A comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patients

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dc.authorid0000-0003-4709-4705
dc.contributor.authorYüksel, Ahmet
dc.contributor.authorYolgösteren, Atif
dc.contributor.authorKan, İris İrem
dc.contributor.authorÇayır, Mustafa Çağdaş
dc.contributor.authorVelioğlu, Yusuf
dc.contributor.authorYalçın, Mustafa
dc.contributor.authorTok, Mustafa
dc.date.accessioned2021-06-23T19:50:18Z
dc.date.available2021-06-23T19:50:18Z
dc.date.issued2018
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: The reply of question of "which coronary artery bypass grafting (CABG) technique is superior in elderly patients, off-pump or on-pump CABG surgery?" is controversial. We aimed to compare the early clinical outcomes in elderly patients undergoing off-pump and on-pump CABG. Methods: From January 2009 to January 2015, 344 elderly patients (aged 70 or older) underwent off-pump (n = 137) or on-pump (n = 207) CABG. Patients' medical records were retrospectively reviewed, and their baseline preoperative characteristics, operative data and postoperative outcomes were analyzed, thereby a comparison of early outcomes between off-pump and on-pump patients was performed. Results: Mean age of patients was 74.4 +/- 3.8 years. Both groups were statistically similar in terms of baseline preoperative characteristics. Number of distal bypass was significantly lower in off-pump group than in on-pump group. Postoperative length of intensive care unit and hospital stay were similar between two groups. Amounts of transfused blood products were significantly lower in off-pump CABG group. There were no significant differences in terms of postoperative complications and mortality between two groups. Conclusions: Our results did not reveal a significant benefit of either surgical technique with respect to early-term clinical outcomes in elderly CABG patients. Further investigations are needed to determine whether off-pump CABG is superior than on-pump CABG in elderly patients.en_US
dc.identifier.doi10.1080/00015458.2017.1383087
dc.identifier.endpage104en_US
dc.identifier.issn0001-5458
dc.identifier.issue2en_US
dc.identifier.pmid28946812en_US
dc.identifier.scopus2-s2.0-85029910326en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage99en_US
dc.identifier.urihttps://doi.org/10.1080/00015458.2017.1383087
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9750
dc.identifier.volume118en_US
dc.identifier.wosWOS:000430092200005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorVelioğlu, Yusuf
dc.language.isoenen_US
dc.publisherActa Medical Belgicaen_US
dc.relation.ispartofActa Chirurgica Belgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCoronary Artery Bypass Grafting Surgeryen_US
dc.subjectOff-pump Versus On-pumpen_US
dc.subjectElderlyen_US
dc.titleA comparison of early clinical outcomes of off-pump and on-pump coronary artery bypass grafting surgery in elderly patientsen_US
dc.typeArticleen_US

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