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

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Completeness of Revascularization - Patency• Prospective, randomized trial studying patency (50 OPCAB and 54CABG)• Inferior graft patency following multivessel revascularisation in OPCABpatients• Not powered for reported end-points. Incomplete follow-up,inexperienced surgeons (< 95 cases), inexperienced group (
Completeness of Revascularization - PatencyPuskas demonstrated no difference in graft patency at 30days and 1 year. (JAMA, April 2004, n=200)•A meta-analysis at 1 year confirmed that there is nosignificant difference between off-pump and on-pumprevascularization.(Puskas J, Cheng D, Knight J, et al: Off-pump versus conventional coronary arterybypass grafting: A meta-analysis and consensus statement from the 2004 ISMICSconsensus 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 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 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: 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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