COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY
Hemead, H. (2021). COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY. EKB Journal Management System, 3(1), 9-10. doi: 10.21608/alexpo.2021.56871.1104
Hanan Mamdouh Hemead. "COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY". EKB Journal Management System, 3, 1, 2021, 9-10. doi: 10.21608/alexpo.2021.56871.1104
Hemead, H. (2021). 'COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY', EKB Journal Management System, 3(1), pp. 9-10. doi: 10.21608/alexpo.2021.56871.1104
Hemead, H. COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY. EKB Journal Management System, 2021; 3(1): 9-10. doi: 10.21608/alexpo.2021.56871.1104

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  XML
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2021.56871.1104
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Author
Hanan Mamdouh Hemead email
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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