Comparison of the Safety and Efficacy of On-Pump (ONCAB) versus Off-Pump (OPCAB) Coronary Artery Bypass Graft Surgery in the Elderly: A Review of the ANZSCTS Database

Heart Lung and Circulation

Volumn 24, Issue 12, 2015, Pages 1225-1232

  Dhurandhar, Vikrant ^a,b,c   Saxena, Akshat ^a,c   Parikh, Roneil ^a,b,c   Vallely, Michael P ^a,b,c,d   Wilson, Michael K ^a,b,c,d   Butcher, Jennifer Kay ^c   Black, Deborah Ann ^c   Tran, Lavinia ^e   Reid, Christopher M ^e   Bannon, Paul G ^a,b,c  

^a ROYAL PRINCE ALFRED HOSPITAL   (Australia)

^b The Baird Institute Australia   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

^d MACQUARIE UNIVERSITY   (Australia)

^e MONASH UNIVERSITY   (Australia)

Author keywords

Coronary artery bypass graft; Elderly; High risk; Off pump; On pump

Indexed keywords

AGED; ARTICLE; ATRIAL FIBRILLATION; BLOOD TRANSFUSION; CEREBROVASCULAR ACCIDENT; CHRONIC KIDNEY DISEASE; CLINICAL EFFECTIVENESS; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CORONARY ARTERY DISEASE; DIABETES MELLITUS; FEMALE; HEART EJECTION FRACTION; HEART INFARCTION; HIGH RISK PATIENT; HOSPITALIZATION; HUMAN; INTRAAORTIC BALLOON PUMP; INTRAOPERATIVE PERIOD; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; OFF PUMP CORONARY SURGERY; ON PUMP CORONARY ARTERY BYPASS GRAFT; POSTOPERATIVE INFECTION; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PREVALENCE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RETROSPECTIVE STUDY; SAFETY; SURGICAL MORTALITY; VASCULAR DISEASE; COMPARATIVE STUDY; DISEASE FREE SURVIVAL; ELDERLY CARE; FACTUAL DATABASE; MORTALITY; PROCEDURES; SURVIVAL RATE; TIME FACTOR; VERY ELDERLY;

AGED; AGED, 80 AND OVER; CORONARY ARTERY BYPASS, OFF-PUMP; DATABASES, FACTUAL; DISEASE-FREE SURVIVAL; FEMALE; HEALTH SERVICES FOR THE AGED; HUMANS; MALE; RETROSPECTIVE STUDIES; SURVIVAL RATE; TIME FACTORS;

EID: 84947487189     PISSN: 14439506     EISSN: 14442892     Source Type: Journal    
DOI: 10.1016/j.hlc.2015.04.162     Document Type: Article

References (35)

