Off-pump myocardial revascularization is associated with less incidence of stroke in elderly patients  Thanos Athanasiou, MD, PhD, Sharif Al-Ruzzeh, FRCS,

Slides:



Advertisements
Similar presentations
Assessment of the Association of Bilateral Internal Thoracic Artery Skeletonization and Sternal Wound Infection After Coronary Artery Bypass Grafting 
Advertisements

A Meta-Analysis of Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement  Hisato Takagi, MD, PhD, Masao Niwa, MD, Yusuke Mizuno,
Transcatheter Versus Surgical Aortic Valve Replacement in Patients With Prior Coronary Artery Bypass Graft Operation: A PARTNER Trial Subgroup Analysis 
Coronary Artery Bypass for Heart Failure in Ischemic Cardiomyopathy: 17-Year Follow- Up  Marco Pocar, MD, PhD, Andrea Moneta, MD, Adalberto Grossi, MD,
Preoperative Prophylactic Intraaortic Balloon Pump Reduces the Incidence of Postoperative Acute Kidney Injury and Short-Term Death of High-Risk Patients.
Robert Brewer, MD, MHSA, Patricia F. Theurer, BSN, Chad M
Intraoperative Conversion From Off-Pump to On-Pump Coronary Artery Bypass Is Associated With Increased 30-Day Hospital Readmission  Zhongmin Li, PhD,
Homograft Implantation Techniques in the Aortic Position: To Preserve or Replace the Aortic Root?  Thanos Athanasiou, MD, PhD, Catherine Jones, MBBS,
Unprotected Left Main Coronary Artery Stenting Versus Coronary Artery Bypass Graft Surgery  Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Norikazu Kawai,
Multi-Detector Computed Tomography in Coronary Artery Bypass Graft Assessment: A Meta-Analysis  Catherine M. Jones, MBBS, BS, Thanos Athanasiou, MD, FECTS,
Off-pump Bilateral Skeletonized Internal Thoracic Artery Grafting in Elderly Patients  Takeshi Kinoshita, MD, Tohru Asai, MD, PhD, Tomoaki Suzuki, MD,
Does Diabetes Affect the Postoperative Outcomes After Total Arterial Off-Pump Coronary Bypass Surgery in Multivessel Disease?  Jae-Sung Choi, MD, PhD,
Comparing Long-Term Survival Between Patients Undergoing Off-Pump and On-Pump Coronary Artery Bypass Graft Operations  Giovanni Filardo, PhD, MPH, Paul.
Myocardial Revascularization for Patients With Diabetes: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention?  Serenella Castelvecchio,
The Ross II Procedure: Pulmonary Autograft in the Mitral Position
Neurologic complications after off-pump coronary artery bypass grafting with and without aortic manipulation: Meta-analysis of 11,398 cases from 8 studies 
Off-Pump Versus On-Pump Coronary Revascularization: Meta-Analysis of Mid- and Long-Term Outcomes  Umar A.R. Chaudhry, MBBS, Leanne Harling, MRCS, Christopher.
Off-Pump Coronary Artery Bypass Surgery Versus Percutaneous Coronary Intervention: A Meta-Analysis of Randomized and Nonrandomized Studies  J. James Edelman,
Chandrasahekhar Kubal, MRCS, Arun K. Srinivasan, FRCS, Antony D
Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials  Hisato Takagi, MD, PhD,
Right Gastroepiploic Artery Graft for Myocardial Revascularization: Prevalence of Atherosclerosis and Availability as a Conduit  Kwang Ree Cho, MD, PhD,
Three-Year Outcomes of Multivessel Revascularization in Very Elderly Acute Coronary Syndrome Patients  Brett C. Sheridan, MD, Sally C. Stearns, PhD, Joseph.
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Beating-Heart Versus Conventional On-Pump Coronary Artery Bypass Grafting: A Meta- Analysis of Clinical Outcomes  Umar A.R. Chaudhry, MBBS, Leanne Harling,
