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Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days

Lamy, André ; Devereaux, P.J ; Prabhakaran, Dorairaj ; Taggart, David P ; Hu, Shengshou ; Paolasso, Ernesto ; Straka, Zbynek ; Piegas, Leopoldo S ; Akar, Ahmet Ruchan ; Jain, Anil R ; Noiseux, Nicolas ; Padmanabhan, Chandrasekar ; Bahamondes, Juan-Carlos ; Novick, Richard J ; Vaijyanath, Prashant ; Reddy, Sukesh ; Tao, Liang ; Olavegogeascoechea, Pablo A ; Airan, Balram ; Sulling, Toomas-Andres ; Whitlock, Richard P ; Ou, Yongning ; Ng, Jennifer ; Chrolavicius, Susan ; Yusuf, Salim

The New England journal of medicine, 2012-04, Vol.366 (16), p.1489-1497 [Revista revisada por pares]

Waltham, MA: Massachusetts Medical Society

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Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days
Autor: Lamy, André ; Devereaux, P.J ; Prabhakaran, Dorairaj ; Taggart, David P ; Hu, Shengshou ; Paolasso, Ernesto ; Straka, Zbynek ; Piegas, Leopoldo S ; Akar, Ahmet Ruchan ; Jain, Anil R ; Noiseux, Nicolas ; Padmanabhan, Chandrasekar ; Bahamondes, Juan-Carlos ; Novick, Richard J ; Vaijyanath, Prashant ; Reddy, Sukesh ; Tao, Liang ; Olavegogeascoechea, Pablo A ; Airan, Balram ; Sulling, Toomas-Andres ; Whitlock, Richard P ; Ou, Yongning ; Ng, Jennifer ; Chrolavicius, Susan ; Yusuf, Salim
Materias: Age ; Aged ; Biological and medical sciences ; Bleeding ; Blood transfusion ; Blood Transfusion - utilization ; Bypass ; Cardiac patients ; Cardiology. Vascular system ; Cardiovascular disease ; Care and treatment ; Cerebral infarction ; Comparative analysis ; Coronary artery ; Coronary Artery Bypass ; Coronary Artery Bypass, Off-Pump ; Coronary Artery Disease - mortality ; Coronary Artery Disease - surgery ; Coronary heart disease ; Dialysis ; Evaluation ; Female ; General aspects ; Health aspects ; Health sciences ; Heart ; Heart attacks ; Heart surgery ; Hemodialysis ; Humans ; Kidneys ; Male ; Medical research ; Medical sciences ; Methods ; Middle Aged ; Mortality ; Myocardial infarction ; Myocardial Infarction - epidemiology ; Patient outcomes ; Patients ; Postoperative Complications - epidemiology ; Renal failure ; Renal Insufficiency - epidemiology ; Reoperation - statistics & numerical data ; Risk assessment ; Single-Blind Method ; Stroke ; Stroke - epidemiology ; Surgeons ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Treatment Outcome
Es parte de: The New England journal of medicine, 2012-04, Vol.366 (16), p.1489-1497
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-News-2
ObjectType-Feature-3
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Descripción: A total of 4752 patients for whom CABG was planned were randomly assigned to undergo the procedure on-pump or off-pump. At 30 days, the rates of death, myocardial infarction, stroke, or renal failure requiring dialysis did not differ significantly between the two groups. Coronary-artery bypass grafting (CABG) reduces mortality in patients with extensive coronary artery disease. 1 CABG has generally been performed with the use of cardiopulmonary bypass (on-pump). With this approach, perioperative mortality is about 2%, with an additional 5 to 7% of patients having complications such as myocardial infarction, stroke, and renal failure requiring dialysis. The technique of operating on a beating heart (off-pump) for CABG was developed to decrease perioperative complications, some of which may be related to the use of cardiopulmonary bypass and to cross-clamping of the aorta associated with the on-pump CABG procedure. Several previous trials have compared off-pump . . .
Editor: Waltham, MA: Massachusetts Medical Society
Idioma: Inglés

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Off-Pump or On-Pump Coronary-Artery Bypass Grafting at 30 Days

Waltham, MA: Massachusetts Medical Society

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