Surgeons’ Preference for Off-Pump or On-Pump Coronary Artery Bypass Grafting Surgery

Authors

  • GuangPu Fan, PhD Department of Cardiac Surgery, Peking University People’s Hospital, Beijing, China
  • Xuan Wang, MM Department of Cardiac Surgery, Peking University People’s Hospital, Beijing, China
  • Chen Chen, MM Cardiac Surgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China
  • Jing Liu, RN Department of Cardiac Surgery, Peking University People’s Hospital, Beijing, China
  • Yu Chen, MD Department of Cardiac Surgery, Peking University People’s Hospital, Beijing, China

DOI:

https://doi.org/10.1532/hsf.3747

Keywords:

Survey, Coronary artery bypass surgery, Off pump, On pump, operative strategy

Abstract

Background: Surgeon’s preference is an important factor in clinical strategy for off-pump (OPCAB) or on-pump (ONCAB) coronary artery bypass graft (CABG) surgery. This study analyzed surgeons’ understanding of and propensity for both techniques.

Methods: A survey was performed by self-reported questionnaire. Two sections were included: Q1 questionnaire investigated each surgeon’s opinion on the indications of OPCAB and ONCAB; and Q2 questionnaire investigated each surgeon’s choice of OPCAB or ONCAB in different clinical situations.

Results: The questionnaires were sent to 169 surgeons. In Q1, 71.2% of surgeons indicated that the degree of overlap between the indications of OPCAB and ONCAB is >70%; 55.1% believed that OPCAB had a wider scope of indications than ONCAB, and 35.3% believed that ONCAB had a wider scope of indications than OPCAB. In Q2, >70% of surgeons who responded chose OPCAB for patients with the following characteristics: high risk of stroke, renal dysfunction, pulmonary dysfunction, malignancy, clotting and coagulation disorders, or age ≥80 years. More than 57.5% of surgeons chose ONCAB for patients with poor target vessels or ventricular enlargement and dysfunction. For novice surgeons, 87.5% of surgeons chose ONCAB.

Conclusion: Most surgeons surveyed agreed that OPCAB and ONCAB are suitable for most patients; however, surgeons’ preference for ONCAB or OPCAB varied. Surgeons are more willing to choose ONCAB in the presence of complicated heart conditions and OPCAB in the presence of serious concomitant diseases.

References

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Published

2021-05-11

How to Cite

Fan, G., Wang, X., Chen, C., Liu, J., & Chen, Y. (2021). Surgeons’ Preference for Off-Pump or On-Pump Coronary Artery Bypass Grafting Surgery. The Heart Surgery Forum, 24(3), E422-E426. https://doi.org/10.1532/hsf.3747

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Articles