Browse > Article
http://dx.doi.org/10.5762/KAIS.2018.19.9.146

Clinical outcome of coronary artery bypass surgery according to using cardiopulmonary bypass machine  

Cho, Yeon-Hee (Health Insurance Review & Assessment Service)
Kim, Hyung-Seon (Division of Nursing, Bucheon University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.9, 2018 , pp. 146-155 More about this Journal
Abstract
This study was conducted to evaluate the clinical outcomes of coronary artery bypass surgery for ischemic heart disease according to use of a cardiopulmonary bypass machine. The subjects were 10,981 patients who underwent coronary artery bypass grafting for ischemic heart disease from July 2008 to June 2012. Analysis data were retrospectively collected using health insurance claims data. The results of the study showed that mean time to surgery (280 min vs 357 min, p<0.0001) and intubation time (about 24 hours vs 40 hours, p<0.0001) were significantly shorter in the Off-Pump CABG (OPCAB) group than in the On-Pump CABG (ONCAB) group. The rate of reoperation because of postoperative bleeding and hematoma was lower in the OPCAB group (2.7% vs 8.3%, p<.0001). The odds ratio of risk adjusted 30 days mortality rate was 0.339 (0.266-0.434) and the postoperative length of stay was decreased in the OPCAB (p<0.0001). Overall, the 30 days mortality and reoperation rates were lower in the OPCAB, as was the resources use.
Keywords
Off-Pump Coronary Artery Bypass; Cardiopulmonary bypass; Coronary Artery Bypass Grafting; Treatment Outcome; On-Pump Coronary Artery Bypass;
Citations & Related Records
연도 인용수 순위
  • Reference
1 D. van Dijk, A. P. Nierich, F. D. Eefting, E. Buskens, H. M. Nathoe, E. W. Jansen, C. Borst, J. T. Knape, J. J. Bredee, E. O. Robles de Medina, D. E. Grobbee, J. C. Diephuis, P. P. de Jaegere, "The Octopus Study: Rationale and Design of Two Randomized Trials on Medical Effectiveness, Safety, and Cost-Effectiveness of Bypass Surgery on the Beating Heart", Controlled Clinical Trials, Vol.21, No.6, pp.595-609, 2000. DOI: https://dx.doi.org/10.1016/S0197-2456(00)00103-3   DOI
2 J. M. Brown, R. S. Poston, J. S. Gammie, M. G. Cardarelli, K. Schwartz, A. H. Sikora, S. Yi, R. N. Pierson, B. P. Griffith, "Off-Pump Versus On-Pump Coronary Artery Bypass Grafting in Consecutive Patients: Decision-Making Algorithm and Outcomes", The Annals of Thoracic Surgery, Vol.81, No.2, pp.555-561, 2006. DOI: https://dx.doi.org/10.1016/j.athoracsur.2005.06.081   DOI
3 V. Zamvar, D. Williams, J. Hall, N. Payne, C. Cann, K. Young, S. Karthikeyan, J. Dunne, "Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: prospective randomized controlled trial" BMJ, Vol.325, No.7375, pp.1268-1272, 2002. DOI: https://dx.doi.org/10.1136/bmj.325.7375.1268   DOI
4 Y. N. Youn, K. J. Yoo, K. J. Lee, M. K. Bae, Y. H. Shim, "The comparison study of early and midterm clinical outcome of Off Pump versus On Pump CABG in patients with Severe Left Ventricular Dysfunction(LVEF$\leqq $35%)", Korean J Thorac Cardiovasc Surg, Vol.39, No.3, pp.184-193, 2006.
5 J. K. Shin, J. W. Kim, J. P. Jung, C. R. Park, S. E. Park, "Clinical Outcome of Off Pump Coronary Artery Bypass Grafting", Korean J Thorac Cardiovasc Surg, Vol.41, No.1, pp.34-40, 2008.
6 C. Lim, W. I. Chang, K. B. Kim, Y. Kim, "Financial Impact of Off-Pump Coronary Artery Bypass", Korean J Thorac Cardiovasc Surg, Vol.35, No.5, pp.365-368, 2002.
7 A. Diegeler, J. Borgermann, U. Kappert, M. Breuer, A. Boning, A. Ursulescu, A. Rastan, D. Holzhey, H. Treede, F. C. Riess, P. Veeckmann, A. Asfoor, W. Reents, M. Zacher, M. Hilker, "Off-pump versus on-pump coronary-artery bypass grafting in elderly patients", New England Journal of Medicine, Vol.368. No.13, pp.1189-1198, 2013. DOI: https://dx.doi.org/10.1056/NEJMoa1211666   DOI
8 M. E. Plomondon, J. C. Cleveland Jr., S. T. Ludwig, G. K. Grunwald, C. I. Kiefe, F. L. Grover, A. L. Shroyer, "Off-pump coronary artery bypass is associated with improved risk adjusted outcomes", The Annals of Thoracic Surgery, Vol.72, No.1, pp.114-119, 2001. DOI: https://dx.doi.org/10.1016/S0003-4975(01)02670-4   DOI
9 M. J. Magee, K. A. Jablonski, S. C. Stamou, A. J. Pfister, T. M. Dewey, M. Dullum, J. R. Edgerton, S. L. Prince, T. E. Acuff, P. J. Corso, M. J. Mack, "Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients", The Annals of Thoracic Surgery, Vol.73, No.4, pp.1196-1203, 2002. DOI: https://dx.doi.org/10.1016/S0003-4975(01)03587-1   DOI
