Beating-Heart Versus Conventional On-Pump Coronary Artery Bypass Grafting: A Meta- Analysis of Clinical Outcomes Umar A.R. Chaudhry, MBBS, Leanne Harling,

Slides:

Advertisements

Similar presentations

Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies Christos G. Mihos, DO, Romain Capoulade, PhD, Evin Yucel,

Advertisements

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

A Meta-Analysis of Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement Hisato Takagi, MD, PhD, Masao Niwa, MD, Yusuke Mizuno,

Perioperative Blood Transfusion Is Associated With Worse Clinical Outcomes in Resected Lung Cancer Ting Wang, MD, Lili Luo, MD, He Huang, MD, Jingrui.

Masatsugu Hamaji, MD, Syed Osman Ali, MD, Bryan M. Burt, MD

Equivalent outcomes after coronary artery bypass graft surgery performed by consultant versus trainee surgeons: A systematic review and meta-analysis

In Search of the Ideal Pulmonary Blood Source for the Norwood Procedure: A Meta- Analysis and Systematic Review Vikas Sharma, MBBS, Salil V. Deo, MBBS,

Risk Factors for Sternal Complications After Cardiac Operations: A Systematic Review Sulakshana Balachandran, PhD, Annemarie Lee, PhD, Linda Denehy, PhD,

Pre-existing psychological depression confers increased risk of adverse cardiovascular outcomes following cardiac surgery: A systematic review and meta-analysis

Preoperative Prophylactic Intraaortic Balloon Pump Reduces the Incidence of Postoperative Acute Kidney Injury and Short-Term Death of High-Risk Patients.

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

Endosonography Versus Mediastinoscopy in Mediastinal Staging of Lung Cancer: Systematic Review and Meta-Analysis Inderpaul Singh Sehgal, MD, DM, Sahajal.

Effect of beta-blockers on perioperative outcomes in vascular and endovascular surgery: a systematic review and meta-analysis S Hajibandeh, S Hajibandeh,

Reply The Annals of Thoracic Surgery

Video-Assisted Thoracoscopic Surgery Versus Thoracotomy Lymph Node Dissection in Clinical Stage I Lung Cancer: A Meta-Analysis and System Review Wenxiong.

Rupture rates of untreated large abdominal aortic aneurysms in patients unfit for elective repair Fran Parkinson, MB BCh, Stuart Ferguson, MB BChir,

Fred H. Edwards, MD, David M. Shahian, MD, Maria V

Mohammed M. Uzzaman, MRCS, MS, J. Daniel Robb, FRCS, MRCP, Peter C. E

Homograft Implantation Techniques in the Aortic Position: To Preserve or Replace the Aortic Root? Thanos Athanasiou, MD, PhD, Catherine Jones, MBBS,

Should clopidogrel be discontinued before coronary artery bypass grafting for patients with acute coronary syndrome? A systematic review and meta-analysis

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,

Dayal Mukherjee, MBBS, Kamran Ahmed, MRCS, Kamran Baig, MRCS, Vanash M

Perioperative Blood Transfusion Is Associated With Worse Clinical Outcomes in Resected Lung Cancer Ting Wang, MD, Lili Luo, MD, He Huang, MD, Jingrui.

Myocardial Revascularization for Patients With Diabetes: Coronary Artery Bypass Grafting or Percutaneous Coronary Intervention? Serenella Castelvecchio,

Association Between Obesity and Postoperative Atrial Fibrillation in Patients Undergoing Cardiac Operations: A Systematic Review and Meta-Analysis Adrian.

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,

Coronary artery bypass grafting is superior to first-generation drug-eluting stents for unprotected left main coronary artery disease: An updated meta-analysis.

Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies Christos G. Mihos, DO, Romain Capoulade, PhD, Evin Yucel,

Impact of Preoperative Angiotensin-Converting Enzyme Inhibitor Use on Clinical Outcomes After Cardiac Surgery Maral Ouzounian, MD, Karen J. Buth, MS,

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Outcomes of Mild to Moderate Functional Tricuspid Regurgitation in Patients Undergoing Mitral Valve Operations: A Meta-Analysis of 2,488 Patients Ibrahim.

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

Suprarenal versus infrarenal stent graft fixation on renal complications after endovascular aneurysm repair Larry E. Miller, PhD, Mahmood K. Razavi,

Meta-analysis of the effects of statins on perioperative outcomes in vascular and endovascular surgery George A. Antoniou, MD, PhD, MSc, FEBVS, Shahin.

Surgical Lung Biopsy in Adult Respiratory Distress Syndrome: A Meta-Analysis Laura J. Libby, MD, Brian D. Gelbman, MD, Nasser K. Altorki, MD, Paul J.

