These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Off-pump versus on-pump coronary artery bypass surgery in high-risk patients (EuroSCORE >/= 6).
    Author: Lahtinen J, Biancari F, Rimpiläinen J, Kytökorpi R, Mosorin M, Rainio P, Cresti R, Juvonen T, Lepojärvi M.
    Journal: Thorac Cardiovasc Surg; 2007 Feb; 55(1):13-8. PubMed ID: 17285468.
    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.
    [Abstract] [Full Text] [Related] [New Search]