Off-pump Coronary Bypass Surgery in Patients with Low Ejection Fraction-Reference-Cited by-同舟云学术

Off-pump Coronary Bypass Surgery in Patients with Low Ejection Fraction

Published:2010-01 Issue:1 Volume:5 Page:33-41
ISSN:1556-9845
Container-title:Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
language:en
Short-container-title:Innovations�(Phila)

Author:

Gorki Hagen¹²,Patel Nirav C.¹,Panagopoulos Georgia³,Jennings Joan¹,Balacumaraswami Lognathen¹,Plestis Konstadinos¹,Subramanian Valavanur A.¹

Affiliation:

1. Department of Cardiothoracic Surgery, Lenox Hill Hospital, New York, NY USA

2. Department of Cardiac Surgery, Zentralklinik Bad Berka, Bad Berka, Germany

3. Department of Research, Lenox Hill Hospital, New York, NY USA.

Abstract

Objective Long-term survival after off-pump surgery in patients with low ejection fraction was investigated. Methods Three hundred forty-six patients with ejection fraction 30% or less with isolated off-pump coronary artery bypass surgery (OPCAB) were compared with a propensity matched historical group operated on-pump (ONCAB) and with data from literature after percutaneous coronary intervention and OPCAB surgery. Results The lower invasiveness of OPCAB contributed to a significantly better 30-day survival, shorter postoperative length of stay, and fewer in-hospital complications. Incomplete revascularization of the posterior and lateral territories of the heart correlated with higher 1-year mortality. The probability of survival for 8 years after OPCAB was 50.1% (n = 76) versus 49.7% (n = 82) for ONCAB without comparable data from literature for OPCAB or percutaneous coronary intervention in these high-risk patients. Conclusions OPCAB surgery in patients with low ejection fraction is a viable alternative but so far without demonstrable long-term survival advantage to ONCAB.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1097/imi.0b013e3181cf8228

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