Off-pump coronary artery bypass grafting - the current state -

Circulation Journal

Volumn 76, Issue 4, 2012, Pages 784-790

  Polomsky, Marek ^a   Puskas, John D ^a,b  

^a EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Cardiopulmonary bypass; Coronary revascularization; Off pump bypass surgery

Indexed keywords

CARDIOPULMONARY BYPASS; CORONARY ARTERY DISEASE; CORONARY ARTERY RECANALIZATION; GRAFT PATENCY; HIGH RISK PATIENT; HOSPITAL PATIENT; HUMAN; MINIMALLY INVASIVE SURGERY; NEUROLOGICAL COMPLICATION; OFF PUMP CORONARY SURGERY; OUTCOME ASSESSMENT; REVIEW; SURGICAL MORTALITY;

CARDIOPULMONARY BYPASS; CLINICAL COMPETENCE; CORONARY ARTERY BYPASS, OFF-PUMP; CORONARY ARTERY DISEASE; EVIDENCE-BASED MEDICINE; GRAFT OCCLUSION, VASCULAR; HOSPITAL MORTALITY; HUMANS; PATIENT SELECTION; REOPERATION; RISK ASSESSMENT; RISK FACTORS; STROKE; TIME FACTORS; TREATMENT OUTCOME; VASCULAR PATENCY;

EID: 84858977319     PISSN: 13469843     EISSN: 13474820     Source Type: Journal    
DOI: 10.1253/circj.CJ-12-0111     Document Type: Review

References (85)

1. Gerola LR, Buffolo E, Jasbik W, Botelho B, Bosco J, Brasil LA, et al. Off-pump versus on-pump myocardial revascularization in lowrisk patients with one or two vessel disease: Perioperative results in a multicenter randomized controlled trial. Ann Thorac Surg 2004; 77: 569-573.
2. Puskas JD, Williams WH, Duke PG, Staples JR, Glas KE, Marshall JJ, 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.
3. Angelini GD, Taylor FC, Reeves BC, Ascione R. Early and midterm outcome after off-pump and on-pump surgery in Beating Heart Against Cardioplegic Arrest Studies (BHACAS 1 and 2): A pooled analysis of two randomised controlled trials. Lancet 2002; 359: 1194-1199.
4. Kobayashi J, Tashiro T, Ochi M, Watanabe G, Satoh T, Tagusari O, et al. Early outcome of a randomized comparison of off-pump and on-pump multiple arterial coronary revascularization. Circulation 2005; 112: I338-I343.
5. Muneretto C, Bisleri G, Negri A, Manfredi J, Metra M, Nodari S, et al. Off-pump coronary artery bypass surgery technique for total arterial myocardial revascularization: A prospective randomized study. Ann Thorac Surg 2003; 76: 778-782; discussion 783.
6. van Dijk D, Nierich AP, Jansen EW, Nathoe HM, Suyker WJ, Diephuis JC, et al. Early outcome after off-pump versus on-pump coronary bypass surgery: Results from a randomized study. Circulation 2001; 104: 1761-1766.
7. Widimsky P, Straka Z, Stros P, Jirasek K, Dvorak J, Votava J, et al. One-year coronary bypass graft patency: A randomized comparison between off-pump and on-pump surgery angiographic results of the PRAGUE-4 trial. Circulation 2004; 110: 3418-3423.
8. Angelini GD, Culliford L, Smith DK, Hamilton MC, Murphy GJ, Ascione R, et al. Effects of on-and off-pump coronary artery surgery on graft patency, survival, and health-related quality of life: Longterm follow-up of 2 randomized controlled trials. J Thorac Cardiovasc Surg 2009; 137: 295-303.
9. Khan NE, De Souza A, Mister R, Flather M, Claque 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.
10. Nathoe HM, van Dijk D, Jansen EW, Suyker WJ, Diephuis JC, van Boven WJ, et al. A comparison of on-pump and off-pump coronary bypass surgery in low-risk patients. N Engl J Med 2003; 348: 394-402.