Off-Pump Coronary Artery Bypass Reduces Early Stroke in Octogenarians: A Meta- Analysis of 18,000 Patients  Salah E. Altarabsheh, MD, Salil V. Deo, MS,
Emergency Coronary Artery Bypass Grafting Can Be Performed Safely Without Cardiopulmonary Bypass in Selected Patients  Faraz Kerendi, MD, John D. Puskas,
Robotic-Assisted Coronary Artery Bypass on a Beating Heart: Initial Experience and Implications for the Future  William F. Turner, MD, John H. Sloan,
Simple Index to Predict Likelihood of Skilled Nursing Facility Admission After Coronary Artery Bypass Grafting Among Older Patients  David C. Chang, PhD,
Impact of Extracardiac Vascular Disease on Vein Graft Failure and Outcomes After Coronary Artery Bypass Surgery  Ralf E. Harskamp, MD, John H. Alexander,
Zheng-Zhe Feng, MD, Jian Shi, MD, Xue-Wei Zhao, MD, Zhi-Fei Xu, MD 
Amedeo Anselmi, MD, Gianfederico Possati, MD, Mario Gaudino, MD 
Total Arterial Revascularization: A Superior Strategy for Diabetic Patients Who Require Coronary Surgery  James Tatoulis, MD, FRACS, Rochelle Wynne, PhD,
Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E
Comparison of bovine and porcine heparin in heparin antibody formation after cardiac surgery  John L Francis, PhD, George J Palmer, MD, Rebecca Moroose,
Percutaneous Intervention Before Coronary Artery Bypass Surgery Does Not Unfavorably Impact Survival: A Single-Center Propensity-Matched Analysis  Suvitesh.
Coronary Artery Bypass Graft Surgery Using the Radial Artery, Right Internal Thoracic Artery, or Saphenous Vein as the Second Conduit  Robert F. Tranbaugh,
One-stage coronary and abdominal aortic operation with or without cardiopulmonary bypass: early and midterm follow-up  Raimondo Ascione, MD, Gabriele.
Comparison of Conservative Treatment and Thymectomy on Myasthenia Gravis Outcome  Emanuela Taioli, MD, PhD, Philip Kent Paschal, Bian Liu, PhD, Andrew.
Do the EXCEL and NOBLE Trial Results Change Meta-Analysis Findings?
Meta-Analysis of Medium and Long-Term Efficacy of Loading Statins After Coronary Artery Bypass Grafting  Cheng Bin, MM, Mu Junsheng, MD, Zhang Jianqun,
On-pump versus off-pump coronary revascularization: evaluation of renal function  Raimondo Ascione, MD, Clinton T Lloyd, Malcom J Underwood, Walter J Gomes,
Yin-Shu Chang, MD, Jia-Xiang Wang, MD, PhD, Da-Wei Chang, PhD 
Coronary Artery Bypass Grafting With Single Cross-Clamp Results in Fewer Persistent Neuropsychological Deficits Than Multiple Clamp or Off-Pump Coronary.
The impact of arterial cannulation strategy on operative outcomes in aortic surgery: Evidence from a comprehensive meta-analysis of comparative studies.
Coronary Artery Bypass Revascularization Using Bilateral Internal Thoracic Arteries in Diabetic Patients: A Systematic Review and Meta-Analysis  Kan Kajimoto,
A. Laurie W. Shroyer, PhD, MSHA, Jacquelyn A. Quin, MD, MPH, Todd H
Red Blood Cell Transfusion Is Associated With Troponin Release After Elective Off- Pump Coronary Artery Bypass Surgery  Fausto Biancari, MD, PhD, Eeva-Maija.
Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD 
Stent Versus Off-Pump Coronary Bypass Grafting in the Second-Generation Drug- Eluting Stent Era  Gijong Yi, MD, PhD, Hyun-Chel Joo, MD, Young-Nam Youn,
Assessment of the Association of Bilateral Internal Thoracic Artery Skeletonization and Sternal Wound Infection After Coronary Artery Bypass Grafting 
