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

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Early Cognitive Dysfunction• Randomized trial, limited to triple vessel disease patients, ninestandard tests• One week postop– 27% vs 66 (p=0.004) had neurocognitive impairment.• Ten weeks postop– 10% vs 40% (p=0.017)• Assessment of neurocognitive impairment after off-pump and on-pumptechniques for coronary artery bypass graft surgery: prospectiverandomized controlled trial. Zamvar V, Williams D, Hall J, et al. BMJ2002;325:1268-1273.
Early Cognitive Dysfunction• Randomized trial, 11 standard objective neurocognitive tests,testing at 3 and 12 months• At 3 months post– objective cognitive decline occurred in 21% (CABG) vs 29% (OPCAB)(P=0.15)• At 12 months post– 34% vs 31% after on-pump CABG.Cognitive outcome after off-pump and on-pump coronary arterybypass graft surgery, a randomized trial. Van Dijk D, JansenEW, Hijman R, et al. JAMA 2002;287:1405-1412.
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 and 18: Early Mortality• Randomized trial
Page 19 and 20: Mid-term Mortality• Single center
Page 21: Perioperative MorbidityOutcome n (N
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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