ArticleThe Canadian journal of cardiology2006
Early outcomes of coronary artery bypass with and without cardiopulmonary bypass in octogenarians.
Article in The Canadian journal of cardiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Off-pump versus on-pump coronary artery bypass grafting for octogenarians: A meta-analysis involving 146 372 patients.Clinical cardiology · 2022Pooled it
- Off-pump versus on-pump coronary artery bypass surgery in patients aged 80 years and older: institutional results and meta-analysis.Heart and vessels · 2013Pooled it
- Perioperative erythropoietin protects the CNS against ischemic lesions in patients after open heart surgery.Wiener klinische Wochenschrift · 2016Trial
- Surgical Outcomes in Octogenarians with Heart Failure and Reduced Ejection Fraction following Isolated Coronary Artery Bypass Grafting-A Propensity Score Matched Analysis.Journal of clinical medicine · 2024Article
- Off-pump versus on-pump coronary artery surgery in octogenarians (from the KROK Registry).PloS one · 2020Article
- Prediction of complications and death in octogenarians with left main coronary artery disease after coronary artery bypass implantation - off-pump, on-pump and minimally invasive techniques comparison.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2019Article
- Off-pump coronary artery bypass grafting in octogenarians.Journal of thoracic disease · 2016Review
- Coronary revascularization in the elderly with stable angina.Journal of geriatric cardiology : JGC · 2015Review
- Evaluation of the prevalence and risk factors of delirium in cardiac surgery ICU.Journal of cardiovascular and thoracic research · 2013Article
- Short-term and long-term outcomes of octogenarians after off-pump coronary artery bypass surgery.General thoracic and cardiovascular surgery · 2010Article
- Review of the treatment of acute coronary syndrome in elderly patients.Clinical interventions in aging · 2009Review
- [Coronary artery bypass grafting in conscious patients: a procedure with a perspective?].Der Anaesthesist · 2008Review
- The life and hard times of a coronary surgeon.The Canadian journal of cardiology · 2007Review
- Myocardial revascularization without extracorporeal circulation; Why hasn't it convinced yet?Annals of cardiac anaesthesiaReview
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOff-pump coronary artery bypass (OPCAB) surgery has been successfully used in diverse patient populations and has been postulated to be safer than conventional coronary artery bypass (CCAB) surgery in some high-risk patients, including the elderly.
objectiveTo compare the safety of OPCAB surgery versus CCAB surgery in the octogenarian population of two large southwestern Ontario cardiac surgical units.
resultsTwo hundred thirty-six consecutive octogenarians underwent primary isolated coronary artery bypass surgery from November 2000 to March 2005. Patients undergoing OPCAB surgery tended to have higher Parsonnet scores, while patients undergoing CCAB surgery had a greater number of emergent operations. The Canadian Cardiovascular Network predicted that mortality risk was similar in both groups. In-hospital mortality was similar between groups, as was postoperative myocardial infarction and new onset of renal dysfunction. However, in the OPCAB group, there was a decreased incidence of postoperative neurological dysfunction (2.3% in the OPCAB group versus 10.5% in the CCAB group, P=0.01), in particular cerebrovascular accidents (1.5% in the OPCAB group versus 7.6% in the CCAB group, P=0.05), and a decreased incidence of prolonged intubation (5.3% in the OPCAB group versus 13.3% in the CCAB group, P=0.04). Multivariable analysis found that cardiopulmonary bypass had no significant impact on mortality or length of stay.
conclusionsIn octogenarian patients, OPCAB surgery is as safe as CCAB surgery in terms of mortality and major morbidity. Furthermore, a significant reduction in neurological dysfunction and prolonged intubation was seen in the OPCAB group compared with the CCAB group.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.