The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 256-262 , February 2010

Ten-year experience with off-pump coronary artery bypass grafting: Lessons learned from early postoperative angiography

Read at the Eighty-ninth Annual Meeting of The American Association for Thoracic Surgery, Boston, Mass, May 9–13, 2009.

  • Ki-Bong Kim, MD, PhD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul, Republic of Korea
    • Corresponding Author InformationAddress for reprints: Ki-Bong Kim, MD, PhD, Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 28, Yeongeon-dong, Chongno-gu, Seoul 110-744, Korea.
    • ,
  • Jun Sung Kim, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, Boramae Medical Center, Seoul, Republic of Korea
    • ,
  • Hyun-Jae Kang, MD, PhD

      Affiliations

    • Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea
    • ,
  • Bon-Kwon Koo, MD, PhD

      Affiliations

    • Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea
    • ,
  • Hyo-Soo Kim, MD, PhD

      Affiliations

    • Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea
    • ,
  • Byung-Hee Oh, MD, PhD

      Affiliations

    • Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea
    • ,
  • Young-Bae Park, MD, PhD

      Affiliations

    • Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea

Received 30 April 2009 ,Revised 15 August 2009 ,Accepted 26 August 2009.

References 

  1. Khan NE, De Souza A, Mister R, Flather M, Clague J, Davies S, et al. A randomized comparison of off-pump and on-pump multivessel coronary-artery bypass surgery. N Engl J Med. 2004;350:21–28
  2. Parolari A, Alamanni F, Polvani G, Agrifoglio M, Chen YB, Kassem S, et al. Meta-analysis of randomized trials comparing off-pump with on-pump coronary artery bypass graft patency. Ann Thorac Surg. 2005;80:2121–2125
  3. Hirotani T, Kameda T, Shirota S, Nakao Y. An evaluation of the intraoperative transit time measurements of coronary bypass flow. Eur J Cardiothorac Surg. 2001;19:848–852
  4. Balacumaraswami L, Abu-Omar Y, Choudhary B, Pigott D, Taggart DP. A comparison of transit-time flowmetry and intraoperative fluorescence imaging for assessing coronary artery bypass graft patency. J Thorac Cardiovasc Surg. 2005;130:315–320
  5. Tokuda Y, Song MH, Ueda Y, Usui A, Akita T. Predicting early coronary artery bypass graft failure by intraoperative transit time flow measurement. Ann Thorac Surg. 2007;84:1928–1933
  6. Wiklund L, Johansson M, Brandrup-Wognsen G, Bugge M, Radberg G, Berglin E. Difficulties in the interpretation of coronary angiogram early after coronary artery bypass surgery on the beating heart. Eur J Cardiothorac Surg. 2000;17:46–51
  7. Shin H, Yozu R, Mitsumaru A, Iino Y, Hashizume K, Matayoshi T, et al. Intraoperative assessment of coronary artery bypass graft: transit-time flowmetry versus angiography. Ann Thorac Surg. 2001;72:1562–1565
  8. Kim K-B, Kang CH, Lim C. Prediction of graft flow impairment by intraoperative transit time flow measurement in off-pump coronary artery bypass using arterial grafts. Ann Thorac Surg. 2005;80:594–599
  9. Kim K-B, Cho KR, Chang WI, Lim C, Ham BM, Kim YL. Bilateral skeletonized internal thoracic artery graftings in off-pump coronary artery bypass: early result of Y versus in situ grafts. Ann Thorac Surg. 2002;74:S1371–S1376
  10. Kim K-B, Lim C, Lee C, Chae IH, Oh BH, Lee MM, et al. Off-pump coronary artery bypass may decrease the patency of saphenous vein grafts. Ann Thorac Surg. 2001;72:S1033–S1037
  11. Lingaas PS, Hol PK, Lundbald R, Rein KA, Mathisen L, Smith HJ, et al. Clinical and radiologic outcome of off-pump coronary surgery at 12 months follow-up: a prospective randomized trial. Ann Thorac Surg. 2006;81:2089–2096
  12. Al-Ruzzeh S, George S, Bustami M, Wray J, Ilsley C, Athanasiou T, et al. Effect of off-pump coronary artery bypass surgery on clinical, angiographic, neurocognitive, and quality of life outcomes: randomized controlled trial. BMJ. 2006;332:1365
  13. Lim E, Drain A, Davies W, Edmonds L, Rosengard BR. A systematic review of randomized controlled trials comparing revascularization rate and graft patency of off-pump and conventional coronary surgery. J Thorac Cardiovasc Surg. 2006;132:1409–1413
  14. Takagi H, Tanabashi T, Kawai N, Kato T, Umemoto T. Off-pump coronary artery bypass sacrifices graft patency: meta-analysis of randomized trials. J Thorac Cardiovasc Surg. 2007;133:e2–e3
  15. Mariani MA, Gu YJ, Boonstra PW, Grandjean JG, van Oeveren W, Ebels T. Procoagulant activity after off-pump coronary operation: Is the current anticoagulation adequate?. Ann Thorac Surg. 1999;67:1370–1375
  16. Ömeroğlu SN, Kırali K, Güler M, Toker ME, İpek G, Işık Ö, et al. Midterm angiographic assessment of coronary artery bypass grafting without cardiopulmonary bypass. Ann Thorac Surg. 2000;70:844–849
  17. Cho KR, Jeong DS, Kim K-B. Influence of vein graft use on postoperative 1-year results after off-pump coronary artery bypass surgery. Eur J Cardiothorac Surg. 2007;32:718–723
  18. D'Ancona G, Karamanoukian HL, Ricci M, Schmid S, Bergsland J, Salerno TA. Graft revision after transit time flow measurement in off-pump coronary artery bypass grafting. Eur J Cardiothorac Surg. 2000;17:287–293
  19. Hol PK, Lingaas PS, Lundblad R, Rein KA, Vatne K, Smith HJ, et al. Intraoperative angiography leads to graft revision in coronary artery bypass surgery. Ann Thorac Surg. 2004;78:502–505
  20. Mack MJ, Magovern JA, Acuff TA, Landreneau RJ, Tennison DM, Tinnerman EJ, et al. Results of graft patency by immediate angiography in minimally invasive coronary artery surgery. Ann Thorac Surg. 1999;68:383–389
  21. Kim K-B, Cho KR, Jeong DS. Midterm angiographic follow-up after off-pump coronary artery bypass: serial comparison using early, 1-year, and 5-year postoperative angiograms. J Thorac Cardiovasc Surg. 2008;135:300–307

 Disclosures: None.

PII: S0022-5223(09)01139-8

doi: 10.1016/j.jtcvs.2009.08.040

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 2 , Pages 256-262 , February 2010

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