Impact of off-pump coronary artery bypass grafting on long-term percutaneous coronary interventions

Fabio Barili, Stefano Rosato, Paola D'Errigo, Alessandro Parolari, Danilo Fusco, Carlo Alberto Perucci, Lorenzo Menicanti, Fulvia Seccareccia

Research output: Contribution to journalArticle

Abstract

Objectives The debate regarding the advantages and limitations of off-pump versus on-pump coronary artery bypass grafting (CABG) has yet to be resolved. This study was designed to compare the impact of surgical technique on long-term mortality and subsequent revascularization. Methods The Predicting Long-Term Outcomes After Isolated Coronary Artery Bypass Surgery (PRIORITY) project was designed to evaluate the long-term outcomes of 2 large, prospective multicenter cohort studies on CABG conducted in Italy between 2002 and 2004 and in 2007 and 2008. Clinical data on isolated CABG were compiled from 2 administrative databases. Results The study population consisted of 11,021 patients who underwent isolated CABG (27.2% off-pump CABG). Surgical strategy did not affect in-hospital mortality. Multivariate logistic regression demonstrated that on-pump CABG was the only factor that protected from in-hospital percutaneous coronary intervention after surgery (odds ratio, 0.61). Although unadjusted long-term survival was significantly worse for off-pump CABG, adjustment did not confirm off-pump CABG as a risk factor for mortality (hazard ratio, 0.96; 95% confidence interval, 0.87-1.06). The on-pump CABG group had a significantly lower hospitalization for subsequent percutaneous coronary intervention, a finding confirmed even with adjustment for confounding factors (hazard ratio, 0.70; 95% confidence interval, 0.62-0.80; P

Original languageEnglish
Pages (from-to)902-909
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume150
Issue number4
DOIs
Publication statusPublished - Oct 1 2015

Keywords

  • follow-up studies
  • revascularization
  • risk factors
  • surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

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