11. Ascione R, Williams S, Lloyd CT, Sundaramoorthi T, Pitsis AA, Angelini GD. Reduced postoperative blood loss and transfusion requirement after beating-heart coronary operations: A prospective randomized study. J Thorac Cardiovasc Surg 2001; 121: 689-696.
12. Karolak W, Hirsch G, Buth K, Legare JF. Medium-term outcomes of coronary artery bypass graft surgery on pump versus off pump: Results from a randomized controlled trial. Am Heart J 2007; 153: 689-695.
13. Fu SP, Zheng Z, Yuan X, Zhang SJ, Gao HW, Li Y, et al. Impact of off-pump techniques on sex differences in early and late outcomes after isolated coronary artery bypass grafts. Ann Thorac Surg 2009; 87: 1090-1096.
14. Shroyer AL, Grover FL, Hattler B, Collins JF, McDonald GO, Kozora E, et al; Veterans Affairs Randomized On/Off Bypass (ROOBY) Study Group. On-pump versus off-pump coronary-artery bypass surgery. N Engl J Med 2009; 361: 1827-1837.
15. Cheng DC, Bainbridge D, Martin JE, Novick RJ; Evidence-Based Perioperative Clinical Outcomes Research Group. Does off-pump coronary artery bypass reduce mortality, morbidity, and resource utilization when compared with conventional coronary artery bypass? A meta-analysis of randomized trials. Anesthesiology 2005; 102: 188-203.
16. Fattouch K, Guccione F, Dioguardi P, Sampognaro R, Corrado E, Caruso M, et al. Off-pump versus on-pump myocardial revascularization in patients with ST-segment elevation myocardial infarction: A randomized trial. J Thorac Cardiovasc Surg 2009; 137: 650-656; discussion 656-657.
17. Hannan EL, Wu C, Smith CR, Higgins RS, Carlson RE, Culliford AT, et al. Off-pump versus on-pump coronary artery bypass graft surgery: Differences in short-term outcomes and in long-term mortality and need for subsequent revascularization. Circulation 2007; 116: 1145-1152.
18. Li Z, Yeo KK, Parker JP, Mahendra G, Young JN, Amsterdam EA. Off-pump coronary artery bypass graft surgery in California, 2003 to 2005. Am Heart J 2008; 156: 1095-1102.
19. Puskas JD, Edwards FH, Pappas PA, O'Brien S, Peterson ED, Kilgo P, et al. Off-pump techniques benefit men and women and narrow the disparity in mortality after coronary bypass grafting. Ann Thorac Surg 2007; 84: 1447-1454; discussion 1454-1456.
20. Chu D, Bakaeen FG, Dao TK, Lemaire SA, Coselli JS, Huh J. Onpump versus off-pump coronary artery bypass grafting in a cohort of 63,000 patients. Ann Thorac Surg 2009; 87: 1820-1826; discussion 1826-1827.
21. Palmer G, Herbert MA, Prince SL, Williams JL, Magee MJ, Brown P, et al. Coronary Artery Revascularization (CARE) registry: An observational study of on-pump and off-pump coronary artery revascularization. Ann Thorac Surg 2007; 83: 986-991; discussion 991-992.
22. Williams ML, Muhlbaier LH, Schroder JN, Hata JA, Peterson ED, Smith PK, et al. Risk-adjusted short-and long-term outcomes for onpump versus off-pump coronary artery bypass surgery. Circulation 2005; 112: I366-I370.
23. Edgerton JR, Dewey TM, Magee MJ, Herbert MA, Prince SL, Jones KK, et al. Conversion in off-pump coronary artery bypass grafting: An analysis of predictors and outcomes. Ann Thorac Surg 2003; 76: 1138-1142; discussion 1142-1143.
24. Mathur AN, Pather R, Widjanarko J, Carrier RC, Garg R. Off-pump coronary artery bypass: The Sudbury experience. Can J Cardiol 2003; 19: 1261-1269.