10 Y. T. Lee, K. H. Park, "Concise Coronary Artery Bypass Grafting", Korea Med Books Publishing Company, Korea, 2008.
11 K. J. Yoo, S. H. Lim, S. W. Song, C. Y. Kim, Y. S. Hong, B. C. Chang, "The comparison of Clinical Study of Off Pump and On Pump CABG", Korean J Thorac Cardiovasc Surg, Vol.35, No.4, pp.261-266, 2002.
12 G. M. Mckhann, W. A. Goldsborough, L. M. Borowicz, E. D. Mellits, R. Brookmeyer, S. A. Quaskey, W. A. Baumgartner, D. E. Cameron, R. S. Stuart, T. J. Gardner, "Predictors of Stroke Risk in Coronary Artery Bypass Patients", The Annals of Thoracic Surgery, Vol.63, No.2, pp.516-521, 1997. DOI: https://dx.doi.org/10.1016/S0003-4975(97)83384-X   DOI
13 A. M. Calafiore, G. Teodori, G. Di Giammarco, G. Vitolla, N. Maddestra, L. Paloscia, M. Zimarino, V. Mazzei, "Multiple arterial conduits without cardiopulmonary bypass: early angiographic results", The Annals of Thoracic Surgery, Vol.67, No.2, pp.450-456, 1999. DOI: https://dx.doi.org/10.1016/S0003-4975(98)01194-1   DOI
14 Subramanian VA, Less invasive arterial CABG on a beating heart. Ann Thorac Surg 1997;63:S67-S71.   DOI
15 K. J. Zehr, N. Handa, L. F. Bonilla, M. D. Abel, D. R. Holmes Jr., "Pitfalls and results of immediate angiography after off-pump coronary artery bypass grafting", Herat Surg Forum, Vol.3, No.4, pp.293-299, 2000.
16 K. B. Kim, H. G. Lim, J. H. Huh, H. Ahn, B. M. Ham, "Off-Pump Coronary Artery Bypass Grafting", Korean J Thorac Cardiovasc Surg, Vol.33, No.1, pp.38-44, 2000.
17 F. Hernandez, W. E. Cohn, Y. R. Baribeau, J. F. Tryzelaar, D. C. Charlesworth, R. A. Clough, J. D. Klemperer, J. R. Morton, B. M. Westbrook, E. M. Olmstead, G. T. O'Connor, "In-hospital outcomes of off-pump versus on-pump coronary artery bypass procedures: a multicenter experience", The Annals of Thoracic Surgery, Vol.72, No.5, pp.1528-1534, 2001. DOI: https://dx.doi.org/10.1016/S0003-4975(01)03202-7   DOI
18 S. Al-Ruzzeh, G. Ambler, G. Asimakopoulos, R. Z. Omar, R. Hasan, B. Fabri, A. El-Gamel, A. DeSouza, V. Zamvar, S. Griffin, D. Keenan, U. Trivedi, M. Pullan, A. Cale, M. Cowen, K. Taylor, M. Amrani, "Off-pump coronary artery bypass (OPCAB) surgery reduces risk stratified morbidity and mortality: a United Kingdom multicenter comparative analysis of early clinical outcome", Circulation, Vol.108, No.10(Suppl 1), pp.II1-8, 2003. DOI: https://dx.doi.org/10.1161/01.cir.0000087440.59920.a1   DOI
19 G. Filardo, P. A. Grayburn, C. Hamilton, R. F. Hebeler Jr., W. B. Cooksey, B. Hamman, "Comparing Long-Term Survival Between Patients Undergoing Off-Pump and On-Pump Coronary Artery Bypass Graft Operations", The Annals of Thoracic Surgery, Vol.92, No.2, pp.571-578, 2011. DOI: https://dx.doi.org/10.1016/j.athoracsur.2011.03.100   DOI
20 D. Fudulu, U. Benedetto, G. G. Pecchinenda, P. Chivasso, V. D. Bruno, F. Rapetto, A. Bryan, G. D. Angelini, "Current outcomes of off-pump versus on-pump coronary artery bypass grafting: evidence from randomized controlled trials", Journal of Thoracic Disease, Vol.8, No.S10, pp.S758-S771, 2016. DOI: https://dx.doi.org/10.21037/jtd.2016.10.80   DOI
21 T. H. Won, S. Y. Choi. I. S. Yang, "Early Result of Off-Pump Coronary Artery Bypass", The Ewha Medical Journal, Vol.25, No.1, pp.27-32, 2005. DOI: https://dx.doi.org/10.12771/emj.2005.28.1.27
