Off-Pump Coronary Revascularization for Left Main Coronary Artery Stenosis
| Autor: | Krishnamurthy Venkata Sathya Shiva Saikiran, Satya Bhaskar Raju Dandu, Pathuri Sn, Sriramulu Sompalli, Lokeswara Rao Sajja, Gopichand Mannam |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Cardiotonic Agents Time Factors Blood transfusion medicine.medical_treatment Coronary Artery Bypass Off-Pump Left Main Coronary Artery Stenosis Revascularization law.invention law Internal medicine medicine Cardiopulmonary bypass Humans Blood Transfusion In patient Renal Insufficiency Coronary Artery Bypass Aged Retrospective Studies Postoperative Care business.industry Coronary Stenosis General Medicine Middle Aged Coronary revascularization Surgery Treatment Outcome medicine.anatomical_structure Median sternotomy Cardiology Feasibility Studies Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Asian Cardiovascular and Thoracic Annals. 16:473-478 |
| ISSN: | 1816-5370 0218-4923 |
| DOI: | 10.1177/021849230801600609 |
| Popis: | Experience of on- and off-pump coronary artery bypass in 379 patients with significant left main coronary artery stenosis was retrospectively reviewed. Beating-heart operations were performed on 219 patients between January 2001 and October 2007. Their results were compared with 160 who underwent revascularization under cardiopulmonary bypass during the same period. All patients had multivessel grafting via a median sternotomy. Both groups were comparable demographically. Off-pump patients received significantly fewer grafts per patient (3.21 ± 0.86 vs 3.74 ± 0.82). The use of moderate or high doses of inotropics (> 5 μ g · kg−1 · min−1) was more frequent in the on-pump group (44% vs 26%). Postoperative blood transfusion requirement was lower in off-pump patients, and fewer of them experienced worsening of preexisting renal insufficiency. There were 2 operative deaths in the on-pump group and 1 in the off-pump group. The off-pump procedure is safe and effective in patients with left main coronary artery disease. |
| Databáze: | OpenAIRE |
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