25. Soltoski P, Salerno T, Levinsky L, Schmid S, Hasnain S, Diesfeld T, et al. Conversion to cardiopulmonary bypass in off-pump coronary artery bypass grafting: Its effect on outcome. J Card Surg 1998; 13: 328-334.
26. Iaco AL, Contini M, Teodori G, Di Mauro M, Di Giammarco G, Vitolla G, et al. Off or on bypass: What is the safety threshold? Ann Thorac Surg 1999; 68: 1486-1489.
27. Mujanovic E, Kabil E, Hadziselimovic M, Softic M, Azabagic A, Bergsland J. Conversions in off-pump coronary surgery. Heart Surg Forum 2003; 6: 135-137.
28. Patel NC, Patel NU, Loulmet DF, McCabe JC, Subramanian VA. Emergency conversion to cardiopulmonary bypass during attempted off-pump revascularization results in increased morbidity and mortality. J Thorac Cardiovasc Surg 2004; 128: 655-661.
29. Jin R, Hiratzka LF, Grunkemeier GL, Krause A, Page US 3rd. Aborted off-pump coronary artery bypass patients have much worse outcomes than on-pump or successful off-pump patients. Circulation 2005; 112: I332-I337.
30. Motallebzadeh R, Bland JM, Markus HS, Kaski JC, Jahangiri M. Health-related quality of life outcome after on-pump versus off-pump coronary artery bypass graft surgery: A prospective randomized study. Ann Thorac Surg 2006; 82: 615-619.
31. Puskas JD, Kilgo PD, Lattouf OM, Thourani VH, Cooper WA, Vassiliades TA, et al. Off-pump coronary bypass provides reduced mortality and morbidity and equivalent 10-year survival. Ann Thorac Surg 2008; 86: 1139-1146; discussion 1146.
32. Møller CH, Perko MJ, Lund JT, Andersen LW, Kelbæk H, Madsen JK, et al. Three-year follow-up in a subset of high-risk patients randomly assigned to off-pump versus on-pump coronary artery bypass surgery: The Best Bypass Surgery trial. Heart 2011; 97: 907-913.
33. Hueb W, Lopes NH, Pereira AC, Hueb AC, Soares PR, Favarato D, et al. Five-year follow-up of a randomized comparison between offpump and on-pump stable multivessel coronary artery bypass grafting: The MASS III Trial. Circulation 2010; 122: S48-S52.
34. Puskas JD, Williams WH, O'Donnell R, Patterson RE, Sigman SR, Smith AS, et al. Off-pump and on-pump coronary artery bypass grafting are associated with similar graft patency, myocardial ischemia, and freedom from reintervention: Long-term follow-up of a randomized trial. Ann Thorac Surg 2011; 91: 1836-1842; discussion 1842-1843.
35. Wu C, Camacho FT, Culliford AT, Gold JP, Wechsler AS, Higgins RS, et al. A comparison of long-term mortality for off-pump and on-pump coronary artery bypass graft surgery. Circ Cardiovasc Qual Outcomes 2012; 5: 76-84.
36. Møller CH, Perko MJ, Lund JT, Andersen LW, Kelbaek H, Madsen JK, et al. No major differences in 30-day outcomes in high-risk patients randomized to off-pump versus on-pump coronary bypass surgery: The best bypass surgery trial. Circulation 2010; 121: 498-504.
37. Lemma MG, Coscioni E, Tritto FP, Centofanti P, Fondacone C, Salica A, et al. On-pump versus off-pump coronary artery bypass surgery in high-risk patients: Operative results of a prospective randomized trial (on-off study). J Thorac Cardiovasc Surg 2012; 143: 625-631.
38. Dewey TM, Herbert MA, Prince SL, Robbins CL, Worley CM, Magee MJ, et al. Does coronary artery bypass graft surgery improve survival among patients with end-stage renal disease? Ann Thorac Surg 2006; 81: 591-598; discussion 598.
39. Shroff GR, Li S, Herzog CA. Survival of patients on dialysis having off-pump versus on-pump coronary artery bypass surgery in the United States. J Thorac Cardiovasc Surg 2010; 139: 1333-1338.
