Total Arterial Off-Pump Coronary Artery Bypass Grafting: A 10-Year Experience

Content Provider	Directory of Open Access Journals (DOAJ)
Author	Hong-Wei Qi Huan-Ying Dong Xi-Zheng Wang Nan Chen Biao Yuan Li-Fang Wang Feng-Hua Zhao Jian-Gang Zhao
Abstract	Background: Arterial grafts had better mid-term and long-term patency than saphenous vein grafts in coronary artery bypass grafting (CABG). We summarized our experience with total arterial off-pump coronary artery bypass grafting (OPCAB) and assessed the early clinical results, surgical complications, and follow-up. Methods: From January 2007 to May 2017, 508 coronary artery disease patients undergoing total arterial OPCAB were enrolled. Clinical features, approaches, outcomes of surgical treatments, and follow-up data of these patients were studied retrospectively. A total of 122 patients underwent single left internal mammary artery (IMA)-left anterior descending artery grafts, whereas the other 386 patients underwent multiple vessel grafts. Results: The average distal anastomosis was 2.34 ± 0.97 (range: 1–4). All the patients were discharged from hospital except one died. A total of 457 (90.32%) patients were followed up. In the 4-, 7-, and 10-year follow-up groups, the rate of death from any cause was 1.19%, 6.47%, and 10.67%; rate of cardiac death was 0.60%, 2.88%, and 3.33%; rate of repeat revascularization was 0.00%, 3.60%, and 8.67%; rate of ischemic symptoms was 1.79%, 7.91%, and 11.33%; and incidence of stroke was 2.38%, 4.32%, and 6.67%, respectively. Poor medication adherence was observed in 9.38% of the follow-up population. Conclusions: Total arterial OPCAB with bilateral IMA, radial artery, and right gastroepiploic artery grafting yielded satisfactory early and midterm outcomes in this patient group, without a significant increase in early mortality or morbidity. Moreover, the long-term outcomes are also positive.
Related Links	http://www.cmj.org/article.asp?issn=0366-6999;year=2018;volume=131;issue=18;spage=2179;epage=2184;aulast=Yuan
ISSN	03666999
e-ISSN	25425641
DOI	10.4103/0366-6999.240796
Journal	Chinese Medical Journal
Issue Number	18
Volume Number	131
Language	English
Publisher	Wolters Kluwer
Publisher Date	2018-01-01
Publisher Place	United Kingdom
Access Restriction	Open
Subject Keyword	Medicine Coronary Artery Bypass Grafting; Gastroepiploic Artery; Off-pump; Skeletonized Internal Mammary Artery; Total Arterial Revascularization
Content Type	Text
Resource Type	Article
Subject	Medicine