Key result
Coronary endarterectomy with off-pump CABG in patients with diffuse coronary artery disease resulted in a post-operative ICU mortality rate of 1.9% and a 5-year survival rate of 89.5%.
Why the study?
What are the clinical outcomes of coronary endarterectomy with off-pump coronary artery bypass grafting in patients with diffuse coronary artery disease?
Cohort (n=1,000)
No
What are the clinical outcomes of coronary endarterectomy with off-pump coronary artery bypass grafting in patients with diffuse coronary artery disease?
Coronary endarterectomy with off-pump CABG is a feasible surgical revascularization strategy with acceptable mortality and good mid-term survival for patients with diffuse coronary artery disease lacking other options.
Answers are grounded in this paper and cite their sources.
Supports feasibility in diffuse CAD lacking options; leaves open randomized trials before practice change.
BACKGROUND: In this study, we aimed to review the consequences of coronary endarterectomy with coronary artery bypass grafting, and assess outcomes of this combined surgical technique for patients with diffuse coronary artery disease in a single surgeon's practice. METHODS: We retrospectively reviewed outcome of 1198 endarterectomized coronary artery in 1000 patients with diffuse coronary artery disease, who have had experienced coronary endarterectomy with off pump coronary artery bypass grafting in between 2009 and 2016. RESULTS: The mean age was 61.5 ± 5.5 years. Coronary endarterectomy was performed on 74.7% in the left coronary territory (43.2% left anterior descending, 26.6% diagonal, 4.9% Obtuse Marginal), and 25.3% in the right coronary territory. Post-operative intensive care unit mortality rate was 1.9%, and there were 11 (1.1%) late deaths. Mean intensive care unit stay was 36.6 ± 6.7 hours. Patients were extubated following a mean of 9.8 ± 1.25 hours. The mean duration of hospital stay was 10 ± 1 days. One-year survival rate was 97.8% and 89.5% survival rate was at 5 years follow up. However, 91.8% of patients were angina free at median follow-up of 2.5 years. CONCLUSION: Coronary endarterectomy with off pump coronary artery bypass grafting is attainable and accomplishes surgical revascularization in coronary artery disease patients when there is no other alternative for sufficient revascularization.
No takes yet. Share an insight, caveat, or question.
Ranjan et al. (2017) conducted a cohort in Diffuse coronary artery disease (n=1,000). Coronary endarterectomy with off-pump coronary artery bypass grafting was evaluated on Post-operative intensive care unit mortality rate. Coronary endarterectomy with off-pump CABG in patients with diffuse coronary artery disease resulted in a post-operative ICU mortality rate of 1.9% and a 5-year survival rate of 89.5%.
Synapse has enriched 10 related papers. Consider them for comparative context: