| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1999;68:1490-1493
© 1999 The Society of Thoracic Surgeons
a London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
b Health Sciences Centre, Winnipeg, Manitoba, Canada
Address reprint requests to Dr Boyd, London Health Sciences Centre, University Campus, 339 Windermere Rd, London, ON, Canada, N6A 5A5
e-mail: douglas.boyd{at}lhsc.on.ca
Presented at Evolving Techniques and Technologies in Minimally Invasive Cardiac Surgery Meeting, San Antonio, TX, Jan 22–23, 1999.
Abstract
Background. Bypass surgery in the elderly (age >70 years) has increased mortality and morbidity, which may be a consequence of cardiopulmonary bypass. We compare the outcomes of a cohort of elderly off-pump coronary artery bypass (OPCAB) patients with elderly conventional coronary artery bypass grafting (CABG) patients.
Methods. Chart and provincial cardiac care registry data were reviewed for 30 consecutive elderly OPCAB patients (age 74.7 ± 4.2 years) and 60 consecutive CABG patients (age 74.9 ± 4.1 years, p = 0.82) with similar risk factor profiles: Parsonnet score 17.2 ± 8.1 (OPCAB) versus 15.6 ± 6.5 (CABG), p = 0.31; and Ontario provincial acuity index 4.5 ± 1.9 (OPCAB) versus 4.3 ± 2.0 (CABG), p = 0.65.
Results. Mean hospital stay was 6.3 ± 1.8 days for OPCAB patients and 7.7 ± 3.9 days for CABG patients (p < 0.05). Average intensive care unit stay was 24.0 ± 10.9 h for OPCAB patients versus 36.6 ± 33.5 h for CABG patients (p < 0.05). Atrial fibrillation occurred in 10.0% of OPCAB patients and 28.3% of CABG patients (p < 0.05). Low output syndrome was observed in 10% of OPCAB patients and 31.7% of CABG patients (p < 0.05). Cost was reduced by $1,082 (Canadian) per patient in the OPCAB group. Postoperative OPCAB graft analysis showed 100% patency.
Conclusions. OPCAB is safe in the geriatric population and significantly reduces postoperative morbidity and cost.
This article has been cited by other articles:
|
|
 |
|
  B. Maesen, J. Nijs, J. Maessen, M. Allessie, and U. Schotten Post-operative atrial fibrillation: a maze of mechanisms Europace, February 1, 2012; 14(2): 159 - 174. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Anselmi, G. Possati, and M. Gaudino Postoperative Inflammatory Reaction and Atrial Fibrillation: Simple Correlation or Causation? Ann. Thorac. Surg., July 1, 2009; 88(1): 326 - 333. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. K Darwazah, R. A. A. Sham'a, I. Isleem, B. Hanbali, and B. Jaber Off-Pump Coronary Artery Bypass for Emergency Myocardial Revascularization Asian Cardiovasc Thorac Ann, April 1, 2009; 17(2): 133 - 138. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. F. Buxton, P. A. R. Hayward, A. E. Newcomb, S. Moten, S. Seevanayagam, and I. Gordon Choice of conduits for coronary artery bypass grafting: craft or science? Eur J Cardiothorac Surg, April 1, 2009; 35(4): 658 - 670. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Kisner, M. J. Wilhelm, M. S. Messerli, G. Zund, and M. Genoni Reduced incidence of atrial fibrillation after cardiac surgery by continuous wireless monitoring of oxygen saturation on the normal ward and resultant oxygen therapy for hypoxia Eur J Cardiothorac Surg, January 1, 2009; 35(1): 111 - 115. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S S Panesar, T Athanasiou, S Nair, C Rao, C Jones, M Nicolaou, and A Darzi Early outcomes in the elderly: a meta-analysis of 4921 patients undergoing coronary artery bypass grafting--comparison between off-pump and on-pump techniques Heart, December 1, 2006; 92(12): 1808 - 1816. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. J. Ferreira-Gonzalez, A. Ribera, P. Cascant, G. Permanyer-Miralda, and for the ARCA study group Outcomes in off-pump vs. on-pump coronary artery bypass grafting stratified by pre-operative risk profile: an assessment using propensity score Eur. Heart J., October 2, 2006; 27(20): 2473 - 2480. