One-year outcomes of off- and on-pump coronary artery bypass grafting: PROMOTE patency trial
| Autor: | Sanjeeth Peter, Prashanthi Beri, Venkata Krishna Kumar Kodali, Anvay Mulay, Sandip Sardar, Chandrasekar Padmanabhan, Lokeswara Rao Sajja, Kunal Sarkar, Gopichand Mannam |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry Incidence (epidemiology) 030204 cardiovascular system & hematology Vascular surgery medicine.disease Surgery Cardiac surgery Coronary artery disease 03 medical and health sciences Coronary artery bypass surgery 0302 clinical medicine medicine.anatomical_structure 030228 respiratory system Cardiothoracic surgery medicine Original Article Myocardial infarction Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Indian J Thorac Cardiovasc Surg |
| Popis: | PURPOSE: Earlier we reported 3-month graft patency and clinical outcomes of prospective randomized comparison of off-pump and on-pump multivessel coronary artery bypass surgery to evaluate outcomes and graft patency (PROMOTE patency) trial. We now report major adverse cardiac and cerebrovascular events (MACCE) at 1 year of patients who underwent coronary artery bypass grafting (CABG) using either off-pump technique or on-pump technique. METHODS: The PROMOTE patency trial is a two-arm, prospective, randomized, multicentre trial, and enrolled 320 patients with multivessel coronary artery disease from March 2016 through March 2017 at 6 centres and were randomly assigned to undergo either off-pump CABG (OPCAB) (n = 158 patients) or on-pump CABG (n = 162 patients). The outcomes at 1 year were assessed. RESULTS: One mortality (0.64%) occurred in off-pump group (at 30 days) and 4 (2.48%) in on-pump group (1 at 30 days, 2 at 3 months, and 1 at 1 year) (p = 0.37). There was no difference between off-pump and on-pump groups in the outcomes of nonfatal myocardial infarction (1 in off-pump and 2 in on-pump group, p = 1.00) and cerebrovascular accident (none in off-pump and 2 in on-pump group, p = 0.49). Repeat revascularization was done in one patient in each group (p = 1.00). CONCLUSION: There was no significant difference in the incidence of MACCE between off-pump and on-pump CABG group at 1 year. |
| Databáze: | OpenAIRE |
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