Key result
Redo off-pump CABG was associated with similar 30-day mortality (2.3% vs 6.9%, p=NS) and 5-year actuarial survival (95% vs 87%, p=0.17) compared to on-pump CABG.
Why the study?
Does redo off-pump CABG improve early and late outcomes compared to redo on-pump CABG in patients requiring redo coronary revascularization?
Population
110 patients requiring redo coronary artery bypass grafting, including a propensity-matched cohort of 86…
Comparison
Redo off-pump coronary artery bypass grafting vs Redo on-pump coronary artery bypass grafting…
Design
Cohort
Follow-up
Mean 30+/-21.3 months and 37+/-19.2 months
Authors
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Supports off-pump feasibility in redo CABG; leaves open need for RCTs to confirm equivalence.
Observational (n=110)
Does redo off-pump CABG improve early and late outcomes compared to redo on-pump CABG in patients requiring redo coronary revascularization?
Absolute Event Rate: 2.3% vs 6.9%
p-value: p=NS
Redo off-pump CABG is a safe and effective strategy for selected patients, offering similar long-term survival to on-pump CABG while significantly reducing postoperative ventilation time and IABP requirement.
Vohra et al. (2008) conducted an observational in Patients requiring redo coronary artery bypass grafting (redo-CABG) (n=110). Redo off-pump coronary artery bypass grafting (redo-OPCAB) vs. Redo on-pump coronary artery bypass grafting (redo-ONCAB) was evaluated on 30-day mortality (p=NS). Redo off-pump CABG was associated with similar 30-day mortality (2.3% vs 6.9%, p=NS) and 5-year actuarial survival (95% vs 87%, p=0.17) compared to on-pump CABG.
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