Robotic Total Arterial Off-Pump Coronary Artery Bypass Grafting: Seven-Year Single-Center Experience and Long-Term Follow-Up of Graft Patency

2015 ◽  
Vol 100 (4) ◽  
pp. 1367-1373 ◽  
Author(s):  
Ming Yang ◽  
Yang Wu ◽  
Gang Wang ◽  
Cangsong Xiao ◽  
Huajun Zhang ◽  
...  
Keyword(s):  
Artery Bypass ◽  
Graft Patency ◽  
Bypass Grafting ◽  
Single Center ◽  
Off Pump ◽  
Single Center Experience ◽  
Long Term Follow Up ◽  
Pump Coronary Artery Bypass

Long-Term Follow-up of Off-Pump and On-Pump Coronary Artery Bypass Grafting

2014 ◽  
Vol 9 (2) ◽  
pp. 122-129
Author(s):  
Shahzad G. Raja ◽  
Umberto Benedetto ◽  
Dimple Chudasama ◽  
Siobhan Daley ◽  
Mubassher Husain ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Off Pump ◽  
Long Term Follow Up ◽  
Pump Coronary Artery Bypass

Long-Term Follow-up of Off-Pump and On-Pump Coronary Artery Bypass Grafting

2014 ◽  
Vol 9 (2) ◽  
pp. 122-129 ◽  
Author(s):  
Shahzad G. Raja ◽  
Umberto Benedetto ◽  
Dimple Chudasama ◽  
Siobhan Daley ◽  
Mubassher Husain ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Off Pump ◽  
Long Term Follow Up ◽  
Pump Cabg ◽  
Pump Coronary Artery Bypass ◽  
Long Term Mortality

Objective Despite increasing recognition of the benefits of off-pump coronary artery bypass grafting (CABG), concerns persist regarding its impact on long-term mortality and freedom from reintervention. In this study, we assessed the impact of off-pump CABG on long-term outcomes. Methods From January 2002 to December 2002, a total of 307 consecutive patients who underwent isolated multivessel off-pump CABG at our institution were compared with a control group of 397 patients who underwent multivessel on-pump CABG during the same period. Perioperative data were prospectively collected and compared. In addition, univariate and risk-adjusted comparisons between the two groups were performed at 10 years. Results After adjusting for clinical covariates, off-pump CABG did not emerge as a significant independent predictor of long-term mortality [hazard ratio (HR), 0.91; 95% confidence interval (CI), 0.70–1.12], readmission to hospital for cardiac cause (HR, 0.96; 95% CI, 0.78–1.10), or the need for reintervention (HR, 0.93; 95% CI, 0.87–1.05). Conclusions At long-term follow-up, off-pump CABG remains a safe and effective myocardial revascularization strategy with no adverse impact on survival or freedom from reintervention.

scholarly journals Off-pump versus on-pump redo coronary artery bypass grafting: A propensity score analysis of long-term follow-up

2020 ◽  
Vol 159 (2) ◽  
pp. 447-456.e2 ◽  
Author(s):  
Magdalena Iuliana Rufa ◽  
Adrian Ursulescu ◽  
Ragi Nagib ◽  
Selvaraj Shanmuganathan ◽  
Marc Albert ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Propensity Score Analysis ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Off Pump ◽  
Score Analysis ◽  
Long Term Follow Up

scholarly journals A Risk Score for Predicting Long-Term Mortality Following Off-Pump Coronary Artery Bypass Grafting

2021 ◽  
Vol 10 (14) ◽  
pp. 3032
Author(s):  
Tomasz Kamil Urbanowicz ◽  
Michał Michalak ◽  
Aleksandra Gąsecka ◽  
Anna Olasińska-Wiśniewska ◽  
Bartłomiej Perek ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Risk Score ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Off Pump ◽  
All Cause Mortality ◽  
Pump Coronary Artery Bypass ◽  
Long Term Mortality

Background: Off-pump coronary artery bypass grafting (OPCAB) comprises 15–30% of all bypass grafting surgeries. The currently available perioperative scores such as Euroscore and STS score do not specifically predict long-term mortality after off-pump procedures. The neutrophil-to-lymphocyte ratio (NLR) is one of the new, easily accessible markers of inflammation with proven predictive value in cardiovascular diseases. We aimed to develop the first risk score for long-term mortality after OPCAB and to determine if the perioperative value of NLR predicts long-term mortality in OPCAB patients. Methods: In total, 440 consecutive patients with multivessel stable coronary artery disease undergoing OPCAB were recruited. Differential leukocyte counts were obtained by a routine hematology analyzer. Data regarding mortality during a median follow-up time of 5.3 years were obtained from the Polish National Health Service database. An independent population of 242 patients served as a validation cohort. Results: All-cause mortality was influenced by different clinical risk factors. In multivariate regression analysis, chronic obstructive pulmonary disease, stroke history, post-operative NLR and LVEF were independent predictors of mortality. Combing all independent predictors predicted long-term all-cause mortality with 68.5% sensitivity and 71.5% specificity (AUC = 0.704, p < 0.001). After weighing these variables according to their estimates in a multivariate regression model, we developed a score to predict mortality in patients undergoing OPCAB (PREDICT-OPCAB Score, ranging from 0 to 10). Patients with a high score were at higher risk of mortality within the median 5.3 years of follow-up (score 0–3: 8.3%; 4–6: 27.0%; 7–10: 40.0%; p < 0.001 for score 0–3 vs. 4–6 and 7–10). This association was confirmed in the validation cohort. Conclusions: We developed and validated the first simplified risk score to predict mortality following OPCAB based on easily accessible clinical factors. This risk score can be used when obtaining a patient’s informed consent and as an aid in determining treatment.

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