On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function

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...

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Autores principales:	Ahmed Asklany, El husseiny Gamil, Mohamed Mahmoud, Ismail Elsokkary
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	coronary revascularization off-pump on-pump left ventricular dysfunction graft Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/3cbabcef131e42428676c4fb9aed86eb
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spelling	oai:doaj.org-article:3cbabcef131e42428676c4fb9aed86eb2021-12-02T10:46:43ZOn-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function2636-41742682-378010.21608/ijma.2020.43316.1175https://doaj.org/article/3cbabcef131e42428676c4fb9aed86eb2021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_120352_44cc77f49432e51c9cacfdf5f09e03b8.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Ahmed AsklanyEl husseiny GamilMohamed MahmoudIsmail ElsokkaryAl-Azhar University, Faculty of Medicine (Damietta)articlecoronary revascularizationoff-pumpon-pumpleft ventricular dysfunctiongraftMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 1001-1006 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	coronary revascularization off-pump on-pump left ventricular dysfunction graft Medicine (General) R5-920
spellingShingle	coronary revascularization off-pump on-pump left ventricular dysfunction graft Medicine (General) R5-920 Ahmed Asklany El husseiny Gamil Mohamed Mahmoud Ismail Elsokkary On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function
description	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.
format	article
author	Ahmed Asklany El husseiny Gamil Mohamed Mahmoud Ismail Elsokkary
author_facet	Ahmed Asklany El husseiny Gamil Mohamed Mahmoud Ismail Elsokkary
author_sort	Ahmed Asklany
title	On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function
title_short	On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function
title_full	On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function
title_fullStr	On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function
title_full_unstemmed	On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function
title_sort	on-pump versus off-pump coronary artery bypass grafting in patients with poor left ventricular function
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/3cbabcef131e42428676c4fb9aed86eb
work_keys_str_mv	AT ahmedasklany onpumpversusoffpumpcoronaryarterybypassgraftinginpatientswithpoorleftventricularfunction AT elhusseinygamil onpumpversusoffpumpcoronaryarterybypassgraftinginpatientswithpoorleftventricularfunction AT mohamedmahmoud onpumpversusoffpumpcoronaryarterybypassgraftinginpatientswithpoorleftventricularfunction AT ismailelsokkary onpumpversusoffpumpcoronaryarterybypassgraftinginpatientswithpoorleftventricularfunction
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On-Pump versus Off-Pump Coronary Artery Bypass Grafting in Patients with Poor Left Ventricular Function

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