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Initial experience with off-pump coronary artery bypass grafting
S Kihara1, T Shimakura, S A Tanaka
1Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital, Hiroshima, Japan. shinkihara@aol.com
Heart and Vessels
|February 7, 2002
Summary
Off-pump coronary artery bypass grafting (OPCAB) is safe for high-risk patients with extracardiac complications. This study found no significant differences in outcomes like graft patency, stroke, or mortality compared to on-pump procedures.
Area of Science:
- Cardiovascular Surgery
- Cardiac Surgery Outcomes
- Minimally Invasive Cardiac Procedures
Background:
- Off-pump coronary artery bypass grafting (OPCAB) is often considered for patients with extracardiac complications.
- The safety and efficacy of OPCAB in this high-risk population require thorough evaluation.
Purpose of the Study:
- To assess the initial outcomes of OPCAB.
- To determine the validity of OPCAB for patients presenting with extracardiac complications.
Main Methods:
- A comparative study of 157 coronary artery bypass graft (CABG) patients.
- Divided into 30 OPCAB patients and 127 on-pump CABG patients.
- Comparison of early outcomes, including graft patency, stroke, and mortality.
Main Results:
- OPCAB patients had a higher incidence of preoperative extracardiac risk factors (previous surgery, cerebrovascular disease, renal failure).
- No significant differences were observed in graft patency, stroke, or mortality between OPCAB and on-pump CABG groups.
- Age and cardiac function were comparable between the groups.
Conclusions:
- OPCAB is an acceptable surgical option for high-risk patients with significant extracardiac conditions.
- The procedure demonstrates comparable safety and efficacy to on-pump CABG in this specific patient cohort.