40. Youn YN, Chang BC, Hong YS, Kwak YL, Yoo KJ. Early and midterm impacts of cardiopulmonary bypass on coronary artery bypass grafting in patients with poor left ventricular dysfunction: A propensity score analysis. Circ J 2007; 71: 1387-1394.
41. Darwazah AK, Abu Sham'a RA, Hussein E, Hawari MH, Ismail H. Myocardial revascularization in patients with low ejection fraction < or =35%: Effect of pump technique on early morbidity and mortality. J Card Surg 2006; 21: 22-27.
42. Mishra YK, Collison SP, Malhotra R, Kohli V, Mehta Y, Trehan N. Ten-year experience with single-vessel and multivessel reoperative off-pump coronary artery bypass grafting. J Thorac Cardiovasc Surg 2008; 135: 527-532.
43. Panesar SS, Athanasiou T, Nair S, Rao C, Jones C, Nicolaou M, et al. Early outcomes in the elderly: A meta-analysis of 4921 patients undergoing coronary artery bypass grafting--comparison between offpump and on-pump techniques. Heart 2006; 92: 1808-1816.
44. Vohra HA, Bahrami T, Farid S, Mafi A, Dreyfus G, Amrani M, et al. Propensity score analysis of early and late outcome after redo offpump and on-pump coronary artery bypass grafting. Eur J Cardiothorac Surg 2008; 33: 209-214.
45. Halkos ME, Puskas JD, Lattouf OM, Kilgo P, Guyton RA, Thourani VH. Impact of preoperative neurologic events on outcomes after coronary artery bypass grafting. Ann Thorac Surg 2008; 86: 504-510; discussion 510.
46. Puskas JD, Kilgo PD, Kutner M, Pusca SV, Lattouf O, Guyton RA. Off-pump techniques disproportionately benefit women and narrow the gender disparity in outcomes after coronary artery bypass surgery. Circulation 2007; 116: I192-I199.
47. Jarral OA, Saso S, Athanasiou T. Off-pump coronary artery bypass in patients with left ventricular dysfunction: A meta-analysis. Ann Thorac Surg 2011; 92: 1686-1694.
48. Emmert MY, Salzberg SP, Seifert B, Schurr UP, Hoerstrup SP, Reuthebuch O, et al. Routine off-pump coronary artery bypass grafting is safe and feasible in high-risk patients with left main disease. Ann Thorac Surg 2010; 89: 1125-1130.
49. Murzi M, Caputo M, Aresu G, Duggan S, Miceli A, Glauber M, et al. On-pump and off-pump coronary artery bypass grafting in patients with left main stem disease: A propensity score analysis. J Thorac Cardiovasc Surg 2011 [E-pub ahead of print].
50. Emmert MY, Salzberg SP, Seifert B, Rodriguez H, Plass A, Hoerstrup SP, et al. Is off-pump superior to conventional coronary artery bypass grafting in diabetic patients with multivessel disease? Eur J Cardiothorac Surg 2011; 40: 233-239.
51. Takase S, Yokoyama H, Satokawa H, Sato Y, Kurosawa H, Seto Y, et al. Short-term and long-term outcomes of octogenarians after offpump coronary artery bypass surgery. Gen Thorac Cardiovasc Surg 2010; 58: 561-567.
52. Vasques F, Rainio A, Heikkinen J, Mikkola R, Lahtinen J, Kettunen U, et al. Off-pump versus on-pump coronary artery bypass surgery in patients aged 80 years and older: Institutional results and meta-analysis. Heart Vessels 2011 Nov 9 [Epub ahead of print].
53. Kuss O, Borgermann J. Do higher-risk patients benefit from off-pump coronary artery bypass grafting? Evidence from an ecologic analysis of randomized trials. J Thorac Cardiovasc Surg 2011; 142: e117-e122.
54. Puskas JD, Thourani VH, Kilgo P, Cooper W, Vassiliades T, Vega JD, et al. Off-pump coronary artery bypass disproportionately benefits high-risk patients. Ann Thorac Surg 2009; 88: 1142-1147.
