Naslov (eng)

Long term outcomes of the off-pump and on-pump coronary artery bypass grafting in a high-volume center

Autor

Matković, Miloš
Tutuš, Vladimir
Bilbija, Ilija
Milin-Lazović, Jelena
Savić, Marko
Aleksić, Nemanja
Atanasijević, Igor
Andrijašević, Vuk
Putnik, Svetozar

Opis (eng)

Coronary artery bypass grafting (CABG) remains the most frequent surgery in the practice of an adult cardiac surgeon and the most frequently performed cardiac surgical procedure worldwide. Despite the ongoing debates regarding the superiority or inferiority of of-pump coronary artery bypass grafting, it still comprises 15–30% of all CABG cases varying in different national registries. We performed a propensity matched study of 302 consecutive CABG patients,143 of -pump cases performed by the four experienced of-pump surgeons and the on-pump CABG cases performed by those surgeons and four other experienced coronary surgeons. The fve year follow up was performed and data collected comprised of mortality, rehospitalization due to cardiac origin, repeated revascularization, myocardial infarction and cerebrovascular accident. Overall, the of-pump group of patients had a higher risk profle than the patients in the on-pump group. After matching, fewer diferences were found between the groups. Propensity score matching analysis showed no diference in long-term survival as well as MACCE and repeated revascularization. The higher risk profle of the patients subjected to OPCAB and the comparable survival to lower risk CPB patients in this series indicate that in experienced hands, OPCAB is a valuable option in this important subgroup of patients.

Jezik

engleski

Datum

2019

Licenca

Ovo delo je licencirano pod uslovima licence
Creative Commons CC BY 4.0 - Creative Commons Autorstvo 4.0 International License.

http://creativecommons.org/licenses/by/4.0/legalcode

Predmet

Key words: koronarna arterija, bajpas, dugoročni rezultati

Deo kolekcije (1)

o:2793

Radovi saradnika Instituta za kardiovaskularne bolesti "Dedinje"