Yüksel, AhmetÇayır, Mustafa ÇağdaşVelioğlu, Yusuf2023-10-302023-10-302018Yüksel, 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), 99-104.0001-5458https://doi.org/10.1080/00015458.2017.1383087https://www.tandfonline.com/doi/full/10.1080/00015458.2017.1383087http://hdl.handle.net/11452/34646Background: 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.eninfo:eu-repo/semantics/closedAccessSurgeryCoronary artery bypass grafting surgeryOff-pump versus on-pumpElderlyLong-term outcomesMyocardial revascularizationMetaanalysisMortalityStrokeOctogenariansMorbiditySafetyHeartOlderAge factorsAgedAged, 80 and overCoronary artery bypassCoronary artery bypass, off-pumpCoronary artery diseaseFemaleFollow-up studiesGeriatric assessmentHospital mortalityHumansIncidenceLength of stayMalePostoperative complicationsRetrospective studiesRisk assessmentSurvival rateTurkeyArticle0004300922000052-s2.0-8502991032699104118228946812SurgeryOff Pump Coronary Surgery; Coronary Artery Bypass Graft; Bypass SurgeryAgeAgedComparative studyCoronary artery bypass graftCoronary artery diseaseFemaleFollow upGeriatric assessmentHospital mortalityHumanIncidenceLength of stayMaleMortalityOff pump coronary surgeryPostoperative complicationProceduresRetrospective studyRisk assessmentSurvival rateTrendsTurkey (bird)Very elderly