlm.nih.gov/pubmed/25328605
http://dx.doi.org/10.11604/pamj.2014.17.309.1723
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