TY - JOUR AU - Fan, Guangpu AU - Wang, Xuan AU - Chen, Chen AU - Liu, Jing AU - Chen, Yu PY - 2021/05/11 Y2 - 2024/03/28 TI - Surgeons’ Preference for Off-Pump or On-Pump Coronary Artery Bypass Grafting Surgery JF - The Heart Surgery Forum JA - HSF VL - 24 IS - 3 SE - DO - 10.1532/hsf.3747 UR - https://journal.hsforum.com/index.php/HSF/article/view/3747 SP - E422-E426 AB - <p class="p1"><span class="s1"><strong>Background</strong>: 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.</span></p><p class="p1"><span class="s1"><strong>Methods</strong>: 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.</span></p><p class="p1"><span class="s1"><strong>Results</strong>: 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 &gt;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, &gt;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 </span><span class="s2">≥</span><span class="s1">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.</span></p><p class="p1"><span class="s1"><strong>Conclusion</strong>: 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.</span></p> ER -