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Beckermann, J. Van Camp, S. Li, S. K. Wahl, A. Collins, and C. A. Herzog On-pump versus off-pump coronary surgery outcomes in patients requiring dialysis: Perspectives from a single center and the United States experience J. Thorac. Cardiovasc. Surg., June 1, 2006; 131(6): 1261 - 1266. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Sendelbach, R. Lindquist, S. Watanuki, and K. Savik Correlates of Neurocognitive Function of Patients After Off-Pump Coronary Artery Bypass Surgery Am. J. Crit. Care., May 1, 2006; 15(3): 290 - 298. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. U. Jones, J. B. Muhlestein, K. W. Jones, D. G. Renlund, T. L. Bair, T. J. Bunch, B. D. Horne, D. L. Lappe, J. L. Anderson, and D. B. Doty Early Postoperative Use of Unfractionated Heparin or Enoxaparin is Associated with Increased Surgical Re-Exploration for Bleeding Ann. Thorac. Surg., August 1, 2005; 80(2): 518 - 522. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Matsuura, J. Kobayashi, O. Tagusari, K. Bando, K. Niwaya, H. Nakajima, T. Yagihara, and S. Kitamura Off-Pump Coronary Artery Bypass Grafting Using Only Arterial Grafts in Elderly Patients Ann. Thorac. Surg., July 1, 2005; 80(1): 144 - 148. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A Black, S. Ghosh, K. Sin, T. Spyt, and R. Pillai Off-Pump Coronary Artery Bypass Surgery Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 379 - 386. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. D. Desai, M. P. Pelletier, H. R. Mallidi, G. T. Christakis, G. N. Cohen, S. E. Fremes, and B. S. Goldman Why Is Off-Pump Coronary Surgery Uncommon in Canada? Results of a Population-Based Survey of Canadian Heart Surgeons Circulation, September 14, 2004; 110(11_suppl_1): II-7 - II-12. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Athanasiou, O. Aziz, O. Mangoush, A. Weerasinghe, S. Al-Ruzzeh, S. Purkayastha, J. Pepper, M. Amrani, B. Glenville, and R. Casula Do off-pump techniques reduce the incidence of postoperative atrial fibrillation in elderly patients undergoing coronary artery bypass grafting? Ann. Thorac. Surg., May 1, 2004; 77(5): 1567 - 1574. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Kelleher and J. Gothard Editorial II: Anaesthesia for off-pump coronary artery surgery Br. J. Anaesth., March 1, 2004; 92(3): 324 - 326. [Full Text] [PDF]
|
|
|
|
|
|
P.-G. Chassot, P. van der Linden, M. Zaugg, X. M. Mueller, and D. R. Spahn Off-pump coronary artery bypass surgery: physiology and anaesthetic management{dagger} Br. J. Anaesth., March 1, 2004; 92(3): 400 - 413. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. W. Lytle and J. F. Sabik On-Pump and Off-Pump Bypass Surgery: Tools for Revascularization Circulation, February 24, 2004; 109(7): 810 - 812. [Full Text] [PDF]
|
|
|
|
|
|
T. Athanasiou, S. Al-Ruzzeh, P. Kumar, M.-C. Crossman, M. Amrani, J. R. Pepper, R. Del Stanbridge, R. Casula, and B. Glenville Off-pump myocardial revascularization is associated with less incidence of stroke in elderly patients Ann. Thorac. Surg., February 1, 2004; 77(2): 745 - 753. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Kohli, M. Goel, V. K. Sharma, Y. Mishra, R. Malhotra, Y. Mehta, and N. Trehan Off-Pump Surgery: a Choice in Unstable Angina Asian Cardiovasc Thorac Ann, December 1, 2003; 11(4): 285 - 288. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Vedin, U. Jensen, A. Ericsson, C. Bitkover, S. Samuelsson, F. Bredin, and J. Vaage Cardiovascular function during the first 24 hours after off pump coronary artery bypass grafting-a prospective, randomized study Interact CardioVasc Thorac Surg, December 1, 2003; 2(4): 489 - 494. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. K. Song, R. J. Petersen, E. Sharoni, R. A. Guyton, and J. D. Puskas Safe evolution towards routine off-pump coronary artery bypass: negotiating the learning curve Eur J Cardiothorac Surg, December 1, 2003; 24(6): 947 - 952. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R A Archbold and N P Curzen Off-pump coronary artery bypass graft surgery: the incidence of postoperative atrial fibrillation Heart, October 1, 2003; 89(10): 1134 - 1137. