On-pump beating heart versus conventional on-pump coronary artery bypass grafting on clinical outcomes: a meta-analysis

Autor: Chen Si, Chen Wang, Yefan Jiang, Xionggang Jiang
Rok vydání: 2021
Předmět:
Zdroj: J Thorac Dis
ISSN: 2077-6624
2072-1439
DOI: 10.21037/jtd-21-568
Popis: BACKGROUND: A hybrid surgery method, on-pump beating heart coronary artery bypass graft (ON-BH CABG), is supposed to be a promising technology for coronary artery revascularization. Here, we conducted a comprehensive meta-analysis of the data derived from published studies on ON-BH CABG and conventional on-pump coronary artery bypass graft (C-CABG) to compare their short-term and long-term clinical outcomes. METHODS: We searched major electronic databases and 24 studies incorporating 6,862 patients (1,847 ON-BH CABG and 5,015 C-CABG) were included eventually, and 9 studies of them were focusing on high-risk patients. RESULTS: Compared with ON-BH CABG, C-CABG was associated with a higher risk in early mortality [odds ratio (OR), 1.45; 95% confidence interval (CI), 1.09 to 1.93; P=0.01], myocardial infarction (MI) (OR, 2.60; 95% CI, 1.41 to 4.78; P
Databáze: OpenAIRE