This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Bainbridge, D. Articles by Cheng, D. Search for Related Content PubMed PubMed Citation Articles by Bainbridge, D. Articles by Cheng, D. Social Bookmarking                         What's this?

Off Pump Coronary Artery Bypass Graft Surgery Versus Conventional Coronary Artery Bypass Graft Surgery: A Systematic Review of the Literature

Department of Anesthesia and Perioperative Medicine, London Health Sciences Center. 339 Windermere Rd., London, ON Canada N6A 5A5Bainbridged{at}hotmail.com

Janet Martin, PharmD

Department of Physiology & Pharmacology, The University of Western Ontario, London, Ontario, Canada

Davy Cheng, MD, MSc

Department of Anesthesia and Perioperative Medicine, The University of Western Ontario, London, Ontario, Canada

The recent development of off-pump coronary artery bypass (OPCAB) graft surgical techniques has led to numerous observational and several randomized trials that have investigated outcomes compared with the current gold standard of conventional on-pump coronary bypass (CCAB) graft surgery. This systematic review assesses the current randomized trials that compare OPCAB and CCAB. Numerous end points were investigated, including mortality, stroke, myocardial infarction, atrial fibrillation, blood transfusions, wound infections, and renal failure. In addition to these important outcomes, resource utilization markers were also examined such as hospital length of stay, intensive care unit length of stay, and duration of intubation/ventilation. Finally, when level I evidence from randomized trials was unavailable, level II evidence was examined. This was done for subgroup analysis, where currently no randomized trials exist, looking at OPCAB in high-risk patients. Recommendations were made as to who should receive OPCAB and the potential benefits in this patient population.

Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 9, No. 1, 105-111 (2005)
DOI: 10.1177/108925320500900110


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				S. G. Raja, H. Siddiqui, C. D. Ilsley, and M. Amrani In-hospital outcomes of off-pump multivessel total arterial and conventional coronary artery bypass grafting: single surgeon, single center experience. Ann. Thorac. Surg., July 1, 2009; 88(1): 47 - 52. [Abstract] [Full Text] [PDF]

				B. O. Jensen, L. S. Rasmussen, and D. A. Steinbruchel Cognitive outcomes in elderly high-risk patients 1 year after off-pump versus on-pump coronary artery bypass grafting. A randomized trial Eur. J. Cardiothorac. Surg., November 1, 2008; 34(5): 1016 - 1021. [Abstract] [Full Text] [PDF]

				R. Cartier, O. Bouchot, and I. El-Hamamsy Influence of sex and age on long-term survival in systematic off-pump coronary artery bypass surgery Eur. J. Cardiothorac. Surg., October 1, 2008; 34(4): 826 - 832. [Abstract] [Full Text] [PDF]

				S. G Raja and G. D Dreyfus Current Status of Off-pump Coronary Artery Bypass Surgery Asian Cardiovasc Thorac Ann, April 1, 2008; 16(2): 164 - 178. [Abstract] [Full Text] [PDF]

				A. Haverich, S. K. Shernan, J. H. Levy, J. C. Chen, M. Carrier, K. M. Taylor, F. Van de Werf, M. F. Newman, P. X. Adams, T. G. Todaro, et al. Pexelizumab Reduces Death and Myocardial Infarction in Higher Risk Cardiac Surgical Patients Ann. Thorac. Surg., August 1, 2006; 82(2): 486 - 492. [Abstract] [Full Text] [PDF]

				B. O. Jensen, P. Hughes, L. S. Rasmussen, P. U. Pedersen, and D. A. Steinbruchel Health-related quality of life following off-pump versus on-pump coronary artery bypass grafting in elderly moderate to high-risk patients: a randomized trial. Eur. J. Cardiothorac. Surg., August 1, 2006; 30(2): 294 - 299. [Abstract] [Full Text] [PDF]

				B. O. Jensen, P. Hughes, L. S. Rasmussen, P. U. Pedersen, and D. A. Steinbruchel Cognitive Outcomes in Elderly High-Risk Patients After Off-Pump Versus Conventional Coronary Artery Bypass Grafting: A Randomized Trial Circulation, June 20, 2006; 113(24): 2790 - 2795. [Abstract] [Full Text] [PDF]

				S. G. Raja OPCAB: time to call off the search for the Holy Grail! Eur. J. Cardiothorac. Surg., September 1, 2005; 28(3): 515 - 516. [Full Text] [PDF]