Original scientific paper
Off-Pump versus On-Pump – Intermittent Aortic Cross Clamping – Myocardial Revascularisation: Single Center Expirience
Igor Medved
Darko Anić
Boris Zrnić
Marin Oštrić
Igor Saftić
Abstract
The aim of this randomised, prospective study was to evaluate hospital mortality and morbidity after myocardial revascularisation,
comparing on-pump coronary artery bypass graft (CABG) myocardial revascularisation versus off-pump
coronary artery bypass graft (OPCAB) myocardial revascularisation in population with multivessels coronary artery
disease. Sixty patients with multivessels coronary artery diseases were scheduled to undergo coronary artery bypass grafting
from January 15, 2006 to June 30, 2007 in our institution. Patients were randomized to off-pump or on-pump surgery
with intermittent cross-clamping of aorta and ventricular fibrillation, using the envelope method with random numbers.
In the results only difference we did find postoperatively was in Creatine Kinase-MB (CK-MB) release, the amount
of bleeding and intensive care unit (ICU) stay (p<0.05). There was no diference between the two groups of patients regarding
incidence of main morbidity and hospital moratlity. In summary, we didn’t find no superiority in any of the two techniques
regarding on hospital mortality and morbidity.
Keywords
on-pump; off-pump; myocardial revascularisation; intermittent aortic cross-clamping
Hrčak ID:
27211
URI
Publication date:
7.7.2008.
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