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dc.contributor.authorGürbüz, Orçun
dc.contributor.authorKumtepe, Gencehan
dc.contributor.authorYolgösteren, Atıf
dc.contributor.authorÖzkan, Hakan
dc.contributor.authorKaral, İlker Hasan
dc.contributor.authorErcan, Abdulkadir
dc.contributor.authorEner, Serdar
dc.descriptionGürbüz, Orçun (Balikesir Author)en_US
dc.description.abstractObjective: Our aim was to compare short-term outcomes and long-term major adverse cardiovascular event (MACE)-free survival and independent predictors of long-term MACE after off-pump (OPCAB) versus on-pump beating-heart (ONBHCAB) coronary artery bypass grafting (CABG). Methods: We retrospectively reviewed data of all consecutive patients who underwent elective CABG, performed by the same surgeon, from January 2003 to October 2009. A propensity score analysis was carried out to adjust for baseline characteristics and a total of 398 patients were included: ONBHCAB (n = 181), OPCAB (n = 217). Results: OPCAB was associated with significantly shorter ventilation times (p < 0.001), intensive care unit stay (p < 0.001) and hospital stay (p < 0.001). The total blood loss was significantly more in the ONBHCAB group (p < 0.001), and accordingly, the number of transfused blood units was significantly lower in the OPCAB group (p < 0.001). Incidence of peri-operative renal complications were significantly higher in the ONBHCAB group (p = 0.004). The OPCAB group showed significantly lower long-term MACE-free survival (p = 0.029). The mean number of transfused blood units was the only independent predictor of MACE (HR: 1.218, 95% CI: 1.089-1.361; p = 0.001). Conclusion: OPCAB provided better long-term MACE-free survival compared with ONBHCAB. Fewer units of blood transfused following OPCAB surgery may have been the main reason for this result.en_US
dc.publisherClinics Cardive Publ Pty Ltden_US
dc.subjectMajor Cardiovascular Eventen_US
dc.subjectOff-Pump Coronary Artery Bypass Graftingen_US
dc.subjectOn-Pump Beating Hearten_US
dc.titleA comparison of off-and on-pump beating-heart coronary artery bypass surgery on long-term cardiovascular eventsen_US
dc.relation.journalCardiovascular Journal of Africaen_US
dc.contributor.departmentTıp Fakültesien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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