Off pump versus on pump coronary artery bypass grafting, early postoperative comparison

الملخص EN

Background : Off-pump coronary artery bypass grafting (CABG) has been shown to produce less organ-specific dysfunction than on-pump surgery.

Aim: to analyze the current practice and out-comes of on-pump and off pump coronary artery bypass grafting surgery.

Patients and Methods : From Jan 2010 to Dec 2010, 136 patients with multivessel coronary disease underwent off-pump coronary artery bypass compared with 294 patients who had on-pump coronary artery bypass in Nasser institute.

Results: the rates of operative mortality, permanent stroke, renal failure, and perioperative myocardial infarction were significantly lower in the off-pump group, these patients required fewer blood transfusions, shorter durations of ventilatory support, and shorter hospital stays.

Conclusions : This study demonstrates that surgeons tend to perform off pump CABG for patients requiring fewer numbers of grafts than on pump.

Off-pump CABG is associated with reduced risk of adverse outcomes compared with conventional CABG.