Publication: A comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patients
Date
Authors
Yolgösteren, Arif
Kan, İris İrem
Yalçın, Mustafa
Tok, Mustafa
Biçer, Murat
Sığnak, Işık Şenkaya
Authors
Yüksel, Ahmet
Çayır, Mustafa Çağdaş
Velioğlu, Yusuf
Advisor
Language
Type
Publisher:
Taylor & Francis
Journal Title
Journal ISSN
Volume Title
Abstract
Background: The reply of question of "which coronary artery bypass grafting (CABG) technique is superior in elderly patients, off-pump or on-pump CABG surgery?" is controversial. We aimed to compare the early clinical outcomes in elderly patients undergoing off-pump and on-pump CABG. Methods: From January 2009 to January 2015, 344 elderly patients (aged 70 or older) underwent off-pump (n = 137) or on-pump (n = 207) CABG. Patients' medical records were retrospectively reviewed, and their baseline preoperative characteristics, operative data and postoperative outcomes were analyzed, thereby a comparison of early outcomes between off-pump and on-pump patients was performed. Results: Mean age of patients was 74.4 +/- 3.8 years. Both groups were statistically similar in terms of baseline preoperative characteristics. Number of distal bypass was significantly lower in off-pump group than in on-pump group. Postoperative length of intensive care unit and hospital stay were similar between two groups. Amounts of transfused blood products were significantly lower in off-pump CABG group. There were no significant differences in terms of postoperative complications and mortality between two groups. Conclusions: Our results did not reveal a significant benefit of either surgical technique with respect to early-term clinical outcomes in elderly CABG patients. Further investigations are needed to determine whether off-pump CABG is superior than on-pump CABG in elderly patients.
Description
Source:
Keywords:
Keywords
Surgery, Coronary artery bypass grafting surgery, Off-pump versus on-pump, Elderly, Long-term outcomes, Myocardial revascularization, Metaanalysis, Mortality, Stroke, Octogenarians, Morbidity, Safety, Heart, Older
Citation
Yüksel, A. vd. (2018). ''A comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patients''. Acta Chirurgica Belgica, 118(2), 99-104.