Key result
Off-pump coronary artery bypass grafting in high-risk patients (EuroSCORE≥5) resulted in similar hospital mortality (1.5% vs 1.2%, p=0.763) compared to low-risk patients, despite a higher rate of on-pump conversion.
Why the study?
A lack of reliable data on the feasibility, safety, and outcomes of OPCABG in patients with high surgical risk hindered its broader clinical implementation.
Does off-pump coronary artery bypass grafting (OPCABG) have comparable safety and efficacy in patients with high surgical risk (EuroSCORE ≥5) compared to those with low surgical risk?
Cohort (n=310)
No
Does off-pump coronary artery bypass grafting (OPCABG) have comparable safety and efficacy in patients with high surgical risk (EuroSCORE ≥5) compared to those with low surgical risk?
Answers are grounded in this paper and cite their sources.
OPCABG can be performed safely in high-risk patients (EuroSCORE ≥5) with similar low hospital mortality as in low-risk patients, despite a higher rate of on-pump conversion.
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Sharipov et al. (2019) conducted a cohort in Coronary artery disease requiring CABG (n=310). High surgical risk (EuroSCORE≥5) vs. Low surgical risk (EuroSCORE<5) was evaluated on Hospital mortality (p=0.763). Off-pump coronary artery bypass grafting in high-risk patients (EuroSCORE≥5) resulted in similar hospital mortality (1.5% vs 1.2%, p=0.763) compared to low-risk patients, despite a higher rate of on-pump conversion.
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