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Ngaage Off-pump coronary artery bypass grafting: the myth, the logic and the science Eur J Cardiothorac Surg, October 1, 2003; 24(4): 557 - 570. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, M. Di Mauro, C. Canosa, S. Cirmeni, A. L. Iaco, M. Contini, and V. Mazzei Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of strategy on midterm outcome Ann. Thorac. Surg., July 1, 2003; 76(1): 32 - 36. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Cimen, V. Ozkul, B. Ketenci, N. Yurtseven, R. Gunay, B. Ketenci, H. Gercekoglu, and M. Demirtas Daily comparison of respiratory functions between on-pump and off-pump patients undergoing CABG Eur J Cardiothorac Surg, April 1, 2003; 23(4): 589 - 594. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, M. Di Mauro, C. Canosa, G. Di Giammarco, A. L. Iaco, and M. Contini Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE>=6) Eur J Cardiothorac Surg, March 1, 2003; 23(3): 360 - 367. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R Ascione and G.D Angelini OPCAB surgery: a voyage of discovery back to the future Eur. Heart J., January 2, 2003; 24(2): 121 - 124. [Full Text] [PDF]
|
|
|
|
|
|
R. Ascione, M. Caputo, and G. D. Angelini Off-pump coronary artery bypass grafting: not a flash in the pan Ann. Thorac. Surg., January 1, 2003; 75(1): 306 - 313. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Al-Ruzzeh, K. Nakamura, T. Athanasiou, T. Modine, S. George, M. Yacoub, C. Ilsley, and M. Amrani Does off-pump coronary artery bypass (OPCAB) surgery improve the outcome in high-risk patients?: a comparative study of 1398 high-risk patients Eur J Cardiothorac Surg, January 1, 2003; 23(1): 50 - 55. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. S. Hollenbeak, D. L. Morris, and M. C. Sinclair Is Off-pump Coronary Artery Bypass Graft Surgery Cost-Saving? Seminars in Cardiothoracic and Vascular Anesthesia, December 1, 2002; 6(4): 325 - 329. [Abstract] [PDF]
|
|
|
|
|
|
S. J. Hoff, S. K. Ball, W. H. Coltharp, D. M. Glassford Jr, J. W. Lea IV, and M. R. Petracek Coronary artery bypass in patients 80 years and over: is off-pump the operation of choice? Ann. Thorac. Surg., October 1, 2002; 74(4): S1340 - S1343. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Shennib, M. Endo, O. Benhamed, and J. F. Morin Surgical revascularization in patients with poor left ventricular function: on- or off-pump? Ann. Thorac. Surg., October 1, 2002; 74(4): S1344 - S1347. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Louagie, J. Jamart, S. Broka, E. Collard, V. Scavee, and M. Gonzalez Off-pump coronary artery bypass grafting: a case-matched comparison of hemodynamic outcome Eur J Cardiothorac Surg, October 1, 2002; 22(4): 552 - 558. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. G. Demaria, M. Carrier, S. Fortier, R. Martineau, A. Fortier, R. Cartier, M. Pellerin, Y. Hebert, D. Bouchard, P. Page, et al. Reduced Mortality and Strokes With Off-Pump Coronary Artery Bypass Grafting Surgery in Octogenarians Circulation, September 24, 2002; 106(12_suppl_1): I-5 - I-10. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Mack, D. Bachand, T. Acuff, J. Edgerton, S. Prince, T. Dewey, and M. Magee Improved outcomes in coronary artery bypass grafting with beating-heart techniques J. Thorac. Cardiovasc. Surg., September 1, 2002; 124(3): 598 - 607. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. S Meharwal and N. Trehan Off-Pump Coronary Artery Surgery in the Elderly Asian Cardiovasc Thorac Ann, September 1, 2002; 10(3): 206 - 210. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. C. Patel, A. D. Grayson, M. Jackson, J. Au, N. Yonan, R. Hasan, B. M. Fabri, and on behalf of the North West Quality Improvement Pr The effect off-pump coronary artery bypass surgery on in-hospital mortality and morbidity Eur J Cardiothorac Surg, August 1, 2002; 22(2): 255 - 260. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. T. Lorenz and K. M. Coyte Coronary Artery Bypass Graft Surgery Without Cardiopulmonary Bypass: A Review and Nursing Implications Crit. Care Nurse, February 1, 2002; 22(1): 51 - 60. [Full Text] [PDF]