55. Sharony R, Grossi EA, Saunders PC, Galloway AC, Applebaum R, Ribakove GH, et al. Propensity case-matched analysis of off-pump coronary artery bypass grafting in patients with atheromatous aortic disease. J Thorac Cardiovasc Surg 2004; 127: 406-413.
56. Reston JT, Tregear SJ, Turkelson CM. Meta-analysis of short-term and mid-term outcomes following off-pump coronary artery bypass grafting. Ann Thorac Surg 2003; 76: 1510-1515.
57. Mishra M, Malhotra R, Karlekar A, Mishra Y, Trehan N. Propensity case-matched analysis of off-pump versus on-pump coronary artery bypass grafting in patients with atheromatous aorta. Ann Thorac Surg 2006; 82: 608-614.
58. Nishiyama K, Horiguchi M, Shizuta S, Doi T, Ehara N, Tanaguchi R, et al. Temporal pattern of strokes after on-pump and off-pump coronary artery bypass graft surgery. Ann Thorac Surg 2009; 87: 1839-1844.
59. Czerny M, Baumer H, Kilo J, Zuckermann A, Grubhofer G, Chevtchik O, et al. Complete revascularization in coronary artery bypass grafting with and without cardiopulmonary bypass. Ann Thorac Surg 2001; 71: 165-169.
60. Alamanni F, Dainese L, Naliato M, Gregu S, Agrifoglio M, Polvani GL, et al. On-and off-pump coronary surgery and perioperative myocardial infarction: An issue between incomplete and extensive revascularization. Eur J Cardiothorac Surg 2008; 34: 118-126.
61. Afilalo J, Rasti M, Ohayon SM, Shimony A, Eisenberg MJ. Off-pump vs. on-pump coronary artery bypass surgery: An updated meta-analysis and meta-regression of randomized trials. Eur Heart J 2011 [Epub ahead of print].
62. Kim KB, Kang CH, Chang WI, Lim C, Kim JH, Ham BM, et al. Offpump coronary artery bypass with complete avoidance of aortic manipulation. Ann Thorac Surg 2002; 74: S1377-S1382.
63. Scarborough JE, White W, Derilus FE, Mathew JP, Newman MF, Landolfo KP; Neurological Outcome Research Group. Combined use of off-pump techniques and a sutureless proximal aortic anastomotic device reduces cerebral microemboli generation during coronary artery bypass grafting. J Thorac Cardiovasc Surg 2003; 126: 1561-1567.
64. van der Linden J, Casimir-Ahn H. When do cerebral emboli appear during open heart operations? A transcranial Doppler study. Ann Thorac Surg 1991; 51: 237-241.
65. Blauth CI. Macroemboli and microemboli during cardiopulmonary bypass. Ann Thorac Surg 1995; 59: 1300-1303.
66. Barbut D, Yao FS, Lo YW, Silverman R, Hager DN, Trifiletti RR, et al. Determination of size of aortic emboli and embolic load during coronary artery bypass grafting. Ann Thorac Surg 1997; 63: 1262-1267.
67. Hammon JW, Stump DA, Butterworth JF, Moody DM, Rorie K, Deal DD, et al. Single crossclamp improves 6-month cognitive outcome in high-risk coronary bypass patients: The effect of reduced aortic manipulation. J Thorac Cardiovasc Surg 2006; 131: 114-121.
68. Guerrieri Wolf L, Abu-Omar Y, Choudhary BP, Pigott D, Taggart DP. Gaseous and solid cerebral microembolization during proximal aortic anastomoses in off-pump coronary surgery: The effect of an aortic side-biting clamp and two clampless devices. J Thorac Cardiovasc Surg 2007; 133: 485-493.
69. Mark DB, Newman MF. Protecting the brain in coronary artery bypass graft surgery. JAMA 2002; 287: 1448-1450.
70. Covino E, Santise G, Di Lello F, De Amicis V, Bonifazi R, Bellino I, et al. Surgical myocardial revascularization (CABG) in patients with pulmonary disease: Beating heart versus cardiopulmonary bypass. J Cardiovasc Surg (Torino) 2001; 42: 23-26.
