scholarly journals Long-term survival after coronary bypass surgery and percutaneous coronary intervention

Open Heart ◽  
2016 ◽  
Vol 3 (2) ◽  
pp. e000489 ◽  
Author(s):  
Per Mølstad ◽  
Rasmus Moer ◽  
Olaf Rødevand
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Bypass Surgery ◽  
Coronary Bypass ◽  
Coronary Intervention ◽  
Coronary Bypass Surgery ◽  
Term Survival ◽  
Long Term Survival ◽  
Percutaneous Coronary

Off-pump Coronary Bypass Surgery in Patients with Low Ejection Fraction

2010 ◽  
Vol 5 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Hagen Gorki ◽  
Nirav C. Patel ◽  
Georgia Panagopoulos ◽  
Joan Jennings ◽  
Lognathen Balacumaraswami ◽  
...  
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Ejection Fraction ◽  
Bypass Surgery ◽  
Coronary Intervention ◽  
Term Survival ◽  
Off Pump ◽  
Percutaneous Coronary ◽  
Opcab Surgery ◽  
Low Ejection Fraction

Objective Long-term survival after off-pump surgery in patients with low ejection fraction was investigated. Methods Three hundred forty-six patients with ejection fraction 30% or less with isolated off-pump coronary artery bypass surgery (OPCAB) were compared with a propensity matched historical group operated on-pump (ONCAB) and with data from literature after percutaneous coronary intervention and OPCAB surgery. Results The lower invasiveness of OPCAB contributed to a significantly better 30-day survival, shorter postoperative length of stay, and fewer in-hospital complications. Incomplete revascularization of the posterior and lateral territories of the heart correlated with higher 1-year mortality. The probability of survival for 8 years after OPCAB was 50.1% (n = 76) versus 49.7% (n = 82) for ONCAB without comparable data from literature for OPCAB or percutaneous coronary intervention in these high-risk patients. Conclusions OPCAB surgery in patients with low ejection fraction is a viable alternative but so far without demonstrable long-term survival advantage to ONCAB.

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