Early-term outcomes of off-pump versus on-pump beating-heart coronary artery bypass surgery

dc.authorid0000-0002-2154-7473en_US
dc.authorid0000-0002-2154-7473
dc.contributor.authorVelioğlu, Yusuf
dc.contributor.authorIşık, Mehmet
dc.date.accessioned2021-06-23T19:50:48Z
dc.date.available2021-06-23T19:50:48Z
dc.date.issued2019
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground The current study analyzed and compared early-term outcomes of off-pump versus on-pump beating heart coronary artery bypass surgery. Methods From January 2011 to January 2018, a total of 736 patients underwent isolated first-time elective beating-heart coronary artery bypass surgery without the use of aortic cross-clamping and cardioplegic arrest at our institution, and they were included in this study. Data of patients were collected and retrospectively analyzed. Patients were divided into two groups according to the use of cardiopulmonary bypass during the operation, as off-pump group ( n = 399) and on-pump beating-heart group ( n = 337). Both groups were compared with each other in terms of preoperative, intraoperative, and postoperative data. Results Groups were statistically similar with regard to baseline clinical characteristics and demographics. When compared with off-pump group, on-pump beating-heart group had a greater number of distal bypass, longer length of hospital stay, and lower postoperative hematocrit level, and received more blood product transfusion. No statistically significant differences were detected between the groups with respect to mortality and postoperative complications except for atrial fibrillation. Atrial fibrillation was significantly frequent in on-pump beating-heart group. Conclusion Our study suggested that off-pump and on-pump beating-heart coronary artery bypass procedures had similar early mortality and major complication rates except for atrial fibrillation. However, it seemed that off-pump procedure was superior to on-pump beating-heart procedure with regard to length of hospital stay, blood product transfusion, and atrial fibrillation development. Further prospective randomized studies with larger patient series are needed to support our research and attain more accurate data.en_US
dc.identifier.doi10.1055/s-0039-1679923
dc.identifier.endpage553en_US
dc.identifier.issn0171-6425
dc.identifier.issn1439-1902
dc.identifier.issue7en_US
dc.identifier.pmid30836396en_US
dc.identifier.scopus2-s2.0-85073143961en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage546en_US
dc.identifier.urihttps://doi.org/10.1055/s-0039-1679923
dc.identifier.urihttps://hdl.handle.net/20.500.12491/9866
dc.identifier.volume67en_US
dc.identifier.wosWOS:000489697300007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorVelioğlu, Yusuf
dc.language.isoenen_US
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeonen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCoronary Artery Bypass Graftingen_US
dc.subjectCardiopulmonary Bypassen_US
dc.subjectOff-Pump Durgeryen_US
dc.subjectOutcomesen_US
dc.titleEarly-term outcomes of off-pump versus on-pump beating-heart coronary artery bypass surgeryen_US
dc.typeArticleen_US

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