TY  - JOUR
AU  - Davierwala, Piroze M.
AU  - Leontyev, Sergey
AU  - Garbade, Jens
AU  - Lehmann, Sven
AU  - Holzhey, David
AU  - Misfeld, Martin
AU  - Borger, Michael A.
PY  - 2018
TI  - Off-pump coronary artery bypass surgery with bilateral internal thoracic arteries: the Leipzig experience
JF  - Annals of Cardiothoracic Surgery; Vol 7, No 4 (July 31, 2018): Coronary Revascularisation—Cardiology for the Surgeon
Y2  - 2018
KW  - 
N2  - Background: Contrasting results of recent randomized controlled trials (RCTs) comparing off-pump and on-pump coronary artery bypass graft (CABG) surgery, as well as the lack of evidence for any survival benefit of bilateral internal thoracic artery (ITA) grafting over single ITA use, has intensified the debate about the role of the off-pump technique and bilateral ITA use in CABG surgery. We therefore investigated our 15-year experience in off-pump CABG with bilateral ITA grafting and evaluated temporal trends in preoperative characteristics and postoperative outcomes.  Methods: Demographic, intra-operative, and outcome data of 1,199 consecutive patients undergoing off-pump CABG with bilateral ITA grafting was prospectively collected in a computerized database. Patients who underwent on-pump cardiac procedures and other extra-cardiac procedures were excluded from this study. Assessment of changes in perioperative characteristics and parameters with time was performed by dividing the whole cohort into three groups (2003–2007, 2008–2012, and 2013–2017) based on the year of surgery.  Results: The overall 30-day mortality was 0.6%, with no differences observed between the three time cohorts (0.6%, 0.7%, 0.5%; P=0.8). The perioperative stroke rate for whole cohort was 0.6% and demonstrated a significant reduction in the last two time cohorts (1%, 0.5%, 0.5%; P
UR  - https://www.annalscts.com/article/view/16514