Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease

Song Wu; Yunpeng Ling; Yuanhao Fu; Lufeng Zhang; Hang Yang; Lijun Guo; Wei Gao; Feng Wan

doi:10.5114/wiitm.2017.66803

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

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abstract:

Original paper

Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease

Song Wu

,

Yunpeng Ling

,

Yuanhao Fu

,

Lufeng Zhang

,

Hang Yang

,

Lijun Guo

,

Wei Gao

,

Feng Wan

Videosurgery Miniinv 2017; 12 (2): 178–185

DOI: https://doi.org/10.5114/wiitm.2017.66803

Online publish date: 2017/03/27

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AMA

Wu S, Ling Y, Fu Y, et al. Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease. Videosurgery and Other Miniinvasive Techniques. 2017;12(2):178-185. doi:10.5114/wiitm.2017.66803.

APA

Wu, S., Ling, Y., Fu, Y., Zhang, L., Yang, H.,  & Guo, L. et al. (2017). Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease. Videosurgery and Other Miniinvasive Techniques, 12(2), 178-185. https://doi.org/10.5114/wiitm.2017.66803

Chicago

Wu, Song, Yunpeng Ling, Yuanhao Fu, Lufeng Zhang, Hang Yang, Lijun Guo,  and Wei Gao et al. 2017. "Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease". Videosurgery and Other Miniinvasive Techniques 12 (2): 178-185. doi:10.5114/wiitm.2017.66803.

Harvard

Wu, S., Ling, Y., Fu, Y., Zhang, L., Yang, H., Guo, L., Gao, W.,  and Wan, F. (2017). Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease. Videosurgery and Other Miniinvasive Techniques, 12(2), pp.178-185. https://doi.org/10.5114/wiitm.2017.66803

MLA

Wu, Song et al. "Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease." Videosurgery and Other Miniinvasive Techniques, vol. 12, no. 2, 2017, pp. 178-185. doi:10.5114/wiitm.2017.66803.

Vancouver

Wu S, Ling Y, Fu Y, Zhang L, Yang H, Guo L et al. Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease. Videosurgery and Other Miniinvasive Techniques. 2017;12(2):178-185. doi:10.5114/wiitm.2017.66803.

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Introduction: Two-staged hybrid coronary revascularization (HCR) is a novel procedure in selected patients with multivessel coronary artery disease. However, few studies are available on the mid-term or long-term outcomes of this 2-staged procedure as compared to off-pump coronary artery bypass (OPCAB).

Aim: To compare in-hospital and mid-term follow-up outcomes of 2-staged HCR with OPCAB in patients with multivessel coronary artery disease.

Material and methods: The present retrospective study analyzed the data from 73 patients who underwent the 2-staged HCR (HCR group) during 2012–2014 at the heart center. Three hundred and eighty-three patients who underwent conventional OPCAB by the same surgeon were selected for the comparative analysis performed on in-hospital and mid-term follow-up outcomes between the two groups.

Results: No significant difference was observed in the preoperative outcome between the two groups. The HCR group had a shorter operation duration (152.9 ±43.8 vs. 262.6 ±51.8 min, p < 0.05), less bleeding (558.6 ±441.3 vs. 1035.5 ±613.3 ml, p < 0.05), shorter mechanical ventilation (9.4 ±7.4 vs. 19.0 ±18.3 h, p < 0.05), and less blood transfusion (12 (16.4%) vs. 200 (52.2%), p < 0.05). The mean follow-up duration was 25.0 ±9.6 months in the HCR group and 22.8 ±10.6 months in the OPCAB group. The incidence of major adverse cardiac or cerebrovascular events (MACCE) was similar in both groups (4 (5.5%) vs. 10 (2.8%), p = 0.408). The estimated 3-year survival was similar in both groups (log-rank χ² = 1.041, p = 0.308).

Conclusions: The 2-staged HCR is a safe and effective surgical procedure and may offer similar mid-term follow-up outcomes to OPCAB.

keywords:

two-staged hybrid coronary revascularization, percutaneous coronary intervention, off-pump coronary artery bypass, minimally invasive direct coronary artery bypass graft surgery, follow-up outcomes

Mid-term follow-up outcomes of 2-staged hybrid coronary revascularization compared with off-pump coronary artery bypass for patients with multivessel coronary artery disease

Song Wu , Yunpeng Ling , Yuanhao Fu , Lufeng Zhang , Hang Yang , Lijun Guo , Wei Gao , Feng Wan

two-staged hybrid coronary revascularization, percutaneous coronary intervention, off-pump coronary artery bypass, minimally invasive direct coronary artery bypass graft surgery, follow-up outcomes

Song Wu

,

Yunpeng Ling

,

Yuanhao Fu

,

Lufeng Zhang

,

Hang Yang

,

Lijun Guo

,

Wei Gao

,

Feng Wan