Current practice and outcomes of off-pump multivessel coronary artery bypass.
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.
Sun
Xiumei
X
Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center, Washington, DC 20010-2975, USA.
Lim
Roger Michael
RM
Hill
Peter C
PC
Haile
Elizabeth
E
Corso
Paul J
PJ
Garcia
Jorge M
JM
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