Off-pump versus conventional coronary artery ... - RM Solutions

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Early MortalityTwo meta-analyses of mixed-risk groups that includednonrandomized data• 36% reduction in mortality in 46,621 patientsReston JT, Tregear SJ, and Turkelson CM. Ann Thorac Surg2003;76:1510–5. Meta-analysis of short-term and mid-term outcomesfollowing off-pump coronary artery bypass grafting• 21% reduction in mortality in 159,845 patients in 7 studiesBeattie S, Wijeysundera D, Djaiani G, et al: Off-pump coronary artery surgeryfor the reduction of perioperative mortality and morbidity: A meta-analysis.Anesth Analg 2004
Early Mortality• Randomized trialsn OPCAB CABG pValuePuskas 3082 (29) 1.2 % 1.0 % 0.9ROOBY 2208 1.6 % 1.2 % 0.47Puskas J, Cheng D, Knight J, et al: Off-pump versus conventional coronaryartery bypass grafting: A meta-analysis and consensus statement from the2004 ISMICS consensus conference
Page 4 and 5: What percentage of surgical revascu
Page 6 and 7: Core CABG procedures are declining
Page 8 and 9: The “Pump Head Paper”• Newman
Page 11 and 12: OPCAB becomes Surgeons’ secret we
Page 13 and 14: • Reduced perioperative morbidity
Page 15: Early Mortality• Retrospective an
Page 19 and 20: Mid-term Mortality• Single center
Page 21 and 22: Perioperative MorbidityOutcome n (N
Page 23 and 24: Early Cognitive Dysfunction• Rand
Page 25 and 26: Renal Failure• No differences in
Page 27 and 28: Completeness of Revascularization -
Page 29 and 30: Completeness of Revascularization -
Page 31 and 32: ROOBY Trial• Primary short term e
Page 33 and 34: ROOBY Trial• Graft Patency:• 64
Page 35 and 36: Discussions• Prospective, randomi
Page 37: Disclosures• I am OPCAB surgeon

Off-pump versus conventional coronary artery ... - RM Solutions

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