A Systematic Review of Biocompatible Cardiopulmonary Bypass Circuits and Clinical Outcome Marco Ranucci, MD, Anna Balduini, AHA, Antonio Ditta, CCP,

A meta-analysis of dialysis access outcome in elderly patients

Hidde Jongsma, MD, Joost A. Bekken, MD, George P

A Meta-Analysis of Minimally Invasive Versus Conventional Sternotomy for Aortic Valve Replacement Kevin Phan, BS(Adv), Ashleigh Xie, Marco Di Eusanio,

Biniam Kidane, MD, MSc, Madelaine Plourde, MD, MSc, Sami A

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Angiographic outcomes of radial artery versus saphenous vein in coronary artery bypass graft surgery: A meta-analysis of randomized controlled trials

Minimally Invasive Direct Coronary Artery Bypass Graft Surgery or Percutaneous Coronary Intervention for Proximal Left Anterior Descending Artery Stenosis:

Coronary Artery Bypass Grafting After Percutaneous Intervention Has Higher Early Mortality: A Meta-Analysis Salah E. Altarabsheh, MD, Salil V. Deo, MS,

Drug-eluting balloon angioplasty versus uncoated balloon angioplasty in patients with femoropopliteal arterial occlusive disease Hidde Jongsma, MD, Joost.

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?

A meta-analysis of adjusted hazard ratios from 20 observational studies of bilateral versus single internal thoracic artery coronary artery bypass grafting

Meta-Analysis of Medium and Long-Term Efficacy of Loading Statins After Coronary Artery Bypass Grafting Cheng Bin, MM, Mu Junsheng, MD, Zhang Jianqun,

Yin-Shu Chang, MD, Jia-Xiang Wang, MD, PhD, Da-Wei Chang, PhD

Masatsugu Hamaji, MD, Syed Osman Ali, MD, Bryan M. Burt, MD

Outcomes of early extubation after bypass surgery in the elderly

Coronary Artery Bypass Revascularization Using Bilateral Internal Thoracic Arteries in Diabetic Patients: A Systematic Review and Meta-Analysis Kan Kajimoto,

Effect of Gender After Transcatheter Aortic Valve Implantation: A Meta-Analysis Federico Conrotto, MD, Fabrizio D’Ascenzo, MD, Patrizia Presbitero, MD,

Drug-eluting stents versus coronary artery bypass grafting for the treatment of coronary artery disease: A meta-analysis of randomized and nonrandomized.

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Early and Midterm Results of Off-Pump Coronary Artery Bypass Grafting

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.

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.

Leg wound infection after coronary artery bypass grafting: a meta-analysis comparing minimally invasive versus conventional vein harvesting Thanos Athanasiou,

Minimal Access Aortic Valve Replacement: Is It Worth It?

Effect of Coronary Artery Disease Extent on Contemporary Outcomes of Combined Aortic Valve Replacement and Coronary Artery Bypass Graft Surgery Zhongmin.

Sagar U. Nigwekar, MD, Praveen Kandula, MD, MPH

Hisato Takagi, MD, PhD, Masafumi Matsui, MD, Takuya Umemoto, MD, PhD

Magnus Dalén, MD, Torbjörn Ivert, MD, PhD, Martin J

Presentation transcript:

Beating-Heart Versus Conventional On-Pump Coronary Artery Bypass Grafting: A Meta- Analysis of Clinical Outcomes Umar A.R. Chaudhry, MBBS, Leanne Harling, MRCS, PhD, Amir H. Sepehripour, MRCS, George Stavridis, MD, John Kokotsakis, MD, Hutan Ashrafian, MRCS, PhD, Thanos Athanasiou, FRCS, PhD The Annals of Thoracic Surgery Volume 100, Issue 6, Pages 2251-2260 (December 2015) DOI: 10.1016/j.athoracsur.2015.05.057 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Search strategy. (BH-ONCAB = beating-heart on-pump coronary artery bypass grafting; ONCAB = on-pump coronary artery bypass grafting.) The Annals of Thoracic Surgery 2015 100, 2251-2260DOI: (10.1016/j.athoracsur.2015.05.057) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Forest plots demonstrate primary outcomes for beating-heart on-pump coronary artery bypass grafting (BH-ONCAB) vs conventional on-pump coronary artery bypass grafting (C-ONCAB) for (a) early mortality and (b) midterm mortality. The squares indicate the mean difference and are proportional to the weights used in the meta-analysis. The vertical line indicates no effect. The diamond indicates the pooled summary statistic (odds ratio or hazard ratio), and the lateral tips of the diamond indicate the associated confidence intervals (CI). The horizontal lines represent the 95% CI. (IV = inverse variance; M-H: Mantel-Haenszel.) The Annals of Thoracic Surgery 2015 100, 2251-2260DOI: (10.1016/j.athoracsur.2015.05.057) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Forest plots demonstrate secondary outcomes for beating-heart on-pump coronary artery bypass grafting (BH-ONCAB) vs conventional on-pump coronary artery bypass grafting (C-ONCAB) for (a) cerebrovascular disease, (b) renal failure, and (c) myocardial infarction. The squares indicate the mean difference and are proportional to the weights used in the meta-analysis. The vertical line indicates no effect. The diamond indicates the summary statistic (odds ratio), and the lateral tips of the diamond indicate the associated confidence intervals (CI). The horizontal lines represent the 95% CI. (M-H: Mantel-Haenszel.) The Annals of Thoracic Surgery 2015 100, 2251-2260DOI: (10.1016/j.athoracsur.2015.05.057) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 (a) Risk of bias assessment. (b) Funnel plot for early mortality for beating-heart on-pump coronary artery bypass grafting vs conventional on-pump coronary artery bypass grafting. (OR = odds ratio; SE = standard error.) The Annals of Thoracic Surgery 2015 100, 2251-2260DOI: (10.1016/j.athoracsur.2015.05.057) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions