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. 2013:2013:602871.
doi: 10.1155/2013/602871. Epub 2013 Sep 11.

Does off-pump coronary artery bypass grafting negatively impact long-term survival and freedom from reintervention?

Shahzad G Raja  1 , Mubassher Husain, Florentina L Popescu, Dimple Chudasama, Siobhan Daley, Mohamed Amrani
Affiliations

Does off-pump coronary artery bypass grafting negatively impact long-term survival and freedom from reintervention?

Shahzad G Raja et al. Biomed Res Int. 2013.

Abstract

Recently published evidence has raised concerns about worse late mortality and increasing need for reintervention after off-pump coronary artery bypass grafting. We undertook this study to assess the impact of off-pump coronary artery bypass grafting on survival and freedom from reintervention at 10 years. From January 2002 to December 2002, 307 consecutive patients who had isolated multivessel off-pump coronary artery bypass grafting at our institution were compared to a control group of 397 patients that underwent multivessel on-pump coronary artery bypass grafting during the same period. In addition, univariate and risk-adjusted comparisons between the two groups were performed at 10 years. Kaplan-Meier survival was similar for the two cohorts. After adjusting for clinical covariates, off-pump coronary artery bypass grafting did not emerge as a significant independent predictor of long-term mortality (Hazard Ratio 0.91; 95% Confidence Interval 0.70-1.12), readmission to hospital for cardiac cause (Hazard Ratio 0.96; 95% Confidence Interval 0.78-1.10), or the need for reintervention (Hazard Ratio 0.93; 95% Confidence Interval 0.87-1.05). Off-pump coronary artery bypass grafting compared with on-pump coronary artery bypass grafting does not adversely impact survival or freedom from reintervention at a 10-year follow-up.

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Figures

Figure 1
Figure 1
Concerns associated with off-pump coronary artery bypass grafting.
See this image and copyright information in PMC

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