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ABSTRACT: Objectives
To determine whether surgical technique has an effect on prognosis in coronary artery bypass grafting (CABG).Design
Retrospective observational.Setting
Single center.Participants
All the off-pump (OPCABG) and on-pump (ONCABG) patients at Turku University Central Hospital in 2018.Interventions
None.Measurements and main results
After propensity score matching, perioperative, 1-year and 3-year mortality did not differ between the groups. The ONCABG patients received more allogenic red blood cells (1.3 vs. 0.6 units, p = 0.020), autologous red blood cells (564 vs. 285 ml, p < 0.001) and crystalloids (3388 vs. 2808 ml, p < 0.001), and had higher postoperative values of troponin T (581 vs. 222, p = 0.001) and lactate (1.69 vs. 1.23, p < 0.001) than the OPCABG patients.Conclusions
The both techniques seem equally safe. However, there may be some benefits to avoiding using a heart-lung machine, such as lower infused fluid volumes. Myocardial damage may also be milder and postoperative hemodynamics more balanced in OPCABG patients, based on lower levels of troponin T and lactate.
SUBMITTER: Rantanen M
PROVIDER: S-EPMC9758289 | biostudies-literature | 2022 Dec
REPOSITORIES: biostudies-literature
Annals of medicine and surgery (2012) 20221109
<h4>Objectives</h4>To determine whether surgical technique has an effect on prognosis in coronary artery bypass grafting (CABG).<h4>Design</h4>Retrospective observational.<h4>Setting</h4>Single center.<h4>Participants</h4>All the off-pump (OPCABG) and on-pump (ONCABG) patients at Turku University Central Hospital in 2018.<h4>Interventions</h4>None.<h4>Measurements and main results</h4>After propensity score matching, perioperative, 1-year and 3-year mortality did not differ between the groups. T ...[more]