Coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB)

a strategy for improving results in surgical revascularization.

J. Bergsland, S. Schmid, J. Yanulevich, S. Hasnain, T. Z. Lajos, Tomas Salerno

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

BACKGROUND: Coronary artery bypass grafting (CABG) was performed on patients with cardiopulmonary bypass (CPB group) or without CPB (non-CPB group). A series of CABG patients, performed between January 1, 1995 and September 30, 1997 is included. METHODS: Data were collected and analyzed as determined by the New York State Department of Health. Preoperative comorbidity, postoperative morbidity and mortality were compared. There were 2869 patients in the CPB group and 505 patients in the non-CPB group. RESULTS: Demographics of the two groups were similar but preoperative risk factors were more common in patients undergoing CABG without CPB. Of the non-CPB patients, 31.9% had reoperations as compared to 8.5% in CPB patients (p = 0.00005). The presence of an extensively calcified aorta was more common in the non-CPB patients (5.9% vs. 2.8%, p = 0.0002). Immune deficiency was also more common in the non-CPB group (p = 0.001). Risk-adjusted mortality was similar in the two groups while major complications were much less common when CPB was not utilized. In CPB patients only 84.3% avoided major complications, while among non-CPB patients 90.1% were complication-free (p = 0.0008). CONCLUSIONS: CABG without CPB is an attractive method of surgical revascularization. Increasing age and preoperative comorbidity in patients referred for CABG dictate changes in surgical strategy, of which avoidance of CPB appears most beneficial.

Original languageEnglish
Pages (from-to)107-110
Number of pages4
JournalThe heart surgery forum
Volume1
Issue number2
StatePublished - Dec 1 1998
Externally publishedYes

Fingerprint

Cardiopulmonary Bypass
Coronary Artery Bypass
Comorbidity
Mortality
Reoperation
Aorta
Demography
Morbidity

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB) : a strategy for improving results in surgical revascularization. / Bergsland, J.; Schmid, S.; Yanulevich, J.; Hasnain, S.; Lajos, T. Z.; Salerno, Tomas.

In: The heart surgery forum, Vol. 1, No. 2, 01.12.1998, p. 107-110.

Research output: Contribution to journalArticle

@article{31009bc526ad4961bf7cf7e365b25121,
title = "Coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB): a strategy for improving results in surgical revascularization.",
abstract = "BACKGROUND: Coronary artery bypass grafting (CABG) was performed on patients with cardiopulmonary bypass (CPB group) or without CPB (non-CPB group). A series of CABG patients, performed between January 1, 1995 and September 30, 1997 is included. METHODS: Data were collected and analyzed as determined by the New York State Department of Health. Preoperative comorbidity, postoperative morbidity and mortality were compared. There were 2869 patients in the CPB group and 505 patients in the non-CPB group. RESULTS: Demographics of the two groups were similar but preoperative risk factors were more common in patients undergoing CABG without CPB. Of the non-CPB patients, 31.9{\%} had reoperations as compared to 8.5{\%} in CPB patients (p = 0.00005). The presence of an extensively calcified aorta was more common in the non-CPB patients (5.9{\%} vs. 2.8{\%}, p = 0.0002). Immune deficiency was also more common in the non-CPB group (p = 0.001). Risk-adjusted mortality was similar in the two groups while major complications were much less common when CPB was not utilized. In CPB patients only 84.3{\%} avoided major complications, while among non-CPB patients 90.1{\%} were complication-free (p = 0.0008). CONCLUSIONS: CABG without CPB is an attractive method of surgical revascularization. Increasing age and preoperative comorbidity in patients referred for CABG dictate changes in surgical strategy, of which avoidance of CPB appears most beneficial.",
author = "J. Bergsland and S. Schmid and J. Yanulevich and S. Hasnain and Lajos, {T. Z.} and Tomas Salerno",
year = "1998",
month = "12",
day = "1",
language = "English",
volume = "1",
pages = "107--110",
journal = "Heart Surgery Forum",
issn = "1098-3511",
publisher = "Carden Jennings Publishing Co. Ltd",
number = "2",

}

TY - JOUR

T1 - Coronary artery bypass grafting (CABG) without cardiopulmonary bypass (CPB)

T2 - a strategy for improving results in surgical revascularization.

AU - Bergsland, J.

AU - Schmid, S.

AU - Yanulevich, J.

AU - Hasnain, S.

AU - Lajos, T. Z.

AU - Salerno, Tomas

PY - 1998/12/1

Y1 - 1998/12/1

N2 - BACKGROUND: Coronary artery bypass grafting (CABG) was performed on patients with cardiopulmonary bypass (CPB group) or without CPB (non-CPB group). A series of CABG patients, performed between January 1, 1995 and September 30, 1997 is included. METHODS: Data were collected and analyzed as determined by the New York State Department of Health. Preoperative comorbidity, postoperative morbidity and mortality were compared. There were 2869 patients in the CPB group and 505 patients in the non-CPB group. RESULTS: Demographics of the two groups were similar but preoperative risk factors were more common in patients undergoing CABG without CPB. Of the non-CPB patients, 31.9% had reoperations as compared to 8.5% in CPB patients (p = 0.00005). The presence of an extensively calcified aorta was more common in the non-CPB patients (5.9% vs. 2.8%, p = 0.0002). Immune deficiency was also more common in the non-CPB group (p = 0.001). Risk-adjusted mortality was similar in the two groups while major complications were much less common when CPB was not utilized. In CPB patients only 84.3% avoided major complications, while among non-CPB patients 90.1% were complication-free (p = 0.0008). CONCLUSIONS: CABG without CPB is an attractive method of surgical revascularization. Increasing age and preoperative comorbidity in patients referred for CABG dictate changes in surgical strategy, of which avoidance of CPB appears most beneficial.

AB - BACKGROUND: Coronary artery bypass grafting (CABG) was performed on patients with cardiopulmonary bypass (CPB group) or without CPB (non-CPB group). A series of CABG patients, performed between January 1, 1995 and September 30, 1997 is included. METHODS: Data were collected and analyzed as determined by the New York State Department of Health. Preoperative comorbidity, postoperative morbidity and mortality were compared. There were 2869 patients in the CPB group and 505 patients in the non-CPB group. RESULTS: Demographics of the two groups were similar but preoperative risk factors were more common in patients undergoing CABG without CPB. Of the non-CPB patients, 31.9% had reoperations as compared to 8.5% in CPB patients (p = 0.00005). The presence of an extensively calcified aorta was more common in the non-CPB patients (5.9% vs. 2.8%, p = 0.0002). Immune deficiency was also more common in the non-CPB group (p = 0.001). Risk-adjusted mortality was similar in the two groups while major complications were much less common when CPB was not utilized. In CPB patients only 84.3% avoided major complications, while among non-CPB patients 90.1% were complication-free (p = 0.0008). CONCLUSIONS: CABG without CPB is an attractive method of surgical revascularization. Increasing age and preoperative comorbidity in patients referred for CABG dictate changes in surgical strategy, of which avoidance of CPB appears most beneficial.

UR - http://www.scopus.com/inward/record.url?scp=0032229076&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032229076&partnerID=8YFLogxK

M3 - Article

VL - 1

SP - 107

EP - 110

JO - Heart Surgery Forum

JF - Heart Surgery Forum

SN - 1098-3511

IS - 2

ER -