Minimally invasive coronary artery bypass grafting is associated with improved clinical outcomes
| Autor: | Kara J. Kallies, Michelle A. Mathiason, Jacob G. Burns, Venki Paramesh, Todd T. Vessey, Prem Rabindranauth |
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| Rok vydání: | 2014 |
| Předmět: |
Pulmonary and Respiratory Medicine
Male medicine.medical_specialty Bypass grafting Operative Time Coronary Artery Bypass Off-Pump Coronary Disease Diabetes mellitus medicine Minimally invasive cardiac surgery Humans Myocardial infarction Coronary Artery Bypass Aged Retrospective Studies Ejection fraction business.industry Medical record Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery surgical procedures operative medicine.anatomical_structure Treatment Outcome Thoracotomy Female business Cardiology and Cardiovascular Medicine Artery |
| Zdroj: | Innovations (Philadelphia, Pa.). 9(6) |
| ISSN: | 1559-0879 |
| Popis: | Objective Minimally invasive coronary artery bypass grafting (MICS CABG) via left minithoracotomy is an alternative to off-pump coronary artery bypass (OPCAB) via sternotomy. Our objective was to evaluate the clinical outcomes after MICS CABG versus OPCAB. Methods The medical records of patients who underwent MICS CABG from December 2009 to December 2011 and OPCAB from January 2005 to April 2011 were reviewed. Patients who underwent OPCAB were matched 2:1 to patients who underwent MICS CABG by age, sex, preoperative ejection fraction, creatinine concentration, as well as history of diabetes and myocardial infarction. Results A total of 130 MICS CABG patients were matched with 260 OPCAB patients. Mean bypasses in the MICS CABG and OPCAB groups were 2.1 and 3.2, respectively ( P = 0.001). Extubation in the operating room (OR) occurred in 70.0% and 12.7% of patients in the MICS CABG and OPCAB groups, respectively ( P = 0.001). Mean postoperative length of stay was 4 days for the MICS CABG patients versus 5 days for the OPCAB patients ( P = 0.002) and 3.8 days versus 4.6 days for the MICS CABG patients extubated in the OR compared with those who remained intubated ( P = 0.007). There were no 30-day mortalities in the MICS CABG group and 1 in the OPCAB group (P= 0.999). Thirty-day readmissions were similar, with 5.4% and 7.4% in the MICS CABG and OPCAB groups, respectively ( P = 0.527). Conclusions Minimally invasive coronary artery bypass grafting is safe, and early clinical outcomes are comparable, if not superior in some respects, to OPCAB. Extubation in the OR is feasible, well tolerated, and associated with earlier discharge. Shorter hospital stays may decrease resource use and promote earlier return to activities; however, further research is needed. |
| Databáze: | OpenAIRE |
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