|
|
|
|
 |
|
 D. L Zarro, D. A Palanzo, and R. M Montesano A comparison of several variables of off-pump coronary artery bypass procedures versus myocardial revascularization utilizing cardiopulmonary bypass Perfusion, January 1, 2002; 17(1): 9 - 14. [Abstract] [PDF]
|
|
|
|
|
|
S. Al-Ruzzeh, S. George, M. Yacoub, and M. Amrani The clinical outcome of off-pump coronary artery bypass surgery in the elderly patients Eur J Cardiothorac Surg, December 1, 2001; 20(6): 1152 - 1156. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Demers and R. Cartier Multivessel off-pump coronary artery bypass surgery in the elderly Eur J Cardiothorac Surg, November 1, 2001; 20(5): 908 - 912. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Corbineau, J.-P. Verhoye, T. Langanay, P. Menestret, and A. Leguerrier Feasibility of the utilisation of the right internal thoracic artery in the transverse sinus in off pump coronary revascularisation: early angiographic results Eur J Cardiothorac Surg, November 1, 2001; 20(5): 918 - 922. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Calafiore, M. Di Mauro, M. Contini, G. Di Giammarco, M. Pano, G. Vitolla, A. Bivona, R. Carella, and S. D'Alessandro Myocardial revascularization with and without cardiopulmonary bypass in multivessel disease: impact of the strategy on early outcome Ann. Thorac. Surg., August 1, 2001; 72(2): 456 - 462. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Siebert, L. Anisimowicz, R. Lango, J. Rogowski, R. Pawlaczyk, M. Brzezinski, S. Beta, and M. Narkiewicz Atrial fibrillation after coronary artery bypass grafting: does the type of procedure influence the early postoperative incidence? Eur J Cardiothorac Surg, April 1, 2001; 19(4): 455 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Stamou and P. J. Corso Coronary revascularization without cardiopulmonary bypass in high-risk patients: a route to the future Ann. Thorac. Surg., March 1, 2001; 71(3): 1056 - 1061. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Yeatman, M. Caputo, R. Ascione, F. Ciulli, and G. D. Angelini Off-pump coronary artery bypass surgery for critical left main stem disease: safety, efficacy and outcome Eur J Cardiothorac Surg, March 1, 2001; 19(3): 239 - 244. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. J. Mack Minimally Invasive and Robotic Surgery JAMA, February 7, 2001; 285(5): 568 - 572. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Kilo, H. Baumer, M. Czerny, M. J. Hiesmayr, M. Ploner, E. Wolner, and M. Grimm Target vessel revascularization without cardiopulmonary bypass in elderly high-risk patients Ann. Thorac. Surg., February 1, 2001; 71(2): 537 - 542. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Bull, L. A. Neumayer, J. C. Stringham, P. Meldrum, D. G. Affleck, and S. V. Karwande Coronary artery bypass grafting with cardiopulmonary bypass versus off-pump cardiopulmonary bypass grafting: does eliminating the pump reduce morbidity and cost? Ann. Thorac. Surg., January 1, 2001; 71(1): 170 - 175. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. A. Cooley Con: beating-heart surgery for coronary revascularization: is it the most important development since the introduction of the heart-lung machine? Ann. Thorac. Surg., November 1, 2000; 70(5): 1779 - 1781. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S. Kochamba, K. L. Yun, T. A. Pfeffer, C. F. Sintek, and S. Khonsari Pulmonary abnormalities after coronary arterial bypass grafting operation: cardiopulmonary bypass versus mechanical stabilization Ann. Thorac. Surg., May 1, 2000; 69(5): 1466 - 1470. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. P. C. Yim, A. A Arifi, and S. Wan Coronary Artery Bypass Grafting in the Elderly : The Challenge and the Opportunity Chest, May 1, 2000; 117(5): 1220 - 1221. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
