COMPARISON OF EARLY POSTOPERATIVE RESULTS OF ON-PUMP VERSUS OFF-PUMP CORONARY BYPASS GRAFTING SURGERY

Assisted by cardiopulmonary machine (CPB), CABG surgery is performed safely with excellent outcomes. Due to the adverse events linked to the CPB, the off-pump CABG becomes an acceptable alternative particularly in patients with calcified proximal aorta. Critics of off-pump CABG often refer to the long learning curve and difficult building cumulative surgical experience. Off-pump CABG has been always a matter of debate. Off-pump CABG becomes highly appealing due to minimal invasiveness of the procedure, suitability to some population and better early outcomes.
Aim:
This study evaluates the early postoperative outcomes of off-pump CABG compared to on-pump CABG.
Subjects& methods:
First eligible comers in the period between 2018-2019.The following points were compared between the two groups Amount of bleeding, length of stay, duration of mechanical ventilation, operative time, completion of revascularization, complications; atrial fibrillation, neurological deficits, acute kidney injury.
Conclusion:
The argument surrounding the potential advantages and safety of the off-pump is difficult to be settled. Off-pump CABG, in the hands of trained surgeons, offers favorable short-term outcomes particularly in patients with complex co-morbidities. It is highly indicated in heavily calcified aorta to avoid the thromboembolic events.The decision should be made on individual basis, taking into consideration the potential long-term adverse outcomes.