1. Statistics ABS. Australian Demographic Statistics, Jun 2013 2013 [cited 2014 15, August, 2014]. Available from: http://www.abs.gov.au/ausstats/abs.nsf/0/1CD2B1952AFC5E7ACA257298000F2E76?OpenDocument.
2. Dinh D.T., Lee G.A., Billah B., Smith J.A., Shardey G.C., Reid C.M. Trends in coronary artery bypass graft surgery in Victoria, 2001-2006: findings from the Australasian Society of Cardiac and Thoracic Surgeons database project. Medical Journal of Australia. 2008, 188(4):214-217.
3. Boyd W.D., Desai N.D., Del Rizzo D.F., Novick R.J., McKenzie F.N., Menkis A.H. Off-pump surgery decreases postoperative complications and resource utilization in the elderly. Ann Thorac Surg. 1999, 68(4):1490-1493.
4. Peterson E.D., Cowper P.A., Jollis J.G., Bebchuk J.D., DeLong E.R., Muhlbaier L.H., et al. Outcomes of coronary artery bypass graft surgery in 24,461 patients aged 80 years or older. Circulation. 1995, 92(9 Suppl):Ii85-Ii91.
5. Saxena A., Dinh D.T., Yap C.H., Reid C.M., Billah B., Smith J.A., et al. Critical analysis of early and late outcomes after isolated coronary artery bypass surgery in elderly patients. Ann Thorac Surg. 2011, 92(5):1703-1711.
6. Mohr F.W., Morice M.C., Kappetein A.P., Feldman T.E., Stahle E., Colombo A., et al. Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial. Lancet. 2013, 381(9867):629-638.
7. Farkouh M.E., Domanski M., Sleeper L.A., Siami F.S., Dangas G., Mack M., et al. Strategies for multivessel revascularization in patients with diabetes. N Engl J Med. 2012, 367(25):2375-2384.
8. Hoff S.J., Ball S.K., Coltharp W.H., Glassford D.M., Lea J.W.t., Petracek M.R. Coronary artery bypass in patients 80 years and over: is off-pump the operation of choice?. Ann Thorac Surg. 2002, 74(4):S1340-S1343.
9. Puskas J.D., Thourani V.H., Kilgo P., Cooper W., Vassiliades T., Vega J.D., et al. Off-pump coronary artery bypass disproportionately benefits high-risk patients. Ann Thorac Surg. 2009, 88(4):1142-1147.
10. Cooper E.A., Edelman J.J., Wilson M.K., Bannon P.G., Vallely M.P. Off-pump coronary artery bypass grafting in elderly and high-risk patients--a review. Heart Lung Circ. 2011, 20(11):694-703.
11. Panesar S.S., 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 off-pump and on-pump techniques. Heart. 2006, 92(12):1808-1816.
12. Shroyer A.L., Grover F.L., Hattler B., Collins J.F., McDonald G.O., Kozora E., et al. On-pump versus off-pump coronary-artery bypass surgery. New England Journal of Medicine. 2009, 361(19):1827-1837.
13. On-Pump versus Off-Pump CABG. New England Journal of Medicine. 2010, 362(9):851-854.
14. Lamy A., Devereaux P., Prabhakaran D., Taggart D.P., Hu S., Paolasso E., et al. Off-pump or on-pump coronary-artery bypass grafting at 30 days. New England Journal of Medicine. 2012, 366(16):1489-1497.
15. Garg A.X., Devereaux P.J., Yusuf S., Cuerden M.S., Parikh C.R., Coca S.G., et al. Kidney function after off-pump or on-pump coronary artery bypass graft surgery: a randomized clinical trial. JAMA. 2014, 311(21):2191-2198.
16. Vallely M.P., Potger K., McMillan D., Hemli J.M., Brady P.W., Brereton R.J., et al. Anaortic techniques reduce neurological morbidity after off-pump coronary artery bypass surgery. Heart Lung and Circ. 2008, 17(4):299-304.
17. Cooper E.A., Edelman J.J.B., Black D., Brereton R.J., Ross D.E., Bannon P.G., et al. Anaortic Off-Pump Coronary Artery Bypass Grafting in the Elderly and Very Elderly. Heart, Lung and Circulation. 2013, 22(12):989-995.
18. ANZSCTS D. The Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS): Cardiac Surgery Database. Available from:. https://anzscts.org/national-database/.
19. Surgery AaNZSoC. Data Definitions Manual Version 3.0 2014. Available from: http://www.ccretherapeutics.org.au/assets/images/ascts-datadefinitionsmanual-v3-aug2009.pdf. http://www.ccretherapeutics.org.au/assets/images/ascts-datadefinitionsmanual-v3-aug2009.pdf.
20. Corp I. IBM SPSS Statistics for Windows 2011, Armonk, NY. 20.0 ed.
21. Reid C., Billah B., Dinh D., Smith J., Skillington P., Yii M., et al. An Australian risk prediction model for 30-day mortality after isolated coronary artery bypass: the AusSCORE. The Journal of Thoracic and Cardiovascular Surgery. 2009, 138(4):904-910.
22. Demaria R.G., Carrier M., Fortier S., Martineau R., Fortier A., Cartier R., et al. Reduced mortality and strokes with off-pump coronary artery bypass grafting surgery in octogenarians. Circulation. 2002, 106(12 Suppl 1):I5-I10.
23. Hirose H., Amano A., Takahashi A. Off-pump coronary artery bypass grafting for elderly patients. Ann Thorac Surg. 2001, 72(6):2013-2019.
24. Al-Ruzzeh S., George S., Yacoub M., Amrani M. The clinical outcome of off-pump coronary artery bypass surgery in the elderly patients. Eur J Cardiothorac Surg. 2001, 20(6):1152-1156.
25. Butler J., Rocker G.M., Westaby S. Inflammatory response to cardiopulmonary bypass. Ann Thorac Surg. 1993, 55(2):552-559.
26. Cleveland J.C., Shroyer A.L., Chen A.Y., Peterson E., Grover F.L. Off-pump coronary artery bypass grafting decreases risk-adjusted mortality and morbidity. Ann Thorac Surg. 2001, 72(4):1282-1288. discussion 8-9.
27. Plomondon M.E., Cleveland J.C., Ludwig S.T., Grunwald G.K., Kiefe C.I., Grover F.L., et al. Off-pump coronary artery bypass is associated with improved risk-adjusted outcomes. Ann Thorac Surg. 2001, 72(1):114-119.
28. Puskas J., Cheng D., Knight J., Angelini G., Decannier 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 (Phila). 2005, 1(1):3-27.
29. Misfeld M., Brereton R.J., Sweetman E.A., Doig G.S. Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: meta-analysis of 11,398 cases from 8 studies. J Thorac Cardiovasc Surg. 2011, 142(2):e11-e17.
30. Edelman J.J., Yan T.D., Bannon P.G., Wilson M.K., Vallely M.P. Coronary artery bypass grafting with and without manipulation of the ascending aorta--a meta-analysis. Heart Lung Circ. 2011, 20(5):318-324.
31. Athanasiou T., Aziz O., Mangoush O., Weerasinghe A., Al-Ruzzeh S., Purkayastha S., et al. Do off-pump techniques reduce the incidence of postoperative atrial fibrillation in elderly patients undergoing coronary artery bypass grafting?. Ann Thorac Surg. 2004, 77(5):1567-1574.
32. Edwards F.H., Taylor A.J., Thompson L., Rogan K.M., Pezzella A.T., Burge J.R., et al. Current status of coronary artery operation in septuagenarians. Ann Thorac Surg. 1991, 52(2):265-269.
33. Puskas J.D., Kilgo P.D., Lattouf O.M., Thourani V.H., Cooper W.A., Vassiliades T.A., et al. Off-pump coronary bypass provides reduced mortality and morbidity and equivalent 10-year survival. Ann Thorac Surg. 2008, 86(4):1139-1146. discussion 46.
34. Hannan E.L., Wu C., Smith C.R., Higgins R.S., Carlson R.E., Culliford A.T., 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(10):1145-1152.
35. Lamy A., Devereaux P.J., Prabhakaran D., Taggart D.P., Hu S., Paolasso E., et al. Effects of Off-Pump and On-Pump Coronary-Artery Bypass Grafting at 1 Year. New England Journal of Medicine. 2013, 368(13):1179-1188.