COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY | ||||
ALEXMED ePosters | ||||
Article 9, Volume 3, Issue 1, March 2021, Page 9-10 | ||||
Document Type: Preliminary preprint short reports of original research | ||||
DOI: 10.21608/alexpo.2021.56871.1104 | ||||
View on SCiNiTO | ||||
Author | ||||
Hanan Mamdouh Hemead | ||||
Department of Cardiothoracic Surgery, Alexandria University, Alexandria, Egypt | ||||
Abstract | ||||
Assisted by cardiopulmonary machine (CPB), CABG surgery is performed safely with excellent outcomes. Due to the adverse events linked to the CPB, the off-pump CABG becomes an acceptable alternative particularly in patients with calcified proximal aorta. Critics of off-pump CABG often refer to the long learning curve and difficult building cumulative surgical experience. Off-pump CABG has been always a matter of debate. Off-pump CABG becomes highly appealing due to minimal invasiveness of the procedure, suitability to some population and better early outcomes. Aim: This study evaluates the early postoperative outcomes of off-pump CABG compared to on-pump CABG. Subjects& methods: First eligible comers in the period between 2018-2019.The following points were compared between the two groups Amount of bleeding, length of stay, duration of mechanical ventilation, operative time, completion of revascularization, complications; atrial fibrillation, neurological deficits, acute kidney injury. Conclusion: The argument surrounding the potential advantages and safety of the off-pump is difficult to be settled. Off-pump CABG, in the hands of trained surgeons, offers favorable short-term outcomes particularly in patients with complex co-morbidities. It is highly indicated in heavily calcified aorta to avoid the thromboembolic events.The decision should be made on individual basis, taking into consideration the potential long-term adverse outcomes. | ||||
Keywords | ||||
CABG; Off-pump; CPB | ||||
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