Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.ejcts.2009.04.029
DC FieldValue
dc.titleOff-pump coronary bypass grafting is safe and efficient in patients with left main disease and higher EuroScore
dc.contributor.authorThomas, G.N.
dc.contributor.authorSakaguchi, H.
dc.contributor.authorMuecke, S.
dc.contributor.authorLee, C.N.
dc.contributor.authorKofidis, T.
dc.contributor.authorMartinez, E.C.
dc.contributor.authorWoitek, F.
dc.contributor.authorEmmert, M.Y.
dc.date.accessioned2011-07-18T10:10:33Z
dc.date.available2011-07-18T10:10:33Z
dc.date.issued2009
dc.identifier.citationThomas, G.N., Sakaguchi, H., Muecke, S., Lee, C.N., Kofidis, T., Martinez, E.C., Woitek, F., Emmert, M.Y. (2009). Off-pump coronary bypass grafting is safe and efficient in patients with left main disease and higher EuroScore. European Journal of Cardio-thoracic Surgery 36 (4) : 616-620. ScholarBank@NUS Repository. https://doi.org/10.1016/j.ejcts.2009.04.029
dc.identifier.issn10107940
dc.identifier.urihttp://scholarbank.nus.edu.sg/handle/10635/24036
dc.description.abstractBackground: Summary Left main disease (LMD) and associated cardiac risk factors are often perceived as a limiting factor for the outcome of off-pump coronary artery bypass (OPCAB) grafting. In this study, we assess whether the outcome of OPCAB surgery is affected in such patients. Methods: We retrospectively compared perioperative parameters in 66 OPCAB patients (group A) with LMD and 216 OPCAB patients without (group B) LMD. The patients were operated in the time frame between 2002 and 2007. LMD was defined as a stenosis >50%. Results: Patients in group A had a higher EuroSCORE (logistic: 3.7 ± 0.1 vs 6.3 ± 0.3, p = 0.027), increased coronary artery disease (CAD) family history (p = 0.015) and cerebrovascular accidents (p = 0.027), increased history of congestive heart failure (p = 0.013), more urgent surgery (p = 0.008), previous percutaneous transluminal coronary angioplasties (PTCAs) (p = 0.05) and previous stent implantation (p = 0.023). An intra-aortic balloon pump (IABP) was inserted more frequently in the LMD group preoperatively (p = 0.004). There were two conversions to on-pump during OPCAB surgery. There were no differences in the postoperative outcomes in the LMD group A versus group B, such as cardiac-related events, neurological deficits, cardiac enzyme course, arrhythmias, blood loss, infections and renal failure. Conclusions: The presence of LMD and higher EuroSCORE does not yield adverse outcomes in OPCAB patients. © 2009 European Association for Cardio-Thoracic Surgery.
dc.description.urihttp://libproxy1.nus.edu.sg/login?url=http://dx.doi.org/10.1016/j.ejcts.2009.04.029
dc.sourceScopus
dc.subjectCoronary artery bypass grafting (CABG)
dc.subjectOff-pump
dc.typeArticle
dc.contributor.departmentSURGERY
dc.description.doi10.1016/j.ejcts.2009.04.029
dc.description.sourcetitleEuropean Journal of Cardio-thoracic Surgery
dc.description.volume36
dc.description.issue4
dc.description.page616-620
dc.identifier.isiut000270644100003
Appears in Collections:Staff Publications

Show simple item record
Files in This Item:
There are no files associated with this item.

SCOPUSTM   
Citations

15
checked on May 17, 2019

WEB OF SCIENCETM
Citations

14
checked on May 8, 2019

Page view(s)

370
checked on May 14, 2019

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.