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

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Mid-term Mortality• Rectrospective, propensity matched datasets (N=906OPCAB), longer follow-up (2-years)• No survival difference• Myocardial revascularization with and without cardiopulmonarybypass: advantages, disadvantages and similarities. CalafioreAM, Di Mauro M, Canosa C et al. Eur J Cardiothorac Surg2003;24 953–60.
Mid-term Mortality• Single center, retrospective, propensity scorematched of 481 OPCAB• No difference in mid-term outcome at 4 years survival87.5% vs 91.2% (p= 0.2)• Freedom from the combined end point of all-causemortality, myocardial infarction, and coronaryreintervention was 75.2% and 82.9% (P= 0.14)Equivalent midterm outcomes after off-pump and on-pumpcoronary surgery. Sabik JF, Blackstone EH, Lytle BW et al. JThorac Cardiovasc Surg 2004;127:142-8.
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 and 16: Early Mortality• Retrospective an
Page 17: Early Mortality• Randomized trial
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

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