OBJECTIVE: To review the database of 1,902 consecutive patients who underwent coronary artery bypass graft (CABG) surgery in the period 1998 through 2001 at this institution, and to compare the preoperative status, anesthetic management, and postoperative outcome of 364 patients with the beating-heart technique with 1,538 patients who underwent the operation on cardiopulmonary bypass. DESIGN: Observational study. SETTING: University hospital. PARTICIPANTS: Consecutive patients (n = 1,902) who underwent CABG surgery in the period 1998 through 2001. MEASUREMENTS AND MAIN RESULTS: Comparison (chi-square test) of the preoperative status shows that surgeons' choice for the beating-heart technique was based on the presence of severe preoperative comorbidities: renal impairment (p < 0.0001), chronic obstructive pulmonary disease (p < 0.04), and low ejection fraction (p < 0.0001). On a multivariate analysis, the beating-heart technique was associated with reduced transfusion needs and duration of mechanical ventilation. CONCLUSION: Beating-heart surgery is gaining popularity as a safe method for myocardial revascularization. Excellent results have been achieved with this technique in this center.

Beating-heart coronary artery bypass graft surgery at San Raffaele Hospital : four years of experience / G. Landoni, G. Marino, C. Gerli, F. Bellotti, T. Bove, F. Pappalardo, D. Mamo, G. Aletti, F. Maisano, O. Alfieri, G. Torri. - In: JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA. - ISSN 1053-0770. - 16:6(2002), pp. 691-694. [10.1053/jcan.2002.128417]

Beating-heart coronary artery bypass graft surgery at San Raffaele Hospital : four years of experience

G. Aletti;
2002

Abstract

OBJECTIVE: To review the database of 1,902 consecutive patients who underwent coronary artery bypass graft (CABG) surgery in the period 1998 through 2001 at this institution, and to compare the preoperative status, anesthetic management, and postoperative outcome of 364 patients with the beating-heart technique with 1,538 patients who underwent the operation on cardiopulmonary bypass. DESIGN: Observational study. SETTING: University hospital. PARTICIPANTS: Consecutive patients (n = 1,902) who underwent CABG surgery in the period 1998 through 2001. MEASUREMENTS AND MAIN RESULTS: Comparison (chi-square test) of the preoperative status shows that surgeons' choice for the beating-heart technique was based on the presence of severe preoperative comorbidities: renal impairment (p < 0.0001), chronic obstructive pulmonary disease (p < 0.04), and low ejection fraction (p < 0.0001). On a multivariate analysis, the beating-heart technique was associated with reduced transfusion needs and duration of mechanical ventilation. CONCLUSION: Beating-heart surgery is gaining popularity as a safe method for myocardial revascularization. Excellent results have been achieved with this technique in this center.
Anesthesiology management; Beating heart; Cardiac anesthesia; Coronary artery bypass graft (CABG) surgery; Off-pump CABG surgery
Settore MED/40 - Ginecologia e Ostetricia
Settore SECS-S/02 - Statistica per La Ricerca Sperimentale e Tecnologica
Settore SECS-S/01 - Statistica
Centro di Ricerca Interdisciplinare su Modellistica Matematica, Analisi Statistica e Simulazione Computazionale per la Innovazione Scientifica e Tecnologica ADAMSS
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/692423
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