Comparision of the short-term clinical outcomes of on-pump and off-pump CABG in high-EuroSCORE patients
10.3760/cma.j.issn.1001-4497.2012.06.010
- VernacularTitle:高危冠心病患者体外和非体外循环冠状动脉旁路移植术近期疗效比较
- Author:
Yongxin SUN
;
Wenjun DING
;
Limin XIA
;
Chunsheng WANG
- Publication Type:Journal Article
- Keywords:
Coronary arteriosclerosis;
Cardiopulmonary bypass;
Coronary artery bypass,off-pump;
EumSCORE
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2012;28(6):352-355
- CountryChina
- Language:Chinese
-
Abstract:
Objective Analysis the clinical data of high-EuroSCORE 114 patients due to ronary surgery to elucidatethe surgical advantages between on-pump and off-pump CABG.Methods From September 2008 to March 2011,114 highEuroSCORE patients due to coronary surgery were randomly divided into off-pump group 48,and on-pump gronp 66 cases.Preoperative,intra-operative and peri-operative clinical data of all the patients were collected.All patients were followed up for 1 month postoperatively.Results The baseline of the two groups had no significant difference.Application of internal mammary artery,positive inotropic drugs and IABP assistance between the two groups were similar,P ＞0.05,Compared with the offpump group,patients in on-pump gnup had longer operation time,hut more graft counts and a higher rate of revascularization [ (3.71±0.55)gnifis vs.(2.82±0.39)grafts ],P ＜ 0.05.There were no significant differences of peri-operative mortality and post-operative complications between the two groups,P ＞0.05.The patients in on-pump group had more post-operative chest drainage in the first 24 hours[ (875.0±134.2)ml vs.(589.4±102.5)ml] and blood transfusion[ (656.3±84.4)ml vs.(433.3±62.9) ml ] compared with the off-pump group,P ＜ 0.05.The data of l-month follow up denonstrated that echocardiographic data,NYHA and symptoms of angina of the two groups had no significant difference,P ＞ 0.05.Conclusion Compared with OPCAB,CCAB did not increase postoperative renal failure,neurological complications and lung injury in highrisk patients,but had more complete revascularization.The disadvantage of CCAB was postoperative bleeding,blood productsuse.
