Subjects
-Abstract
Background: There is an increase in the number of patients with severely impaired left ventricle function who referred for CABG. Many studies showed that surgical intervention for those high-risk patients has high survival and wonderful outcome compared to medical treatment.
Aim of work: This study aimed to evaluate our experience with coronary artery bypass surgery in patients with EF [ 25% up to 40%] either to perform surgery using off or on-pump technique and try to conclude which technique may be safer regarding cardiac function.
Patients and Methods: This prospective observational patient cohort study from August 2017 to July 2019 enclosed forty consecutive patients divided into 2 teams every 20 patients either off or on pump technique according to surgeons' expertise. Pre-, intra- and post-operative data were collected for all patients. All survivors were subjected to a 6-months follow-up clinically and by Echocardiograghy assessment.
Results: Improvement of ejection fraction [EF] was encountered in our study; the mean 6-months operative EF improved for each team by [36% versus 37%] for off-pump and on-pump interventions, respectively. There was no statistically important difference in the information collected for each technique [p-value>0.05] regarding most points of comparison.
Conclusion: Results of CABG in high-risk patients were acceptable with on-pump and off-pump techniques with nearly comparable results in our study, at least in the early 6-months after intervention. Intra-aortic balloon usage is valuable when indicated.
DOI
10.21608/ijma.2020.43316.1175
Keywords
Coronary revascularization, Off-pump, On-pump, left ventricular dysfunction, Graft
Authors
Affiliation
cardiothoracicsurgery,fuclty of medicine ,Beni suef university, Beni suef ,Egypt
Email
ahmedasklany0@gmail.com
Orcid
-Affiliation
Department of cardiothoracic surgery,faculty of medicine, Al Azhar university,Cairo, Egypt
Orcid
-Affiliation
cardiothoracic surgery,faculty of medicine,Al Azhar university,Cairo, Egypt
Email
mohamed_hossiny1@yahoo.com
Orcid
-Affiliation
Department of cardiothoracic surgery , faculty of medicine , Al Azhar university , egypt.
Email
drismailnasr@yahoo.com
Orcid
-Link
https://ijma.journals.ekb.eg/article_120352.html
Detail API
https://ijma.journals.ekb.eg/service?article_code=120352
Publication Title
International Journal of Medical Arts
Publication Link
https://ijma.journals.ekb.eg/
MainTitle
On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function