22 H. Takagi, T. Tanabashi, N. Kawai, T. Kato, T. Umemoto, "Off-pump coronary artery bypass graft patency: meta-analysis of randomized trials", The Journal of Thoracic and Cardiovascular Surgery, Vol.133, No.1, pp.e2-e3, 2007. DOI: https://dx.doi.org/10.1016/j.jtcvs.2006.08.062   DOI
23 L. Yu, T. Gu, E. Shi, C. Wang, Q. Fang, Y. Yu, X. Zhao, C. Qian, "Off-pump versus on-pump coronary artery bypass surgery in patients with triple-vessel disease and enlarged ventricles", Annals of Saudi Medicine, Vol.34, No.3, pp.222-228, 2014. DOI: https://dx.doi.org/10.5144/0256-4947.2014.222   DOI
24 A. Lamy, P. J. Devereaux, D. Prabhakaran, D. P. Taggart, S. Hu, E. Paolasso, Z. Straka, L. S. Piegas, A. R. Akar, A. R. Jain, N. Noiseux, C. Padmanabhan, J. C. Bahamondes, R. J. Novick, P. Vaijyanath, S. Reddy, L. Tao, P. A. Olavegogeascoechea, B. Airan, T. A. Sulling, R. P. Whitlock, Y. Ou, J. Ng, S. Chrolavicius, S. Yusuf, "Off-pump or on-pump coronary-artery bypass grafting at 30 days", New England Journal of Medicine, Vol.366, No.16, pp.1489-1497, 2012. DOI: https://dx.doi.org/10.1056/NEJMoa1200388   DOI
25 S. Al-Ruzzeh, K. Nakamura, T. Athanasiou, T. Modine, S. George, M. Yacoub, C. Ilsley, M. Amrani, "Does off-pump coronary artery bypass (OPCAB) surgery improve the outcome in high-risk patients?: a comparative study of 1398 high-risk patients", European Journal of Cardio-Thoracic Surgery, Vol.23, No.1, pp.50--55, 2003. DOI: https://dx.doi.org/10.1016/S1010-7940(02)00654-1   DOI
26 V. Dhurandhar, A. Saxena, R. Parikh, M. P. Vallely, M. K. Wilson, J. K. Butcher, D. A. Black, L. Tran, C. M. Reid, P. G. Bannon, "Outcomes of On-Pump versus Off-Pump Coronary Artery Bypass Graft Surgery in the High Risk(AusSCORE > 5)", Heart, Lung and Circulation, Vol.24, No.12, pp.1216-1224, 2015. DOI: https://dx.doi.org/10.1016/j.hlc.2015.02.009   DOI
27 A. L. Shroyer, F. L. Grover, B. Hattler, J. F. Collins, G. O. McDonald, E. Kozora, J. C. Lucke, J. H. Baltz, D. Novitzky, "On-Pump versus Off-Pump Coronary-Artery Bypass Surgery", New England Journal of Medicine, Vol.361, No.19, pp.1829-1837, 2009. DOI: https://dx.doi.org/10.1056/NEJMoa0902905
28 J. C. Cleveland Jr., A. L. Shroyer, A. Y. Chen, E. Peterson, F. L. Grover, "Off-pump coronary artery bypass grafting decreases risk-adjusted mortality, and morbidity", The Annals of Thoracic Surgery, Vol.72, No.4, pp.1282-1289, 2001. DOI: https://dx.doi.org/10.1016/S0003-4975(01)03006-5   DOI
29 J. F. Legare, K. J. Buth, S. King, J. Wood, J. A. Sullivan, F. C. Hancock, J. Lee, K. Stewart, G. M. Hirsch, "Coronary Bypass Surgery Performed off Pump Does Not Result in Lower In-Hospital Morbidity Than Coronary Artery Bypass Grafting Performed on Pump", Circulation, Vol.109, No.7, pp.887-892, 2004. DOI: https://dx.doi.org/10.1161/01.CIR.0000115943.41814.7D   DOI
30 W. Karolak, G. Hirsch, K. Buth, J. F. Legare, "Medium-term outcomes of coronary artery bypass graft surgery on pump versus off pump: Results from a randomized controlled trial", American Heart Journal, Vol.153, No.4, pp.689-695, 2007. DOI: https://dx.doi.org/10.1016/j.ahj.2007.01.033   DOI
31 R. Kaushish, M. K. Unni, M. Luthra, "Beating Heart versus Conventional Coronary Bypass Surgery : Our Experience", Medical Journal Armed Forces India, Vol.66, No.4, pp.357-361, 2010. DOI: https://dx.doi.org/10.1016/S0377-1237(10)80018-8   DOI