Comparison of On-pump and Off-pump Coronary Artery Bypass Grafting for Patients with High-Risk Coronary Artery Disease
- VernacularTitle:高风险冠心病患者接受体外或非体外循环冠状动脉旁路移植术的临床对比研究
- Author:
Rui WANG
;
Xin CHEN
;
Kaihu SHI
- Publication Type:Journal Article
- Keywords:
High risk;
Coronary artery bypasss grafting;
Coronary artery disease
- From:
Chinese Journal of Minimally Invasive Surgery
2005;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
0.05).The off-pump group had a shorter respiratory support time [(4.8?1.9)h vs(8.9?2.1)h,t=17.453,P=0.000],less drainage volume[(390?152)ml vs(660?111)ml,t=17.173,P=0.000],and required less blood transfusion [(270?77)ml vs(510?144)ml,t=17.861,P=0.000] than the on-pump group.In the off-pump group,3(2.0%)of the 150 patients developed renal function injury that is significantly more than that in the on-pump group [11/140(7.9%),?2=5.407,P=0.020].Conclusions Off-pump CABG is as effective as the on-pump surgery;moreover,it is a better choice for patients with high-risk coronary disease since this technique is superior in reducing respiratory support time,volumes of chest drainage and blood transfusion,and renal function injury.
