Comparative early results on off-pump versus on-pump coronary artery bypass grafting(CABG) in elderly patients

VernacularTitle:高龄患者非体外循环和体外循环冠状动脉旁路移植术的早期结果分析
Author: Feng SHEN ; Zhongxiang YUAN ; Jian LIU ; Ming YU
Publication Type:Journal Article
Keywords: Coronary artery bypass,off-pump; Cardiopulmonary bypass; Outcome assessment
From: Chinese Journal of Geriatrics 2014;33(1):32-34
CountryChina
Language:Chinese
Abstract: Objective To compare the outcomes of off-pump versus on-pump CABG.Methods From 2002 to 2008,CABG was performed in 105 patients aged 80 years and over,including 45 without cardiopulmonary bypass (CPB) or off-pump (OP) CABG (OPCAB) and 60 with CPB (onpump CABG).The outcomes were compared between two groups.Results The mean ICU stay was (37.1±30.3) h in OPCAB group and (60.6±58.2) h in on-pump CABG group (P＜0.01).Average ventilator-assisted time was (10.8±9.7) h for OPCAB group versus (22.3±35.7) h for onpump CABG group (P＜0.01).Postoperative atrial fibrillation occurred in 31.1％ of OPCABG patients and 41.7 ％ of on-pump CABG patients (P＜0.01).The mortality rate was 5.0％ in OPCABG group versus 8.3％ in on-pump CABG group (P＜0.05).Conclusions OPCABG is a safe and efficient method of myocardial revascularization in the elderly patients with lower morbidity and complications.