Off-pump multi-vessel revascularization in patients with poor left ventricular function*
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : B. K. Podesser1,2, Ch. Holzinger1,2, K. Binder1,2, I. Schor1,2,W. Haumberger3, G. Valicek3, R.Wendler3, L. Ameri4, W. Dietl1,2, K. Trescher1,2, H. Ka
- چاپ و سال / کشور: 2011
Description
Background: The subset of patients that benefit most from off-pump CABG remains controversial. This study randomly compared off- with on-pump CABG in patients with poor EF. Methods: Fifty-one patients were included in this study and randomized to undergo off- (n¼26) or onpump (n¼25) CABG. Inclusion criteria were EF < 35% and multi-vessel disease. The primary end-points were the time to extubation, a composite end-point and mortality. Results: EF, Euro-score, the number of grafts and inotropic support were similar between groups. In contrast time to extubation was 11.2 ± 3.8 hours in the offpump versus 16.4 ± 2.7 hours in the on-pump group (p < 0.05). There were no hospital deaths in both groups. However, 2 off-pump (8%) compared to 5 on-pump (20%) patients presented a composite end-point. Conclusions: In this high-risk cohort off-pump CABG reduces time to extubation and in-hospital morbidity.
Eur Surg (2011) 43/2: 103–109 DOI 10.1007/s10353-011-0599-5 Received February 2, 2011; accepted after revision February 8, 2011
