Pulmonary outcomes of off-pump vs on-pump coronary artery bypass surgery in a randomized trial

Chest

Volumn 127, Issue 3, 2005, Pages 892-901

  Staton, Gerald W ^a,d   Williams, Willis H ^a   Mahoney, Elizabeth M ^c   Hu, Jeff ^a   Chu, Haitao ^b   Duke, Peggy G ^a   Puskas, John D ^a  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^c NEW ENGLAND RESEARCH INSTITUTES   (United States)

^d Wesley Woods Geriatric Hospital   (United States)

Author keywords

Cardiopulmonary bypass; Coronary artery surgery; Off pump coronary arterial surgery; Off pump coronary artery bypass; Pulmonary surgical complications

Indexed keywords

ARTERIAL GAS; ARTERIAL OXYGEN TENSION; ARTICLE; CENTRAL VENOUS PRESSURE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CROSSOVER PROCEDURE; DEMOGRAPHY; DEXTROCARDIA; DIASTOLIC BLOOD PRESSURE; EXTUBATION; FEMALE; FLUID BALANCE; FLUID INTAKE; HEMODYNAMICS; HOSPITALIZATION; HUMAN; INTERMETHOD COMPARISON; LUNG ARTERY PRESSURE; LUNG COMPLIANCE; LUNG COMPLICATION; LUNG EDEMA; LUNG GAS EXCHANGE; MAJOR CLINICAL STUDY; MALE; OFF PUMP CORONARY SURGERY; OUTCOMES RESEARCH; PLEURA EFFUSION; PNEUMONIA; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SPIROMETRY; SURGEON; SURGICAL MORTALITY; SURGICAL TECHNIQUE; THORAX RADIOGRAPHY; CARDIOPULMONARY BYPASS; COMPARATIVE STUDY; ELECTROLYTE BALANCE; LUNG DISEASE; MIDDLE AGED; TREATMENT OUTCOME;

CARDIOPULMONARY BYPASS; CORONARY ARTERY BYPASS; CORONARY ARTERY BYPASS, OFF-PUMP; FEMALE; HUMANS; LUNG COMPLIANCE; LUNG DISEASES; MALE; MIDDLE AGED; PULMONARY GAS EXCHANGE; RADIOGRAPHY, THORACIC; SPIROMETRY; TREATMENT OUTCOME; WATER-ELECTROLYTE BALANCE;

EID: 15844390964     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.127.3.892     Document Type: Article

References (44)

