This 10-year follow-up of the ROBY study reports on the primary end points of all-cause death and the composite of death or revascularization among 2203 patients randomized to off-pump or on-pump CABG 2002-2007. Death rates at 10 years were 34.2% for off-pump and 31.1% for on-pump. The composite end point was reached at 4.6 years for off-pump and 5
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Off-pump Bypass
April 14, 2022
November 15, 2021
Interesting in its candour mini-series of partial arterial revascularisation by left thoracotomy. The perioperative graft failure is delt in some detail.
August 9, 2019
The authors in this study performed a post-hoc analysis of the coronary artery bypass grafting (CABG) cohort in the multicenter randomized EXCEL trial, comparing patients undergoing on-pump versus off-pump procedures for left main disease. Of note, in both groups some of the most experienced CABG surgeons in the world participated.
July 2, 2019
This video demonstrates an off-pump coronary bypass with total arterial grafts, using the left and right internal mammary arteries.
May 15, 2019
An interesting metanalysis, especially:
The ad hoc results of off-pump surgery.
The mean number of silent brain infarcts per patient was significantly higher in the transcatheter aortic valve implantation group (4.58 ± 2.09) compared with the aortic valve replacement group (2.16 ± 1.62, P=0.03).
February 16, 2019
The American College of Cardiology (ACC), the Society for Cardiovascular Angiography and Interventions (SCAI), The Society of Thoracic Surgeons (STS), and the American Association for Thoracic Surgery (AATS), along with key specialty and subspecialty societies, have published a revision of the appropriate use criteria (AUC) for coronary revasculariza
February 9, 2019
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.
December 11, 2018
Takagi and colleagues performed a meta-analysis of eight randomized controlled trials comparing on-pump and off-pump coronary artery bypass grafting (CABG). They evaluated only trials with follow-up periods of five years or longer, and they pooled hazard ratios rather than odds ratios, where possible.
November 26, 2018
Saito and colleagues evaluated the idea that anastomosis assist devices reduced complications for patients undergoing off-pump coronary artery bypass grafting. Their study is a one-to-one propensity scores matched analysis including 7,348 pairs of patients comparing the outcomes of anastomosis assist devices with a side-biting clamp.
October 17, 2018
Find it here: the 32nd EACTS Annual Meeting in Milan, Italy