Key result
Coronary artery bypass grafting on the beating heart yielded comparable flowmetric parameters to arrested heart surgery but significantly decreased the risk of most complications.
Why the study?
Prior studies showed no significant differences in outcomes between on-pump and off-pump CABG, prompting analysis of flowmetric graft parameters in high-risk patients.
Does coronary artery bypass grafting on the beating heart improve flowmetric parameters and reduce complications compared to arrested heart surgery in high-surgical risk patients with ischaemic heart disease?
Population
148 high-surgical risk patients with ischaemic heart disease undergoing CABG
Comparison
CABG on the beating heart vs CABG in conditions of artificial circulation
Authors
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Beating-heart CABG may lower complications with preserved flow; leaves open randomized confirmation before practice change.
Cohort (n=148)
Does coronary artery bypass grafting on the beating heart improve flowmetric parameters and reduce complications compared to arrested heart surgery in high-surgical risk patients with ischaemic heart disease?
In high-risk surgical patients undergoing CABG, off-pump surgery provides comparable graft flow parameters to on-pump surgery while significantly reducing the risk of complications.
Сидоров et al. (2019) conducted a cohort in Ischaemic heart disease (n=148). Coronary artery bypass grafting on the beating heart vs. Coronary artery bypass grafting on the arrested heart with artificial circulation was evaluated on Flowmetric parameters of blood flow through coronary bypass grafts and complications. Coronary artery bypass grafting on the beating heart yielded comparable flowmetric parameters to arrested heart surgery but significantly decreased the risk of most complications.
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