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Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days
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Journal Article
Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days
2012
Overview
A total of 4752 patients for whom CABG was planned were randomly assigned to undergo the procedure on-pump or off-pump. At 30 days, the rates of death, myocardial infarction, stroke, or renal failure requiring dialysis did not differ significantly between the two groups.
Coronary-artery bypass grafting (CABG) reduces mortality in patients with extensive coronary artery disease.
1
CABG has generally been performed with the use of cardiopulmonary bypass (on-pump). With this approach, perioperative mortality is about 2%, with an additional 5 to 7% of patients having complications such as myocardial infarction, stroke, and renal failure requiring dialysis. The technique of operating on a beating heart (off-pump) for CABG was developed to decrease perioperative complications, some of which may be related to the use of cardiopulmonary bypass and to cross-clamping of the aorta associated with the on-pump CABG procedure.
Several previous trials have compared off-pump . . .
Publisher
Massachusetts Medical Society
Subject
/ Aged
/ Biological and medical sciences
/ Bleeding
/ Blood Transfusion - utilization
/ Bypass
/ Coronary Artery Bypass, Off-Pump
/ Coronary Artery Disease - mortality
/ Coronary Artery Disease - surgery
/ Dialysis
/ Female
/ Heart
/ Humans
/ Kidneys
/ Male
/ Myocardial Infarction - epidemiology
/ Postoperative Complications - epidemiology
/ Renal Insufficiency - epidemiology
/ Reoperation - statistics & numerical data
/ Stroke
/ Surgeons
/ Surgery
/ Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
