EJCTS Click here for details of sales representative
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Riha, M.
Right arrow Articles by Bonatti, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Riha, M.
Right arrow Articles by Bonatti, J.
Related Collections
Right arrow Coronary disease

Eur J Cardiothorac Surg 2002;21:193-198
© 2002 Elsevier Science NL

Off pump coronary artery bypass grafting in EuroSCORE high and low risk patients

M. Riha, M. Danzmayr, G. Nagele, L. Mueller, D. Hoefer, H. Ott, G. Laufer, J. Bonatti*

Department of Cardiac Surgery, Innsbruck University Hospital, Anichstrasse 35, A-6020 Innsbruck, Austria

Received 12 September 2001; received in revised form 2 November 2001; accepted 16 November 2001.

* Corresponding author. Tel.: +43-512-504-3806; fax: +43-512-504-5953
e-mail: johannes.o.bonatti{at}uibk.ac.at

Objective: Off pump coronary artery bypass grafting (OPCAB) is claimed to reduce the operative morbidity and mortality in high risk patients. It was the aim of the study to compare the outcome of OPCAB patients classified as high- and low risk according to the EuroSCORE. Methods: Medical records of patients undergoing off pump coronary artery bypass grafting (n=126) at our institution between 1998 and 2001 were retrospectively reviewed. We classified them into two subgroups: low risk (EuroSCORE<=5, n=72, male 58 (81%), female 14 (19%), age 61 (37–78) years) and high risk (EuroSCORE >5, n=54, male 32 (59%), female 22 (41%), age 73 (42–83) years). Results: EuroSCORE high risk patients showed significantly higher rates of blood transfusion (70 vs 31%; P<0.0001), intraaortic balloon pump insertion (16 vs 3%; P=0.013), atrial fibrillation (43 vs 22%; P=0.014), and renal failure (13 vs 3%; P=0.028). ICU length of stay was significantly longer in the high risk group (25 vs 22 h; P=0.002). There was also a higher perioperative mortality in the high risk group (9 vs 0%; P=0.008). Conclusion: From these data we conclude that using off pump coronary artery bypass grafting results as predicted by the EuroSCORE can be achieved. OPCAB is safe for low risk patients. Major complications seem to occur preferentially in the high risk group.

Key Words: Coronary artery bypass grafting • Risk • EuroSCORE




This article has been cited by other articles:


Home page
 ICVTSHome page
H. Hirose, H. Inaba, C. Noguchi, K. Tambara, T. Yamamoto, M. Yamasaki, K. Kikuchi, and A. Amano
EuroSCORE predicts postoperative mortality, certain morbidities, and recovery time
Interactive CardioVascular and Thoracic Surgery, October 1, 2009; 9(4): 613 - 617.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
G. Santarpino, F. Onorati, A. S. Rubino, K. Abdalla, S. Caroleo, E. Santangelo, and A. Renzulli
Preoperative intraaortic balloon pumping improves outcomes for high-risk patients in routine coronary artery bypass graft surgery.
Ann. Thorac. Surg., February 1, 2009; 87(2): 481 - 488.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
H. A. Vohra, R. Kanwar, T. Khan, and W. R. Dimitri
Early and late outcome after off-pump coronary artery bypass graft surgery with coronary endarterectomy: a single-center 10-year experience.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1691 - 1696.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. Onorati, M. De Feo, P. Mastroroberto, L. Cristodoro, F. Pezzo, A. Renzulli, and M. Cotrufo
Determinants and Prognosis of Myocardial Damage After Coronary Artery Bypass Grafting
Ann. Thorac. Surg., March 1, 2005; 79(3): 837 - 845.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
P.-G. Chassot, P. van der Linden, M. Zaugg, X. M. Mueller, and D. R. Spahn
Off-pump coronary artery bypass surgery: physiology and anaesthetic management{dagger}
Br. J. Anaesth., March 1, 2004; 92(3): 400 - 413.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Gaudino, F. Glieca, F. Alessandrini, G. Nasso, C. Pragliola, N. Luciani, M. Morelli, and G. Possati
High risk coronary artery bypass patient: incidence, surgical strategies, and results
Ann. Thorac. Surg., February 1, 2004; 77(2): 574 - 579.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
D. L. Ngaage
Off-pump coronary artery bypass grafting: the myth, the logic and the science
Eur. J. Cardiothorac. Surg., October 1, 2003; 24(4): 557 - 570.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
M. Hilker, H. Oelert, and U. Hake
A review of 507 off-pump coronary bypass patients: a single center experience
Interactive CardioVascular and Thoracic Surgery, September 1, 2003; 2(3): 246 - 250.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
A. M. Calafiore, M. Di Mauro, C. Canosa, G. Di Giammarco, A. L. Iaco, and M. Contini
Early and late outcome of myocardial revascularization with and without cardiopulmonary bypass in high risk patients (EuroSCORE>=6)
Eur. J. Cardiothorac. Surg., March 1, 2003; 23(3): 360 - 367.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.