Bailouts to LIMA Damage for Avoiding Conversion in Minimal Access Coronary Procedures  Thanos Athanasiou, MD, PhD, Hutan Ashrafian, MRCS, PhD, Leanne.
Does Previous Percutaneous Coronary Stenting Compromise the Long-Term Efficacy of Subsequent Coronary Artery Bypass Surgery? A Microsimulation Study 
Off-Pump Coronary Artery Bypass Disproportionately Benefits High-Risk Patients  John D. Puskas, MD, Vinod H. Thourani, MD, Patrick Kilgo, MS, William Cooper,
Limitations of Hospital Volume as a Measure of Quality of Care for Coronary Artery Bypass Graft Surgery  Karl F. Welke, MD, Mitchell J. Barnett, PharmD,
What Is the Role of Minimally Invasive Mitral Valve Surgery in High-Risk Patients? A Meta-Analysis of Observational Studies  Marco Moscarelli, MD, Khalil.
Neurocognitive Function and Cerebral Emboli: Randomized Study of On-Pump Versus Off-Pump Coronary Artery Bypass Surgery  Reza Motallebzadeh, MRCS, J.
Leg wound infection after coronary artery bypass grafting: a meta-analysis comparing minimally invasive versus conventional vein harvesting  Thanos Athanasiou,
Trends in Patient Characteristics and Outcomes of Coronary Artery Bypass Grafting in the 2000 to 2012 Medicare Population  Christian McNeely, MD, Stephen.
Guidance for the use of bilateral internal thoracic arteries according to survival benefit across age groups  Umberto Benedetto, MD, PhD, Mohamed Amrani,
Total Arterial Off-Pump Coronary Surgery: Time to Change Our Habits?
Minimal Access Aortic Valve Replacement: Is It Worth It?
On-Pump Versus Off-Pump Surgical Revascularization for Left Main Stem Stenosis: Risk Adjusted Outcomes  John C.Y. Lu, Antony D. Grayson, BS, D. Mark Pullan 
Improved Long-Term Survival for Diabetic Patients With Surgical Versus Interventional Revascularization  Paul Kurlansky, MD, Morley Herbert, PhD, Syma.
Sagar U. Nigwekar, MD, Praveen Kandula, MD, MPH 
Increased Rehospitalization Rate After Coronary Bypass Operation for Acute Coronary Syndrome: A Prospective Study in 200 Patients  Staffan Bjessmo, MD,
Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS 
Hisato Takagi, MD, PhD, Masafumi Matsui, MD, Takuya Umemoto, MD, PhD 
Utilization and Outcomes of Unprotected Left Main Coronary Artery Stenting and Coronary Artery Bypass Graft Surgery  Chuntao Wu, MD, PhD, Edward L. Hannan,
Myocardial, Inflammatory, and Stress Responses in Off-Pump Coronary Artery Bypass Graft Surgery With Thoracic Epidural Anesthesia  Massimo Caputo, MD,
Magnus Dalén, MD, Torbjörn Ivert, MD, PhD, Martin J
Presentation transcript:

Off-pump myocardial revascularization is associated with less incidence of stroke in elderly patients  Thanos Athanasiou, MD, PhD, Sharif Al-Ruzzeh, FRCS, Pankaj Kumar, FRCS, Mary-Clare Crossman, MRCS, Mohamed Amrani, FRCS, John R Pepper, FRCS, Rex Del Stanbridge, FRCS, Roberto Casula, FECTS, Brian Glenville, FRCS  The Annals of Thoracic Surgery  Volume 77, Issue 2, Pages 745-753 (February 2004) DOI: 10.1016/j.athoracsur.2003.07.002

Fig 1 Meta-analysis of stroke comparing off-pump coronary artery bypass versus cardiopulmonary bypass in the elderly. (CI = confidence interval; OR = odds ratio.) The Annals of Thoracic Surgery 2004 77, 745-753DOI: (10.1016/j.athoracsur.2003.07.002)

Fig 2 Funnel plot showing the association between Standard Error of log Odds Ratio [SE(logOR)] and Odds Ratio (OR) as it was calculated by the fixed effect model. The Annals of Thoracic Surgery 2004 77, 745-753DOI: (10.1016/j.athoracsur.2003.07.002)