title: Current practice and outcomes of off-pump multivessel coronary artery bypass.
abstract: Outcomes of off-pump multivessel coronary artery bypass were compared with those of the on-pump procedure. From July 2001 to June 2006, 3,637 patients with multivessel coronary disease underwent off-pump coronary artery bypass, and 3,586 patients had on-pump coronary artery bypass in our center. The rates of operative mortality, permanent stroke, renal failure and perioperative myocardial infarction were significantly lower in the off-pump group, and these patients required fewer blood transfusions, shorter durations of ventilatory support, and shorter hospital stays. However, the patients who underwent on-pump coronary artery bypass were considered more high-risk and tended to have more complex procedures.
authors.affiliation: Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center, Washington, DC 20010-2975, USA.
authors.forename: Xiumei
authors.initials: X
authors.lastname: Sun
authors.forename: Roger Michael
authors.initials: RM
authors.lastname: Lim
authors.forename: Peter C
authors.initials: PC
authors.lastname: Hill
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Haile
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Corso
authors.forename: Jorge M
authors.initials: JM
authors.lastname: Garcia
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001803:Blood Transfusion; D001026:Coronary Artery Bypass / Q000009:adverse effects* / Q000401:mortality; D047549:Coronary Artery Bypass, Off-Pump / Q000009:adverse effects* / Q000401:mortality; D003324:Coronary Artery Disease / Q000401:mortality / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology; D010043:Outcome and Process Assessment, Health Care; D012042:Registries; D051437:Renal Insufficiency / Q000209:etiology; D012121:Respiration, Artificial; D018570:Risk Assessment; D012720:Severity of Illness Index; D020521:Stroke / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome