On-pump versus off-pump coronary artery bypass graft surgery: what do the evidence show?

Autor: Rodrigues AJ, Evora PR, Tubino PV
Jazyk: English; Portuguese
Zdroj: Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular [Rev Bras Cir Cardiovasc] 2013 Oct-Dec; Vol. 28 (4), pp. 531-7.
DOI: 10.5935/1678-9741.20130086
Abstrakt: The main purpose of the off-pump coronary artery bypass surgery is to reduce morbidity and mortality due cardiopulmonary bypass. However, even though many studies have shown that off-pump coronary artery bypass is feasible and provides hospital morbidity and mortality similar to the on-pump coronary artery bypass graft surgery, probably better in some aspects, its long-term results have been questioned, since some trials have shown reduced survival with off-pump coronary artery bypass. It is likely that incomplete revascularization and/or poor graft patency with off-pump coronary artery bypass probably are responsible for such unfavorable outcome.
Databáze: MEDLINE