Report an error   


Submitted: 27 March 2017 Modified: 20 April 2017
HERDIN Record #: NCR-PHC-17032714031214

A comparative review of standard coronary bypass garfting under cardiopulmonary bypass and off-pump coronary artery bypass grafting in the management of multivessel coronary artery disease: Philippine Heart Center experience.

See More

Background: There is a worldwide trend in the management of coronary artery disease with off-pump coronary artery bypass grafting without using the cardiopulmonary bypass circuit (CPB). This paper aims to compare the clinical profile and outcome of patients operated for multivessel (more than three) bypass off-pump coronary artery bypass grafting (CABG) under cardiopulmonary bypass (CPB).


Methods And Results: This is a prospective cohort study based on hospital and operating room records of thirty-four (34) consecutive patients who underwent multivessel (more than three) OPCABG at the Philippine Heart Center from January 1, 2001 to August 31, 2001. The control group was composed of 108 patients operated by multivessel standard CABG, who were properly matched and operated within one week of the time that OPCABG patients were operated. The frequency, mean and standard deviation were calculated for the dependent and independent variables. Comparison between two groups was analyzed using Chi-square and student's T-test.


Conclusion: OPCABG is comparable to standard CABG for the management of coronary artery multivessel (more than three vessel) bypass procedures in terms of improved clinical outcome, incidence of post-op complications and mortality rate and thus, is a safe alternative means of myocardial revascularization. It has the added advantages of diminished operative cost, blood transfusion requirements, and provision for lesser amount of blood components. The operative time, duration of post-operative ventilatory support, recovery room/surgical intensive unit stay and post-operative hospital stay were observed to be shorter in OPCABG compared to standard CABG but are not statistically significant.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Heart Center Journal
Frequency
Annual
Publication Date
January-December 2002
Volume
9
Page(s)
24-30
LocationLocation CodeAvailable FormatAvailability
Philippine Heart Center Medical Library Fulltext Print Format

Copyright © One Window Project 2018. All rights reserved.