Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomised controlled trial.
OBJECTIVE
To compare the clinical, angiographic, neurocognitive, and quality of life outcomes of off-pump coronary artery bypass surgery with conventional coronary artery bypass grafting surgery using cardiopulmonary bypass.


METHODS
Randomised controlled clinical trial.


METHODS
Tertiary cardiothoracic centre in Middlesex, England.


METHODS
168 patients (27 women) requiring primary isolated coronary artery bypass grafting surgery.


METHODS
Patients were randomised to conventional coronary artery bypass grafting surgery using cardiopulmonary bypass (n = 84) or off-pump coronary artery bypass surgery (n = 84), carried out by one surgeon. Angiographic examination was carried out at three months postoperatively. Neurocognitive tests were carried out at baseline and at six weeks and six months postoperatively.


METHODS
Clinical outcome, graft patency at three months, neurocognitive function at six weeks and six months, and health related quality of life.


RESULTS
Graft patency was evaluated by angiography in 151 (89.9%) patients and was similar between the cardiopulmonary bypass and off-pump groups (risk difference - 1%, 95% confidence interval - 5% to 4%), with the off-pump group considered the treatment group. Patients in the off-pump group required fewer blood transfusions (1.7 units v 1.0 unit, P = 0.02), shorter duration of mechanical ventilation (7.7 hours v 3.9 hours, P = 0.03), and shorter hospital stay (10.8 days v 8.9 days). Scores for neurocognitive function showed a significant difference in three memory subtests at six weeks and two memory subtests at six months in favour of the off-pump group.


CONCLUSIONS
Patients who underwent off-pump coronary artery bypass surgery showed similar patency of grafts, better clinical outcome, shorter hospital stay, and better neurocognitive function than patients who underwent conventional coronary artery bypass grafting surgery using cardiopulmonary bypass.
Al-Ruzzeh
Sharif
S
National Heart and Lung Institute, Imperial College of Science, Technology, and Medicine, Harefield Hospital, Middlesex UB9 6JH.
George
Shane
S
Bustami
Mahmoud
M
Wray
Jo
J
Ilsley
Charles
C
Athanasiou
Thanos
T
Amrani
Mohamed
M
D003072:Cognition Disorders / Q000209:etiology* / Q000523:psychology; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects*; D005260:Female; D006085:Graft Survival; D006801:Humans; D007902:Length of Stay; D008297:Male; D009483:Neuropsychological Tests; D011183:Postoperative Complications / Q000209:etiology*; D011788:Quality of Life; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology*