1 / 1

Off-Pump vs. On-Pump CABG: Short-Term and Long-Term Outcomes

This study compares the composite outcomes of off-pump vs. on-pump CABG procedures, showing no significant difference in short-term outcomes but worse long-term results with off-pump, including higher cardiac death rates and lower graft patency at 1 year. The trial design involved patients scheduled for elective or urgent CABG, randomized to off-pump (n=1,104) vs. on-pump (n=1,099) surgical revascularization, with a 1-year follow-up. Findings suggest on-pump procedures may be more beneficial in the long run.

chandler-wiley
Download Presentation

Off-Pump vs. On-Pump CABG: Short-Term and Long-Term Outcomes

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ROOBY Short-term composite outcomes: 7.0% with off-pump vs. 5.6% with on-pump (p = 0.19) Long-term composite outcomes: 9.9% vs. 7.4% Cardiac death: 2.7% vs. 1.3% Graft patency: 82.6% vs. 87.8% (p < 0.001) Trial design: Patients scheduled for elective or urgent CABG were randomized to off-pump (n = 1,104) vs. on-pump (n = 1,099) surgical revascularization. Follow-up was 1 year. Results (p = 0.04) (p = 0.03) % Conclusions • Among patients undergoing elective or urgent CABG, use of off-pump procedures does not result in similar clinical outcomes as on-pump procedures • Off-pump CABG associated with worse outcomes, including higher cardiac death and lower graft patency at 1 year Long-term composite outcomes Long-term cardiac death Off-pump On-pump Shroyer AL, et al. N Engl J Med 2009;361:1827-37

More Related