Off-pump multi-vessel revascularization in patients with poor left ventricular function*

Autor:	R. Wendler, Bruno K. Podesser, H. Kassal, L. Ameri, K. Binder, I. Schor, K. Trescher, W. Dietl, Ch. Holzinger, G. Valicek, W. Haumberger
Rok vydání:	2011
Předmět:	Inotrope medicine.medical_specialty business.industry medicine.medical_treatment Vascular surgery medicine.disease Revascularization Cardiac surgery Heart failure Internal medicine Cohort medicine Cardiology Surgery In patient business Abdominal surgery
Zdroj:	European Surgery. 43:103-109
ISSN:	1682-4016 1682-8631
DOI:	10.1007/s10353-011-0599-5
Popis:	BACKGROUND: The subset of patients that benefit most from off-pump CABG remains controversial. This study randomly compared off- with on-pump CABG in patients with poor EF. METHODS: Fifty-one patients were included in this study and randomized to undergo off- (n = 26) or on-pump (n = 25) CABG. Inclusion criteria were EF < 35% and multi-vessel disease. The primary end-points were the time to extubation, a composite end-point and mortality. RESULTS: EF, Euro-score, the number of grafts and inotropic support were similar between groups. In contrast time to extubation was 11.2 ± 3.8 hours in the off-pump versus 16.4 ± 2.7 hours in the on-pump group (p < 0.05). There were no hospital deaths in both groups. However, 2 off-pump (8%) compared to 5 on-pump (20%) patients presented a composite end-point. CONCLUSIONS: In this high-risk cohort off-pump CABG reduces time to extubation and in-hospital morbidity.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::ad2eabe92f8692368f5b87e485995369 https://doi.org/10.1007/s10353-011-0599-5 Zobrazit plný text záznamu Plný text ve formátu PDF