scholarly journals Long-Term Outcomes After Off-Pump Versus On-Pump Coronary Artery Bypass Grafting by Experienced Surgeons

2018 ◽  
Vol 72 (13) ◽  
pp. 1478-1486 ◽  
Author(s):  
Joanna Chikwe ◽  
Timothy Lee ◽  
Shinobu Itagaki ◽  
David H. Adams ◽  
Natalia N. Egorova
2018 ◽  
Vol 72 (3) ◽  
pp. 345-347 ◽  
Author(s):  
Dong Fang Zhao ◽  
J. James Edelman ◽  
Michael Seco ◽  
Paul G. Bannon ◽  
Michael P. Vallely

2015 ◽  
Vol 79 (10) ◽  
pp. 2177-2185 ◽  
Author(s):  
Suguru Ohira ◽  
Kiyoshi Doi ◽  
Satoshi Numata ◽  
Sachiko Yamazaki ◽  
Tsunehisa Yamamoto ◽  
...  

Author(s):  
Hideki Kitamura ◽  
Mototsugu Tamaki ◽  
Yasuhiko Kawaguchi ◽  
Yasuhide Okawa

Background and aim: Ischemic heart disease is the leading cause of death around the world. Coronary artery bypass grafting offers efficient surgical revascularization for ischemic disease. Both on- or off-pump coronary artery bypass methods provide promising results to octogenarians, once complete vascularization is achieved. However, off-pump bypass requires a certain level of experience to achieve sufficient results. We have applied an off-pump coronary artery bypass-first strategy to all generations since 2008. This study investigated early and long-term results of surgical revascularization for octogenarians by a team with an off-pump-first strategy. Methods: All cases of isolated coronary artery bypass grafting performed since 2008 were identified and divided into a young group (age <80 years) and an old group (age >=80 years). Peri-operative results were investigated retrospectively in both groups and long-term results for the old group were assessed. Results: Among the 707 patients, 97% underwent off-pump bypass, and 94 cases were classified to the old group. Distal anastomoses and ventilator time were identical between groups (young vs. old: 3.3 vs. 3.2; 3.7 h vs. 3.7 h). In-hospital death rates were 0.5% and 0% in the young and old groups, respectively. With a mean follow-up of 1318 days, actual 1-, 3-, and 5-year survival rates for octogenarians were 92.1%, 81.2% and 68.3%, respectively. Nearly half of the patients reached their nineties, which was close to the life expectancy of the national general octogenarian. Conclusions: An experienced team with an off-pump-first strategy could provide valid therapeutic options for octogenarians.


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