Asian Annals
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Peter C Hill
Paul J Corso
Jorge M Garcia
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ORIGINAL ARTICLE

Current Practice and Outcomes of Off-pump Multivessel Coronary Artery Bypass

Xiumei Sun, MD, Roger Michael Lim, MD, Peter C Hill, MD, Elizabeth Haile, MS, Paul J Corso, MD, Jorge M Garcia, MD

Section of Cardiac Surgery Department of Surgery, Washington Hospital Center Washington DC, USA

Jorge M Garcia, MD Tel: +1 202 291 1430 Fax: +1 202 291 1436 Email: Jorge.m.garcia{at}medstar.net, Section of Cardiac Surgery, Department of Surgery, Washington Hospital Center, 110 Irving Street NW, Suite 1E3, Washington DC 20010-2975, USA.

ABSTRACT

Outcomes of off-pump multivessel coronary artery bypass were compared with those of the on-pump procedure. From July 2001 to June 2006, 3,637 patients with multivessel coronary disease underwent off-pump coronary artery bypass, and 3,586 patients had on-pump coronary artery bypass in our center. The rates of operative mortality, permanent stroke, renal failure and perioperative myocardial infarction were significantly lower in the off-pump group, and these patients required fewer blood transfusions, shorter durations of ventilatory support, and shorter hospital stays. However, the patients who underwent on-pump coronary artery bypass were considered more high-risk and tended to have more complex procedures.

Key Words: Off-pump Coronary Artery Bypass

Asian Cardiovasc Thorac Ann 2009; 17:362-367
© 2009 by SAGE Publications
DOI: 10.1177/0218492309341710




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