On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function | ||
| International Journal of Medical Arts | ||
| Article 14, Volume 3, Issue 1, January 2021, Pages 1001-1006 PDF (1.12 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2020.43316.1175 | ||
| Authors | ||
| Ahmed Mahmoud Asklany* 1; El husseiny El husseiny Gamil2; Mohamed Hossiny Mahmoud3; Ismail Nasr Elsokkary4 | ||
| 1cardiothoracicsurgery,fuclty of medicine ,Beni suef university, Beni suef ,Egypt | ||
| 2Department of cardiothoracic surgery,faculty of medicine, Al Azhar university,Cairo, Egypt | ||
| 3cardiothoracic surgery,faculty of medicine,Al Azhar university,Cairo, Egypt | ||
| 4Department of cardiothoracic surgery , faculty of medicine , Al Azhar university , egypt. | ||
| Abstract | ||
| Background: There is an increase in the number of patients with severely impaired left ventricle function who referred for CABG. Many studies showed that surgical intervention for those high-risk patients has high survival and wonderful outcome compared to medical treatment. Aim of work: This study aimed to evaluate our experience with coronary artery bypass surgery in patients with EF [ 25% up to 40%] either to perform surgery using off or on-pump technique and try to conclude which technique may be safer regarding cardiac function. Patients and Methods: This prospective observational patient cohort study from August 2017 to July 2019 enclosed forty consecutive patients divided into 2 teams every 20 patients either off or on pump technique according to surgeons' expertise. Pre-, intra- and post-operative data were collected for all patients. All survivors were subjected to a 6-months follow-up clinically and by Echocardiograghy assessment. Results: Improvement of ejection fraction [EF] was encountered in our study; the mean 6-months operative EF improved for each team by [36% versus 37%] for off-pump and on-pump interventions, respectively. There was no statistically important difference in the information collected for each technique [p-value>0.05] regarding most points of comparison. Conclusion: Results of CABG in high-risk patients were acceptable with on-pump and off-pump techniques with nearly comparable results in our study, at least in the early 6-months after intervention. Intra-aortic balloon usage is valuable when indicated. | ||
| Keywords | ||
| Coronary revascularization; Off-pump; On-pump; Left ventricular dysfunction; Graft | ||
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