Five-Year Outcome After Off-Pump or On-Pump Coronary Artery Bypass Grafting in Elderly Patients

Saturday, February 9, 2019

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Source

Source Name: Circulation

Source URL: https://doi.org/10.1161/CIRCULATIONAHA.118.035857

Author(s)

Anno Diegeler, Jochen Börgermann, Utz Kappert, Michael Hilker, Torsten Doenst, Andreas Böning, Marc Albert, Gloria Färber, David Holzhey, Lenard Conradi, Friedrich-Christian Rieß, Philippe Veeckman, Csaba Minorics, Michael Zacher, Wilko Reents

This article concludes that five-year survival and morbidity rates in patients over 75 years of age did not differ between off-pump and on-pump groups. The main determinant of poorer long term outcome was incomplete revascularization.

Comments

Submitted by Leo Fitzgibbon on Fri, 2019-02-15 19:38

not surprising, the Achilles heel of off pump surgery has always been incomplete revascularization?

Submitted by Piya Samankatiwat on Sat, 2019-02-16 01:52

It can be interpreted that either you perform an off- or on-pump CABG on the elderly, there was no superiority benefit for the on-pump CABG over the off-pump anyway.