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Titolo:
Off-pump coronary artery bypass surgery for critical left main stem disease: safety, efficacy and outcome
Autore:
Yeatman, M; Caputo, M; Ascione, R; Ciulli, F; Angelini, GD;
Indirizzi:
Univ Bristol, Bristol Heart Inst, Bristol, Avon, England Univ Bristol Bristol Avon England tol Heart Inst, Bristol, Avon, England
Titolo Testata:
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
fascicolo: 3, volume: 19, anno: 2001,
pagine: 239 - 244
SICI:
1010-7940(200103)19:3<239:OCABSF>2.0.ZU;2-I
Fonte:
ISI
Lingua:
ENG
Soggetto:
WARM BLOOD CARDIOPLEGIA; MYOCARDIAL REVASCULARIZATION; CARDIOPULMONARY BYPASS; BEATING HEART; EXPERIENCE; SURVIVAL; TERM; CASS;
Keywords:
left main stem disease; off-pump coronary artery bypass surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Angelini, GD Bristol Royal Infirm, Bristol Heart Inst, Bristol BS2 8HW, Avon, England Bristol Royal Infirm Bristol Avon England BS2 8HW n, England
Citazione:
M. Yeatman et al., "Off-pump coronary artery bypass surgery for critical left main stem disease: safety, efficacy and outcome", EUR J CAR-T, 19(3), 2001, pp. 239-244

Abstract

Objectives: To determine whether patients with critical left main stem (LMS) coronary artery disease can undergo off-pump coronary artery bypass (OPCAB) surgery safely and successfully. Methods: From May 1996 to March 2000 data for patients with critical (greater than or equal to 50%) LMS stenosis who underwent conventional coronary artery bypass surgery with cardiopulmonary bypass (CCAB) or without (OPCAB) were collected prospectively using thePatient Analysis & Tracking System. A reusable pressure stabilizer, intra-coronary shunts and a single posterior pericardial stitch exposure technique were used in all OPCAB cases. Non-randomized, retrospective data analysisincluded demographic and preoperative risk factors, operative details, clinical outcome and early follow-up. Results: During the study period 387 patients with LMS stenosis underwent surgery (OPCAB n = 75, CCAB n = 312). Groups were similar in terms of preoperative and intraoperative variables although CCAB patients received significantly more grafts per patient (3.1 +/- 0.73 vs. 2.6 +/- 0.76, P less than or equal to 0.001). Mortality was similar in both groups (OPCAB 1.3% vs. CCAB 2.6%). OPCAB patients when compared to CCAB patients had a lower requirement for postoperative inotropes (12.0% vs. 38.1%, P = 0.0001), temporary postoperative pacing (2.7% vs. 10.1%, P =0.02), and blood product transfusion (6.7% vs. 31.4%, P < 0.0001), a lowerincidence of postoperative chest infection (0% vs. 6.7%, P = 0.02) and a slightly reduced postoperative length of stay (7.9 <plus/minus> 5.46 vs. 8.3+/- 5.11 days, P = 0.01). At 24 months follow-up, CCAB and OPCAB actuarialsurvival was 94.1 +/- 1.7% and 97.7 +/- 2.3%, respectively. Conclusions: OPCAB surgery is safe and effective in patients with critical LMS disease. (C) 2001 Elsevier Science B.V. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 26/01/20 alle ore 09:54:08