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Borzov E.A.

Chazov National Medical Research Centre of Cardiology

Latypov R.S.

Chazov National Medical Research Center of Cardiology

Vasiliev V.P.

Chazov National Medical Research Center of Cardiology

Burmistrova I.V.

Chazov National Medical Research Centre of Cardiology

Kurbanov S.K.

Chazov National Medical Research Center of Cardiology

Shiryaev A.A.

Chazov National Medical Research Center for Cardiology

One-year outcomes after off-pump coronary artery bypass grafting in diffuse coronary atherosclerosis

Authors:

Borzov E.A., Latypov R.S., Vasiliev V.P., Burmistrova I.V., Kurbanov S.K., Shiryaev A.A.

More about the authors

Journal: Russian Cardiology Bulletin. 2024;19(1): 56‑63

DOI: 10.17116/Cardiobulletin20241901156

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ONE-YEAR OUTCOMES AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING IN DIFFUSE CORONARY ATHEROSCLEROSIS
ONE-YEAR OUTCOMES AFTER OFF-PUMP CORONARY ARTERY BYPASS GRAFTING IN DIFFUSE CORONARY ATHEROSCLEROSIS

To cite this article:

Borzov EA, Latypov RS, Vasiliev VP, Burmistrova IV, Kurbanov SK, Shiryaev AA. One-year outcomes after off-pump coronary artery bypass grafting in diffuse coronary atherosclerosis. Russian Cardiology Bulletin. 2024;19(1):56‑63. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20241901156

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the outcomes after off-pump and on-pump coronary artery bypass grafting (CABG) in patients with diffuse coronary artery disease (CAD).

MATERIAL AND METHODS

A retrospective study enrolled patients with diffuse CAD, who underwent CABG between 2018 and 2021. Most ones underwent on-pump surgery (n=822), others — off-pump CABG (n=97). Patients were divided into comparable groups (97 ones in each group) using propensity match scoring. We compared in-hospital and one-year outcomes. The median follow-up was 14 (12; 22) months.

RESULTS

Baseline clinical and demographic parameters were comparable in both groups. Men prevailed (79.4% and 77.3%, respectively). Mean age was 64.3±8.7 and 64.4±7.5 years, respectively. In-hospital mortality and incidence of major cardiovascular events and other complications were similar. Length of ICU-stay (48 (28; 50) vs 24 (24; 48) hours, p<0.001) and hospital-stay (11.0 (9.0; 13.0) vs 8.0 (6.5; 9.0) days, p<0.001) was greater after on-pump CABG. One-year mortality (2.2% vs 2.2%) was comparable. Myocardial infarction was not registered in both groups in a year after surgery. Recurrence of angina was more common after off-pump CABG (10.9% vs 6.7%) without significant difference.

CONCLUSION

Outcomes after off-pump CABG were not worse than after on-pump surgery. Off-pump CABG can be performed in patients with favorable coronary anatomy. Microsurgical technique and adequate surgical experience are essential.

Keywords:

coronary artery bypass grafting
cardiopulmonary bypass
diffuse coronary atherosclerosis

Authors:

Borzov E.A.

Chazov National Medical Research Centre of Cardiology

Latypov R.S.

Chazov National Medical Research Center of Cardiology

Vasiliev V.P.

Chazov National Medical Research Center of Cardiology

Burmistrova I.V.

Chazov National Medical Research Centre of Cardiology

Kurbanov S.K.

Chazov National Medical Research Center of Cardiology

Shiryaev A.A.

Chazov National Medical Research Center for Cardiology

Received:

30.10.2023

Accepted:

03.11.2023

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