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  1. Home
  3. Long-term Redo Cabg Outcomes: Propensity-matched On-pump Vs Off-pump Comparison.
  1. Home
  3. Long-term Redo Cabg Outcomes: Propensity-matched On-pump Vs Off-pump Comparison.

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Related Experiment Video

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft
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Long-Term Redo CABG Outcomes: Propensity-Matched On-Pump vs Off-Pump Comparison.

Carl Thaddäus Braun1, Lena Steins1, Malee Julie Scherer1

  • 1Heart and Diabetes Center North Rhine-Westphalia, Cardiovascular and Thoracic Surgery, Germany, Bad Oeynhausen.

The Thoracic and Cardiovascular Surgeon
|June 22, 2026

View abstract on PubMed

Summary
This summary is machine-generated.

Off-pump redo coronary artery bypass grafting (CABG) offers shorter operative times and reduced transfusions compared to on-pump surgery. Both strategies demonstrate similar long-term survival and safety profiles for redo-CABG patients.

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05:25

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Published on: March 27, 2018

Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Outcomes
  • Minimally Invasive Cardiac Surgery

Background:

  • Redo coronary artery bypass grafting (redo-CABG) presents significant technical challenges and increased perioperative risks compared to primary CABG.
  • The benefit of avoiding cardiopulmonary bypass (CPB) during redo-CABG remains an area of active investigation.
  • Optimizing surgical strategies for redo-CABG is crucial for improving patient outcomes.

Purpose of the Study:

  • To compare the perioperative and long-term outcomes of off-pump versus on-pump redo-CABG.
  • To evaluate the safety and efficacy of different bypass strategies in a high-volume surgical center.
  • To identify predictors of survival following redo-CABG.

Main Methods:

  • Retrospective analysis of 370 patients undergoing redo-CABG between 2009 and 2024.
  • Propensity score matching was utilized to balance preoperative covariates between off-pump and on-pump groups.
  • Survival analyses and assessment of revascularization completeness were performed.

Main Results:

  • Off-pump redo-CABG was associated with significantly shorter operative times and reduced red blood cell transfusion requirements.
  • Lower levels of myocardial injury biomarkers (CK-MB, troponin) were observed in the off-pump group.
  • In-hospital mortality, stroke, myocardial infarction, and long-term survival rates were comparable between the off-pump and on-pump strategies.

Conclusions:

  • Off-pump redo-CABG is a safe and effective alternative to on-pump surgery, with similar long-term outcomes.
  • The choice between off-pump and on-pump strategies for redo-CABG should be individualized based on patient-specific factors and surgeon expertise.
  • Surgical strategy alone was not an independent predictor of long-term survival in multivariable analysis.