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The Comparison of Clinical Outcomes of Off-pump versus On-pump Coronary Artery Bypass Grafting in Diabetes Patients  

송석원 (연세대학교 의과대학 흉부외과학교실, 심혈관연구소)
임상현 (연세대학교 의과대학 흉부외과학교실, 심혈관연구)
홍순창 (연세대학교 의과대학 흉부외과학교실, 심혈관연구)
조수진 (연세대학교 의과대학 흉부외과학교실, 심혈관연구)
장병철 (연세대학교 의과대학 흉부외과학교실, 심혈관연구)
강면식 (연세대학교 의과대학 흉부외과학교실, 심혈관연구)
신혜란 (연세대학교 의과대학 마취통증의학교)
유경종 (연세대학교 의과대학 흉부외과학교실, 심혈관연구소)
Publication Information
Journal of Chest Surgery / v.37, no.7, 2004 , pp. 553-558 More about this Journal
Abstract
Avoiding cardiopulmonary bypass (CPB) in coronary artery bypass grafting (CAB G) has been known to reduce early mortality and morbidity. Diabetes Mellitus is a significant risk factor for adverse early and late outcomes after CABG. We compared the clinical results of off-pump CABG versus on-pump CABG in diabetes patients. Material and Method: 682 patients (424 off-pump CABG and 258 on-pump CABG) underwent isolated coronary artery bypass grafting between January 2001 and June 2003. Data were collected 242 patient who had diabetes. Among them, 154 patients underwent off-pump CABG and 90 patients underwent on-pump CABG. We analyzed the preoperative risk factors and postoperative results between 2 groups. Result: Two groups did not show statistical differences in age, sex, coronary and operative risk factors. Operative time was significantly shorter in off-pump CABG, however, number of grafts was fewer in off-pump CABG. Postoperative inotropic usage was lower in off-pump CABG. Postoperative CK-MB level was lower in off-pump CABG, and ICU stay and ventilation time was significantly shorter in off-pump CABG. However, there was no statistical difference between 2 groups in operative mortality, reoperation rate, perioperative myocardial infarction, wound infection, renal failure, neurological complications and hospital stay. Conclusion: Off-pump CABG group showed less myocardial damage and early recovery. We concluded that off-pump CABG is the more reasonable technique in diabetes patients although two techniques showed good results. The long-term follow up and prospective study may be warranted.
Keywords
Diabetes mellitus; Coronary artery bypass; Off-pump;
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Times Cited By KSCI : 1  (Citation Analysis)
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