1. Messent M, Sinclair DG, Quinlan GJ, et al. Pulmonary vascular permeability after cardiopulmonary bypass and its relationship to oxidative stress. Crit Care Med 1997; 25:425-429
2. Kaul TK, Fields BL, Riggins LS, et al. Adult respiratory-distress syndrome following cardiopulmonary bypass: incidence, prophylaxis and management. J Cardiovasc Surg 1998; 39:777-781
3. Asimakopoulos G, Smith PL, Ratnatunga CP, et al. Lung injury and acute respiratory distress syndrome after cardiopulmonary bypass. Ann Thorac Surg 1999; 68:1107-1115
4. Milot J, Perron J, Lacasse Y, et al. Incidence and predictors of ARDS after cardiac surgery. Chest 2001; 119:884-888
5. Pinilla JC, Oleniuk FH, Tan L, et al. Use of a nasal continuous positive airway pressure mask in the treatment of postoperative atelectasis in aortocoronary bypass surgery. Crit Care Med 1990; 18:836-840
6. Tenling A, Hachenberg T, Tyden H, et al. Atelectasis and gas exchange after cardiac surgery. Anesthesiology 1998; 89:371-378
7. Braun SR, Birnbaum ML, Chopra PS. Pre- and postoperative pulmonary function abnormalities in coronary artery revascularization surgery. Chest 1978; 73:316-320
8. Van Belle AF, Wesseling GJ, Penn OC, et al. Postoperative pulmonary function abnormalities after coronary artery bypass surgery. Respir Med 1992; 86:195-199
9. Shenkman Z, Shir Y, Weiss YG, et al. The effects of cardiac surgery on early and late pulmonary functions. Acta Anaesthesiol Scand 1997; 41:1193-1199
10. Nicholson DJ, Kowalski SE, Hamilton GA, et al. Postoperative pulmonary function in coronary artery bypass graft surgery patients undergoing early tracheal extubation: a comparison between short-term mechanical ventilation and early extubation. J Cardiotliorac Vasc Anesth 2002; 16:27-31
11. Vargas FS, Terra-Filho M, Hueb W, et al. Pulmonary function after coronary artery bypass surgery. Respir Med 1997; 91:629-633
12. Macguire B, Royse C, Royse A, et al. Lung function following cardiac surgery is not affected by postoperative ventilation time. Ann Thorac Cardiovasc Surg 2000; 6:13-18
13. Auler JO Jr, Zin W, Caldeira M, et al. Pre- and postoperative inspiratory mechanics in ischemic and valvular heart disease. Chest 1987; 92:984-990
14. Polese G, Lubli P, Mazzucco A, et al. Effects of open heart surgery on respiratory mechanics. Intensive Care Med 1999; 25:1092-1099
15. Auler JO Jr, Carmona MJ, Barbas CV, et al. The effects of positive end-expiratory pressure on respiratory system mechanics and hemodynamics in postoperative cardiac surgery patients. Braz J Med Biol Res 2000; 33:31-42
16. Ranieri V, Vitale N, Grasso S, et al. Time-course of impairment of respiratory mechanics after cardiac surgery and cardiopulmonary bypass. Crit Care Med 1999; 27:1454-1460
17. Anjou-Lindskog E, Broman L, Broman M, et al. Effects of oxygen on central haemodynamics and VA/Q distribution after coronary bypass surgery. Acta Anaesthesiol Scand 1983; 27:378-384
18. Macnaughton PD, Brande S, Hunter DN, et al. Changes in lung function and pulmonary capillary permeability after cardiopulmonary bypass. Crit Care Med 1992; 20:1289-1294
19. Paparella D, Yau TM, Young E. Cardiopulmonary bypass induced inflammation: pathophysiology and treatment; an update. Eur J Cardiothorac Surg 2002; 21:232-244
20. Quinlan GJ, Mumby S, Lamb NJ, et al. Acute respiratory distress syndrome secondary to cardiopulmonary bypass: do compromised plasma iron-binding anti-oxidant protection and thiol levels influence outcome? Crit Care Med 2000; 28:2271-2276
21. Frass OM, Buhling F, Tager M, et al. Antioxidant and antiprotease status in peripheral blood and BAL fluid after cardiopulmonary bypass. Chest 2001; 120:1599-1608
22. Bredee JJ, Jansen EW. Coronary artery bypass grafting without cardiopulmonary bypass. Curr Opin Cardiol 1998; 13:476-482
23. Hart JC, Puskas JD, Sabik JF III. Off-pump coronary revascularization: current state of the art. Semin Thorac Cardiovasc Surg 2002; 14:70-81
24. Brasil LA, Gomes WJ, Salomao R, et al. Inflammatory response after myocardial revascularization with or without cardiopulmonary bypass. Ann Thorac Surg 1998; 66:56-59
25. Ascione R, Lloyd CT, Underwood MJ. et al. Inflammatory response after coronary revascularization with or without cardiopulmonary bypass. Ann Thorac Surg 2000; 69:1198-1204
26. Fransen E, Maessen J, Dentener M, et al. Systemic inflammation present in patients undergoing CABG without extra-corporeal circulation. Chest 1998; 113:1290-1295
27. Ascione R, Lloyd CT, Underwood MJ, et al. On-pump versus off-pump coronary revascularization: evaluation of renal function. Ann Thorac Surg 1999; 68:493-498
28. Van Dijk D, Jansen EW, Hijman R, et al. Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial. JAMA 2002; 287:1405-1412
29. Baumgartner FJ, Yokoyama T, Gheissari A, et al. Effect of off-pump coronary artery bypass grafting on morbidity. Am J Cardiol 2000; 86:1021-1022
30. Al-Ruzzeh S, Nakamura K, Athanasiou T, et al. Does off-pump coronary artery bypass (OPCAB) surgery improve the outcome in high-risk patients? A comparative study of 1,398 high-risk patients. Eur J Cardiothorac Surg 2003; 23:50-55
31. Yokoyama T, Baumgartner FJ, Gheissari A, et al. Off-pump versus on-pump coronary bypass in high-risk subgroups. Ann Thorac Surg 2000; 70:1546-1550
32. Puskas JD, Williams WH, Duke PG, et al. Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and length of stay: a prospective randomized comparison of two hundred unselected patients undergoing off-pump versus conventional coronary artery bypass grafting. J Thorac Cardiovasc Surg 2003; 125:797-808
33. Puskas JD, Williams WH, Mahoney EM, et al. Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost, and quality-of-life; a randomized trial. JAMA 2004; 291:1841-1849
34. Staton GW, Mahoney EM, Williams WH, et al. Off-pump (OPCAB) vs on-pump coronary artery bypass surgery (CABG/CPB): spirometry, respiratory compliance, (Cs), gas exchange, and pulmonary complications in a randomized trial [abstract]. Chest 2003; 124:1045
35. Van Dijk D, Nierich AP, Jansen EW, et al. Early outcome after off-pump versus on-pump coronary bypass surgery: results from a randomized study. Circulation 2001; 104:1761-1766
36. Cox CM, Ascione R, Cohen AM, et al. Effect of cardiopulmonary bypass on pulmonary gas exchange: a prospective randomized study. Ann Thorac Surg 2000; 69:140-145
37. Khan N, De Souza A, Mister R, et al. A randomized comparison of off-pump and on-pump coronary-artery bypass surgery. N Engl J Med 2004; 350:21-28
38. Guler M, Kirali K, Toker ME, et al. Different CABG methods in patients with chronic obstructive pulmonary disease. Ann Thorac Surg 2001; 71:152-157
39. Roosens C, Heerman J, De Somer F, et al. Effects of off-pump coronary surgery on the mechanics of the respiratory system, lung, and chest wall: Comparison with extracorporeal circulation. Crit Care Med 2002; 30:2430-2437
40. Babik B, Asztalos T, Petak F, et al. Changes in respiratory mechanics during cardiac surgery. Anesth Analg 2003; 96: 1280-1287
41. Tschemko EM, Bambazek A, Wisser W, et al. Intrapulmonary shunt after cardiopulmonary bypass: the use of vital capacity maneuvers versus off-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg 2002; 124:732-738
42. Cimen S, Ozkul V, Ketenci B, et al. Daily comparison of respiratory functions between on-pump and off-pump patients undergoing CABG. Eur J Cardiothorac Surg 2003; 23:589-594
43. Puskas JD, Thourani VH, Marshall JJ, et al. Clinical outcomes, angiographic patency, and resource utilization in 200 consecutive off-pump coronary bypass patients. Ann Thorac Surg 2001; 71:1477-1483
44. Magee MJ, Jablonski KA, Stamou SC, et al. Elimination of cardiopulmonary bypass improves early survival for multivessel coronary artery bypass patients. Ann Thorac Surg 2002; 73:1196-1202