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Published on: March 27, 2018
Off pump Versus On pump Coronary Artery Bypass Grafting: Short-term Outcomes
Ilirijana Haxhibeqiri Karabdic1, Slavenka Straus1, Nermir Granov1
1Clinic for Cardivascular Surgery, Clinical Center of University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
Insights
Off-pump coronary artery bypass grafting (CABG) shows varied short-term outcomes compared to on-pump CABG. Surgeon experience is crucial for optimal results in off-pump procedures.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
Background:
- Coronary artery disease (CAD) is a leading global cause of death and a common reason for surgical intervention.
- Coronary artery bypass grafting (CABG) is a primary surgical treatment for CAD, with on-pump and off-pump techniques available.
- Technological advancements aim to improve surgical outcomes in CABG procedures.
Purpose of the Study:
- To compare the short-term outcomes of off-pump CABG (OPCABG) versus traditional on-pump CABG (ONCABG) in patients undergoing isolated CABG.
Main Methods:
- A comparative study was conducted between 2022 and 2023 involving 80 patients who underwent isolated CABG.
- Patients were divided into two groups: those who received on-pump CABG and those who received off-pump CABG.
Main Results:
- The study analyzed various outcomes including procedure duration, mechanical ventilation time, drainage volume, neurological events, length of hospital stay, need for repeat revascularization, and mortality.
- Both on-pump and off-pump CABG demonstrated specific advantages and disadvantages.
Conclusions:
- The selection of CABG technique should be individualized based on patient comorbidities and surgical risk.
- Off-pump CABG is technically more demanding than on-pump CABG and requires a highly skilled and experienced surgeon for optimal patient outcomes and survival.
Background:
Coronary artery disease (CAD) is a major public health issue and a leading cause of death globally. It is one of the most common indications for surgical intervention. There are a lot of different techniques, including CABG, which consists of two approaches: sternotomy and mini-thoracotomy. Different techniques have been developed to improve surgical outcomes, including the use of machine for extracorporal circulation (on-pump) or without it (off-pump).
Objective:
The objective of this study was to assess whether off-pump CABG offers superior short-term outcomes compared to traditional on-pump CABG in patients undergoing isolated CABG..
Methods:
In period between 2022 - 2023, we performed CABG operation in 80 patients. CABG was performed either on- pump or off-pump.
Results:
The results have shown advantages and disadvantages of one or another type of CABG. We were comparing the duration of surgical procedure, time on mechanical ventilation, drainage volume, neurological incidents, time to discharge, indication for repeat revascularization and mortality between two groups.
Conclusion:
The choice of surgical technique should be based on individual patient factors, including comorbidities and surgical risks. It is important to say that OPCABG is more challenging than ONCABG, and it is very important that OPCABG is done by skilled, experienced and confident surgeon, which contributes to better outcome and survival.
