Early outcome of Off-Pump vs. On-Pump CABG In Patients with early Stage Renal Impairment | ||
| Zagazig University Medical Journal | ||
| Article 3, Volume 29, Issue 6, November and December 2023, Pages 1476-1481 PDF (354.77 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2022.134064.2556 | ||
| Authors | ||
| safaa rehan* 1; mamdouh ELSharawy2; magdy mobasher3; abdallah badr4 | ||
| 1cardiothorathic surgery specialist, El Ahrar Teachig Hospital, Zagazig | ||
| 2cardiothorathic surgery department, faculty of medicine, zagazig university | ||
| 3cardiothorathic surgery department, zagazig university | ||
| 4cardiothoracic surgery,faculty of medicine ,zagazig university,sharkia,Egypt. | ||
| Abstract | ||
| Objectives: Coronary artery bypass grafting (CABG) is crucial in the management of ischemic heart disease,this work aimed to relate the early post-operative effects of off-pump versus on-pump coronary artery bypass in patients with early stage renal dysfunction. Methods: This is a prospective study conducted at El- Ahrar Teaching Hospital. Our Primary outcome variables were; requirement of inotropic support, duration of ICU stay, stroke, renal failure ,myocardial infarction and death within 30 days after operation. There were two groups of patients; Group-I (On-pump group) and Group-II (Off-pump Group).SPSS V17 was used for data analysis. Results: There was statistically significant difference between the two studied groups as regard mean operative time it was 224.6± 57.54 in on-pump and 175.25± 43.07 in off-pump group The number of grafts conducted in off-pump group was significantly fewer. There was no statistically significant difference between the two studied groups as regard post-operative follow up data including mechanical ventilation, hospital stay, myocardial infarction, stroke, surgical reopening and hospital mortality. Statistically significant difference between the two studied groups as regard other post-operative complications including dobutamine use, arrhythmia, blood transfused, creatinine level and dialysis. Conclusion: Off pump technique appears to be a better procedure in patients with preoperative renal dysfunction. | ||
| Keywords | ||
| Coronary artery disease; Off-pump; On-Pump; renal impairment | ||
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