Clinical Outcomes of Coronary Revascularization without Cardiopulmonary Bypass

  • Sotiris C. Stamou
  • Albert J. Pfister
  • † Kathleen A. Jablonski
  • Peter C. Hill
  • Mercedes K. C. Dullum
  • Ammar S. Bafi
  • Steven W. Boyce
  • Jorge M. Garcia
  • Tracie A. Lomax
  • Paul J. Corso

Abstract

Objective: Coronary artery bypass without cardiopulmonary bypass (OPCAB) eliminates the complications related to cardiopulmonary bypass. However, the long-term outcomes of this procedure are largely unknown.

Methods: We sought to investigate the rates of late mortality, stroke, acute myocardial infarction, and target vessel reintervention after OPCAB in a consecutive series of 857 patients who underwent OPCAB between May 1987 and March 1999.

Results: Long-term follow-up was obtained for 86% of eligible patients. Actuarial and event-free survival was 89% and 76%, respectively, for a median follow-up period of 2.2 years (range, 0-13.3 years). Risk factors for late mortality were identified with Cox regression analysis. In the multivariate analysis, patient age >75 years (odds ratio, 1.1; 95% confidence interval, 1.0-1.1; P = .01) and an ejection fraction <35% (odds ratio, 2.7; 95% confidence interval, 1.2-6.2; P = .02) emerged as independent predictors of late mortality.

Conclusion: OPCAB is associated with a low mortality and clinical event rate. Advanced age and depressed ejection fraction may increase mortality after OPCAB.

References

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Published
2005-02-02
How to Cite
Stamou, S. C., Pfister, A. J., Jablonski, † K. A., Hill, P. C., Dullum, M. K. C., Bafi, A. S., Boyce, S. W., Garcia, J. M., Lomax, T. A., & Corso, P. J. (2005). Clinical Outcomes of Coronary Revascularization without Cardiopulmonary Bypass. The Heart Surgery Forum, 6(2), 84-88. https://doi.org/10.1532/hsf.801
Section
Articles

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