71. Legare JF, Buth KJ, King S, Sullivan JA, Hancock Friesen C, Lee J, et al. Coronary bypass surgery performed off pump does not result in lower in-hospital morbidity than coronary artery bypass grafting performed on pump. Circulation 2004; 109: 887-892.
72. Puskas JD, Williams WH, Mahoney EM, Huber PR, Block PC, Duke PG, et al. Off-pump vs conventional coronary artery bypass grafting: Early and 1-year graft patency, cost, and quality-of-life outcomes: A randomized trial. JAMA 2004; 291: 1841-1849.
73. Puskas JD, Cheng D, Knight JL, Angelini G, De Cannier D, Diegeler A, et al. Off-pump versus conventional coronary artery bypass grafting: A meta-analysis and consensus statement from the 2004 ISMICS Consensus Conference. Innovations 2005; 1: 3-27.
74. Magee MJ, Hebert E, Herbert MA, Prince Dewey TM, Culica DV, et al. Fewer grafts performed in off-pump bypass surgery: Patient selection or incomplete revascularization? Ann Thorac Surg 2009; 87: 1113-1118; discussion 1118.
75. Yang H, Youn YN, Yoo KJ. Correlation of akinesia with graft patency and cardiac enzyme after off-pump coronary artery bypass graft surgery. Circ J 2010; 74: 1564-1569.
76. Lingaas PS, Hol PK, Lundblad 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: 2089-2095.
77. Magee MJ, Alexander JH, Hafley G, Ferguson TB Jr, Gibson CM, Hasrrington RA, et al. Coronary artery bypass graft failure after onpump and off-pump coronary artery bypass: Findings from PREVENT IV. Ann Thorac Surg 2008; 85: 494-499; discussion 499-500.
78. Hu S, Zheng Z, Yuan X, Wang W, Song Y, Sun H, et al. Increasing long-term major vascular events and resource consumption in patients receiving off-pump coronary artery bypass: A single-center prospective observational study. Circulation 2010; 121: 1800-1808.
79. Konety SH, Rosenthal GE, Vaughan-Sarrazin MS. Surgical volume and outcomes of off-pump coronary artery bypass graft surgery: Does it matter? J Thorac Cardiovasc Surg 2009; 137: 1116-1123. e1.
80. Vassiliades TA Jr, Reddy VS, Puskas JD, Guyton RA. Long-term results of the endoscopic atraumatic coronary artery bypass. Ann Thorac Surg 2007; 83: 979-984; discussion 984-985.
81. Argenziano M, Katz M, Bonatti J, Srivastava S, Murphy D, Poirer R, et al. Results of the prospective multicenter trial of robotically assisted totally endoscopic coronary artery bypass grafting. Ann Thorac Surg 2006; 81: 1666-1674; discussion 1674-1675.
82. Reicher B, Poston RS, Mehra MR, Joshi A, Odonkor P, Kon Z, et al. Simultaneous "hybrid" percutaneous coronary intervention and minimally invasive surgical bypass grafting: Feasibility, safety, and clinical outcomes. Am Heart J 2008; 155: 661-667.
83. Vassiliades TA Jr, Douglas JS, Morris DC, Block PC, Ghazzal Z, Rab ST, et al. Integrated coronary revascularization with drug-eluting stents: Immediate and seven-month outcome. J Thorac Cardiovasc Surg 2006; 131: 956-962.
84. Halkos ME, Rab ST, Vassiliades TA, Morris DC, Douglas JS, Kilgo PD, et al. Hybrid coronary revascularization versus off-pump coronary artery bypass for the treatment of left main coronary stenosis. Ann Thorac Surg 2011; 92: 2155-2160.
85. Halkos ME, Vassiliades TA, Douglas JS, Morris DC, Rab ST, Liberman HA, et al. Hybrid coronary revascularization versus off-pump coronary artery bypass grafting for the treatment of multivessel coronary artery disease. Ann Thorac Surg 2011; 92: 1695-1701; discussion 1701-1702.